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Re: Pitocin given after delivery -- Seeking more information

From: vicki (anonymous@obgyn.net)
Sun, 21 Nov 1999 09:11:54 -0600 (CST)

At Sun, 21 Nov 1999, Olivia wrote: >
>At Sat, 20 Nov 1999, Harvey S. Marchbein, M.D. wrote:
>>
>>At Fri, 19 Nov 1999, Marshella wrote:
>>>
>>>Hi Vicki,
>>>
>>>Thanks so much for your opinion! I'm also anxiously awaiting the
>>I am interested to hear of the strong anti invention opinions of some people. While unnecessary intervention is to be frowned upon there is no doubt it sometimes saves lives. My friend during delivery of her first baby was strongly against receiving oxytocin to expel the placenta. Unfortunately the doctor tugged on the cord and inverted (turned inside out) her uterus. She was in ICU for five days required emergency surgery and lost an amazing amount of blood. The OB said when he got the call at home he drove so fast to the hospital on the wrong side of the road - he had only ever seen it once before in Africa. So you know it doesn't pay to be too sure of yourself and to keep an open mind about intervention. Sometimes there are even doctors we can trust!!!
>Olivia
>

hello olivia,

i agree that there are doctors we can trust - even the ones who use interventions routinely. and i agree there are times when intervention is needed. this was the reason i specifically sought a midwife who had lots of experience, technical training and who was comfortable with going to the hospital if it became necessary, which in my case it did. unfortunately i live in a state which does absolutely no certification on midwives and thus had to REALLY do a lot of research and work on my own to find a woman who i felt had adequate training.

in the case of your friend: what a horrible thing to have to go thru! but you said the doctor tugged on the cord and inverteed her uterus. perhaps if he had been more gentle and patient this might not have happened. and i would definately say use whatever it takes in this case - but then i have no clue what the course of treatment should be for an inverted uterus.

with all the research that i see out there regarding so many of the routine interventions in labor that are unnecessary i continue to regard intervention with a certain amount of suspicion. tho i appreciate dr. marchbein's answer in regards to the side effects of pitocin. it doesnt sound as tho they are undesirable and possibly desirable. after all who among us wouldnt wish to avoid an extra week or two of bleeding after chiildbirth? does anyone have any info that would demostrate it is undesirable to use pit after birth?

thank you, vicki



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