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
How can pitocin or the drip induction oxytocin cause a subarachnoid hemmorhage? And how can it cause water intoxication?
Pitocin (oxytocin): Pitocin has an anti diuretic effect and one of its side effects is water intoxication. Pitocin is just synthetic oxytocin, which is secreted by the posterior pituitary. Subarachnoid hemorrhage can have multiple causes, unsure if pitocin associated with that. An MFM specialist might have a better explanation for that. ...Read more
Do you have to have pitocin (oxytocin) when you have prolonged labor? i would like to try avoid chemical inductions due to risk of AFE, I am terrified
Why can a labour induction by a pitocin (oxytocin) drip cause a subarachnoid hemmorhage? How is that possible? What mechanisms lead to that?
Generally safe: Pitocin (oxytocin) can make you contract too much. To prevent this, usually it is started at a low dose and increased slowly until the contractions are close enough together to open the cervix. Not everyone needs Pitocin (oxytocin) in labor. It is used when the contractions a woman is having on her own are not opening the cervix. ...Read more
Cervical Ripening: The purpose of the gel is to prepare the cervix to dilate. It makes the cervix softer and sometimes causes slight dilation. The pitocin (oxytocin) gives you the contractions of real labor. This combination is a good way to induce labor if your body is ready or there is a medical need for induction. Best wishes! ...Read more
Who uses buccal pit?: The discussion of the risks and proper use of pitotcin is a long one. Suffice it to say the use of buccal pitotcin to induce/augment labor involves all the usual risks of pitotcin in addition to the fact that buccal pitotcin is absorbed and dispersed in a less controlled fashion than iv. I am curious where and when buccal pitotcin is being used. ...Read more
No: They are different hormones with completely different effects. ...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