Doctor insights on:
Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more
Pitocin (oxytocin): Pitocin (oxytocin) is what your own body makes to help you squeeze out a baby. It helps increase the effectiveness of the contractions. Drs can add a supplement to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make. ...Read more
Effective 4 some : Nipple stimulation can be effective for some. It triggers a release of a hormone called oxytocin from the brain. Always get clearance from your doctor first. Gently rubbing, tweaking the nipples over time will lead to some uterine contractions. ...Read moreSee 1 more doctor answer
Can the drug pitocin (oxytocin) - used to induce and augment labor cause an overreaction requiring c section?
Pitocin (oxytocin): Pitocin (oxytocin) is what your body makes.It helps increase the effectiveness of contractions.Drs can add a pit to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make.Distressed babies need to be delivered asap. ...Read more
Labor induction: Labor induction might be induced in a number of situations. It's usually recommended when conditions for the baby in the uterus are dangerous. Some of the common reasons are diabetes, kidney disease, high blood pressure, preeclampsia, and evidence that the baby is not growing well. The most common reason is that you’re more than one week overdue. Babies do not do well if you go too far past due date ...Read more
After 2 births(vag), I had 2 retained placentas, 2 postpartum hemmorhage 2nd labor precipitous (2hr) Is induction or csection safer to manage nextime
May be: Since the likelihood of such complications increase with subsequent pregnancies, your OB might suggest you to deliver at a predictable time. ...Read more
Acog released study re some adverse outcomes of use of pitocin (oxytocin) in labour augmentation. How worrisome is this for those of us who had pitocin (oxytocin) used?
Pitocin (oxytocin) has been : Used for years and continues to be used if it is used properly it is very safe I use it on almost all of my inductions and to augment labor without inducing and augmenting my patients many could have ended up with problems, some doctors abuse and do not use Pitocin (oxytocin) properly ( not too many) in those cases it can cause problems, Pitocin (oxytocin) has saved many of my pts from c-section have done 5000+delivery. ...Read more
Depends.: As far as the mother is concerned, pretty safe in good hands, other than a remote risk of chronic low back pain. As far as the fetus is concerned, early epidurals are associated with increased occiput posterior and cesarean sections, fever in labor and sepsis work-up in the nursery. Of course, the alternative (intravenous narcotics) is even worse for the fetus! ...Read moreSee 1 more doctor answer
Not safe: If you have had a prior c-section and wish to have a tolac (trial of labor after c-section), then you cannot use pitocin, (oxytocin) Cytotec or other agents to induce labor. They increase the risk of 'uterine rupture'. This should be discussed with your OB with consideration of the reasons for the prior c-section. ...Read more
Most likely...: Although I don't know anyone who has used IV or IM/SQ oxytocin during the 1st trimester who wanted to KEEP their pregnancy, the fact remains that oxytocin causes direct contractility of the uterine muscular wall and would almost certainly cause loss of an early pregnancy. It's main use is to induce uterine contractility to help induce labor (after cervical ripening) and reduce uterine bleeding. ...Read more
It can.: Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal dna testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur. ...Read moreSee 1 more doctor answer
Not common: If the surgery is scheduled in advance ("elective surgery") so that a patient has been able to not eat anything for 8 hours, vomiting during induction of anesthesia is unlikely. And if it occurs, there should be very little volume of vomit and no food pieces, which makes it much less dangerous. However, there are medical conditions and medications that make the risk higher. ...Read moreSee 2 more doctor answers