Evidence Based Birth®

EBB 131 - Evidence on: Pitocin During the Third Stage of Labor

7 snips
Jun 24, 2020
This podcast dives into the use of Pitocin during the third stage of labor, examining its role in managing postpartum hemorrhage. It presents various management approaches, including active and expectant care, while reviewing the latest research. The importance of informed consent is emphasized, highlighting how to communicate effectively with healthcare providers. Listeners will gain insights into the historical context of these practices and how collaborative efforts can enhance support for birthing individuals.
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INSIGHT

Three Third-Stage Approaches

  • There are three main third-stage approaches: expectant, active, and mixed management.
  • Active centers on routine uterotonics (like Pitocin), while expectant supports natural separation without routine drugs.
INSIGHT

Endogenous Oxytocin vs Pitocin

  • Endogenous oxytocin rises in pulses during labor and acts in the brain to reduce stress and pain.
  • Pitocin is chemically identical but doesn't cross into the brain and can cause stronger, more frequent contractions.
INSIGHT

Four Causes Of PPH

  • Postpartum hemorrhage (PPH) has four main causes: tone, trauma, tissue, and thrombin.
  • Uterine atony (loss of tone) causes about 70–80% of PPH cases, which uterotonics aim to prevent.
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