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Pitocin Induction And AugmentationPitocin induction and augmentation are common in the US, but are they safe? Pitocin is the synthetic form of oxytocin. Oxytocin is a natural hormone - produced by your body - that stimulates uterine contractions. Pitocin is usually used to induce - start (pitocin induction) - or augment - increase the intensity and frequency of your contractions (pitocin augmentation). It is also sometimes used after labor to help your uterus contract in the event of a hemorrhage. Nowadays , it is also used for another - dreadful - purpose. According to Williams Obstetrics, a pitocin induction and augmentation should only be performed when there is a clinical diagnosis of "hypotonic uterine dysfunction." This is a condition in which the contractions become ineffective at producing cervical dilation. This means that even when it comes to OBGYNs, they should only use pitocin when indicated in abnormal labors. Moreover, contrary to popular belief, a truly "abnormal labor" is a very rare occurrence. However, even though doctors are warned of the dangers of using pitocin, it remains the most used labor and delivery drug and it is used routinely to "control" normal labors - i.e. pitocin induction and augmentation. As a matter of fact here is a scary statistic: in the United States 81% of the women who had a hospital birth received pitocin during their labors - either for a pitocin induction and/or augmentation. The medical system considers all labors as abnormal and therefore requiring "assistance." The medical model also puts in the category of abnormal labors:
![]() Pitocin Side EffectsIn 1977, in a matched-sample comparison of home and hospital labors, Dr. Mehl reported that hospital labors were considerably shorter than homebirth labors. You may think: "this is great!"...Well, not quite. Dr. Mehl deducted that this resulted from a combination of interventions designed to speed labor such as:
It is certainly very true that pitocin plays a very big part in the shortening of labor. But - as with anything else - it comes with a price. The major risk of pitocin induction and/or augmentation is not to you but to your baby. Indeed, it is well known that the increased pressure of the contractions can - and usually does -compress your baby's umbilical cord and as a result cuts down his oxygen supply. We are certain that you know this to not be a good thing. Dr. Roberto Caldeyro-Barcia has demonstrated that uterine contractions stimulated with pitocin reach over 40 mm Hg pressure on the fetal head - normally a contraction registers around 24 mm Hg. What does this mean? This means that the quality - strength - and quantity of your uterine contractions are greatly affected when pitocin is used during labor. It is a fact that contractions tend to be longer, stronger, and with shorter relaxation periods between each of them. Pitocin ComplicationsWhen you know and understand that during a contraction, the blood supply to your uterus - and therefore to your baby - is temporarily shut off, you realize very quickly how dangerous the use of pitocin can be. If deprived of blood supply, your baby can experience what is called fetal bradycardia (or decreased fetal heart-rate deceleration) - heart-beat drops. This can - and often does - results in neurological damage and eventually death. If your baby's heart rate is indeed affected, an emergency c-section will usually be performed. The diagnosis will be "fetal distress" and your doctor will be hailed as a hero for "saving" your baby's life...that he put in danger in the first place! In the 18th edition of Williams Obstetrics, it is stated: "Oxytocin - pitocin - is a powerful drug, and it has killed or maimed mothers through rupture of the uterus and even more babies through hypoxia - asphyxia aka lack of oxygen - from markedly hypertonic uterine contractions." Hypertonic means the contractions were too strong - which does not happen with a natural labor. This medical textbook goes on to urge careful administration of the lowest possible amount of pitocin in order to avoid the tetanic - huge - contractions that can cause uterine rupture, and to insist that once the drip is started, the mother should never be left alone. Obviously, these "rules" are too often disregarded to the detriment of women and their babies. Pitocin Induction And Augmentation: More ComplicationsIf you thought that the risks of uterine rupture and decreased oxygen supply to your baby were not bad enough there is more... Pitocin induction - and/or augmentation - is well known to increase the pain of the contractions and therefore increase the discomfort for you - the mother. It is a fact that pitocin-induced contractions are often double-peaked and back-to-back with little or no rest time in between. Needless to say this usually increases the level of stress and anxiety which a laboring mother will experience and this will usually lead to the administration of pain medication which is likely to further increase the distress to your baby. And of course, the distress to your baby is likely to warrant a c-section. So as you can see, one intervention breads another...then another... Yes, there is still more. Pitocin is a strong anti-diuretic - meaning you can't pee. Even at very low doses, pitocin in combination with IV fluids administered to starving - fasting - laboring moms can result in water intoxication. Water intoxication heightens your risk of pulmonary edema. Pulmonary edema results when there is an accumulation of fluids in the lungs. It leads to impaired gas exchange and this can cause respiratory failure and obviously death. Pitocin Induction And Augmentation: ConclusionThe medical model feels very strongly that birth should occur in a very certain amount of time. Anything out of this model will be interfered with and labeled "abnormal." We have in part Dr. Emmanuel E. Friedman to thank for this since he was the creator of the dilation chart - about 1 cm per hour once labor starts. Pregnant mothers are told in all kind of subtle - and not so subtle - ways that their bodies are defective and therefore need assistance - pitocin induction for example - Assistance that most of the medical community is more than happy to render in the form of invasive - and dangerous - interventions. The use of pitocin induction and/or augmentation is sadly the invitation to more intervention which more often than not results in a c-section to save the life of a baby and/or a mother. This same c-section will be hailed as "life saving" and will reaffirm in the mind of many that indeed birth is unsafe and should never occur out of a hospital. Yet there are millions of educated women who know better and trust their bodies to birth...in the comfort and dare we say - the safety - of their own homes! Does pitocin have long term side effects for your baby? A 2007 study says maybe. To leave a comment or review Click Here
Source: www.birthpsychology.com
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