Evidence Based Birth®

EBB 304 - Q & A on PPD/Pitocin, Delayed Cord Clamping, Nubain, and Placental Encapsulation

Mar 13, 2024
Dive into the complexities of childbirth with insights on the relationship between Pitocin use and postpartum depression. Discover the benefits and ethical considerations of delayed cord clamping. Learn about Nubain, an IV opioid for labor pain, and its potential effects on newborns. Finally, explore the latest findings on placenta encapsulation, addressing the gap between personal experiences and scientific evidence. This informative discussion highlights critical topics every expecting parent should consider.
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INSIGHT

Pitocin Likely Not A Proven Cause Of PPD

  • Synthetic oxytocin (Pitocin) is chemically identical to endogenous oxytocin but given IV so it does not cross the maternal blood-brain barrier.
  • Current evidence does not support Pitocin as a proven cause of postpartum depression, though more research is needed.
ADVICE

Avoid Jumping To Postpartum Causation

  • Beware the post hoc ergo propter hoc fallacy when linking Pitocin to postpartum mood disorders.
  • Look for rigorous studies and avoid drawing conclusions from low-quality or anecdotal reports.
INSIGHT

Delayed Cord Clamping Benefits Newborns

  • Major pediatric and obstetric reviews show benefits of delayed cord clamping for term and preterm infants without added maternal hemorrhage risk.
  • New trials suggest resuscitation with an intact cord can benefit infants who need help at birth.
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