Pitocin Induction The Potential Risks and Benefits

 

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As with many medical procedures and interventions, there are risks with a Pitocin induction. These include: overstimulation of the uterus; infection; rupture of the uterus. What are the risks of Pitocin, if any? Pitocin has the potential to overstimulate the uterus, which could make your contractions come too fast or too often.

That can pose certain risks, and some of them can be serious. They include: Changes in fetal heart rate. Increased chance for C-section.

Uterine rupture. Like any drug, there are some side effects of a Pitocin induction—but as it’s a form of a naturally occurring hormone, these effects tend to be mild and easily treated. Some of the milder side effects of Pitocin that women experience are nausea, vomiting and fluid retention.

Other side effects include: Increased pain. Studies have shown that Pitocin induction lowers the risk of cesarean delivery for women of term or post-term. It also helps reduce the chance of complications in women with risk factors such as infections, preeclampsia, and high blood pressure.

Augmentation = Enhancing contractions once labor has already started Pitocin, whether used for induction or augmentation, has several risks. The risks include more painful labor, often resulting in the use of epidural anesthesia. Pitocin increases the occurrence of fetal distress, leading to a higher cesarean rate. One study found that induction actually doubled the risk of C-section. 5. Higher risk of hemorrhage.

One of the biggest benefits of Pitocin is its ability to reduce postpartum hemorrhage (PPH) by helping the uterus contract back to its normal size after delivery of the placenta. Very bad and sometimes deadly effects like high blood pressure, bleeding in the brain, rupture of the uterus, too much water in the body, and deaths of the unborn baby from many causes have happened with Pitocin (oxytocin). Talk with your doctor. Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. Overview Procedure Details Risks / Benefits.

What are the risks of labor induction? Inducing labor can have some risks. The risks depend on the method your healthcare provider chooses. Some methods, such as receiving too much oxytocin too quickly, may overstimulate your uterus. This overstimulation can cause your uterus to contract too frequently.

The medications used to induce labor — oxytocin or a prostaglandin — might cause abnormal or excessive contractions, which can diminish your baby’s oxygen supply and lower your baby’s heart rate. Infection. Some methods of labor induction, such as rupturing your membranes, might increase the risk of infection for both mother and baby.

While extremely rare, Pitocin can potentially lead to a rupture of the uterus or a tear in the uterine wall if the contractions are too intense. For women who have had a previous c-section and are now trying to deliver vaginally, the risk of rupture is about 0.5 percent—but the use of pitocin increases that risk to about 1.5 percent, Rosenn says.

List of related literature:

The other problem with Pitocin?

“The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth” by Genevieve Howland
from The Mama Natural Week-by-Week Guide to Pregnancy and Childbirth
by Genevieve Howland
Gallery Books, 2017

If Pitocin is causing contractions that are too intense, your dose can be reduced to slow

“Pregnancy, Childbirth, and the Newborn: The Complete Guide” by Janet Walley, Penny Simkin, Ann Keppler, Janelle Durham, April Bolding
from Pregnancy, Childbirth, and the Newborn: The Complete Guide
by Janet Walley, Penny Simkin, et. al.
Meadowbrook, 2016

Best to avoid Pitocin if possible, and stick to your natural oxytocin.

“Mama Glow” by Latham Thomas
from Mama Glow
by Latham Thomas
Hay House, 2012

When you have exhausted all these means of natural initiations of labor, and it is determined that artificial induction by Pitocin/Syntocin drip is an absolute necessity, you may request that only a minimal dose be administered and that it not be increased without your consent.

“HypnoBirthing, Fourth Edition: The breakthrough natural approach to safer, easier, more comfortable birthing The Mongan Method, 4th Edition” by Marie Mongan
from HypnoBirthing, Fourth Edition: The breakthrough natural approach to safer, easier, more comfortable birthing The Mongan Method, 4th Edition
by Marie Mongan
Health Communications Incorporated, 2015

According to one physician, in the late 1970s the FDA said that elective induction was not an approved use of pitocin.

“Birth as an American Rite of Passage: Second Edition, With a New Preface” by Robbie E. Davis-Floyd
from Birth as an American Rite of Passage: Second Edition, With a New Preface
by Robbie E. Davis-Floyd
University of California Press, 2004

Note: your practitioner should be knowledgeable about Pitocin and should be monitoring you closely during the induction to modify the dosing, if necessary.

“Expecting 411 (4th edition): The Insider's Guide to Pregnancy and Childbirth” by Ari Brown, Michele Hakakha
from Expecting 411 (4th edition): The Insider’s Guide to Pregnancy and Childbirth
by Ari Brown, Michele Hakakha
Windsor Peak Press, 2017

The benefits of induction with oxytocin or prostaglandin have been demonstrated, through research results, to lower the risk for chorioamnionitis and neonatal infection as well as decrease the length of stay in the neonatal intensive care setting without increased risk for cesarean birth or operative vaginal birth.

“Manual of High Risk Pregnancy and Delivery E-Book” by Elizabeth S. Gilbert
from Manual of High Risk Pregnancy and Delivery E-Book
by Elizabeth S. Gilbert
Elsevier Health Sciences, 2010

Women who receive ketamine for induction require less pain medication in the first 24 hours after their cesarean delivery compared with those

“Obstetrics: Normal and Problem Pregnancies E-Book” by Mark B Landon, Henry L Galan, Eric R. M. Jauniaux, Deborah A Driscoll, Vincenzo Berghella, William A Grobman, Sarah J Kilpatrick, Alison G Cahill
from Obstetrics: Normal and Problem Pregnancies E-Book
by Mark B Landon, Henry L Galan, et. al.
Elsevier Health Sciences, 2020

Deliver healthy infant at full term without complications through vaginal delivery with oxytocin (Pitocin) induction if indicated.

“Lippincott's Content Review for NCLEX-RN” by Diane M. Billings
from Lippincott’s Content Review for NCLEX-RN
by Diane M. Billings
Wolters Kluwer Health/Lippincott Williams & Wilkins, 2008

Pitocin induction can lead to dysfunctional labor and premature birth, and pitocin augmentation shuts down a mother’s own oxytocin production and interferes with her ability to breastfeed.

“Birth Models That Work” by Robbie E. Davis-Floyd, Lesley Barclay, Jan Tritten, Betty-Anne Daviss
from Birth Models That Work
by Robbie E. Davis-Floyd, Lesley Barclay, et. al.
University of California Press, 2009

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • “If there’s too many contractions in a row, sometimes it can cause baby’s heart rate to drop”.
    I testify for this statement.
    And that is usually the effects of pitocin. It brings very intensive contractions.