Pitocin: Indications, Side Effects, Warnings

What is Pitocin?

A brand name drug Pitocin is a synthetic version of oxytocin, a natural hormone that helps in the formation of your uterus during labor. Oxytocin is secretly concealed because your body is ready for delivery, but if you are not contracting quickly or are not in labor and need to be distributed to health reasons, then Pitocin will have to deal with those contractions To begin, it can be administered as a drug.

When hormones were first identified in 1955 and synthesized by an American scientist, Vincent du Vigneaud, it was awarded as an important medical discovery. In fact, Vincent du Vigneaud got Nobel Prize in Chemistry for his work. “Until the middle of the century, if a woman stops during labor, there was no good way to increase the intensity of contraction and help in giving it to it,” Handicap M. Rosen, MD, Director of Obstetrics and Maternal-Fetal Medicine, says Professor of Obstetrics, Gynecology and Fertility Science at the Mount Sinai West in New York City and at the Icahn School of Medicine in Mount Sinai. “If labor stops, women will have C-sections. But now, as an alternative to c-section, we have the ability to start or consolidate this drug.”

Pitocin induction

There are two reasons for using doctor Pitocin during labor: To inspire labor, if the health of the mother or child is at risk, or to increase labor, which means contraction has already begun but the transition Are not moving forward fast enough to create potential potential and other problems.

How Pitocin Induction Works?

To motivate labor, Pitocin is usually administered through IV. The hormone binds to the receptors in the uterus, which activates the uterine muscles to stimulate the contraceptive. The contractions gradually make the cervix and then push the child through the birth canal.

As the pitocin dose is used, it depends on the hospital in which you are and its protocol, but in the board, the best practice is to start slowly – usually with 2 million, Rosenn says. The doctor will wait to see how the patient responds and goes there, usually by increasing hospitality from hospital to patient and patient, every 2½ hours or more, increase in pitocin dose.

Pitocin is also sometimes used after birth. “After delivery, you want to contract the uterus to prevent postpartum bleeding as much as possible, and a large dose of [Pitocin] can help you do this,” says Rosenn.

How fast does Pitocin work?

Geeta Sharma, assistant assistant at Ob-Gin at New York-Presbyterian / Veal Cornell, says, “Normally a woman will feel light contraction within the first hour, and after that it is more different from women, when they are more intense. Become. ” Medical Center in New York City

But another important factor in determining how much Pittocin induction is working is how much the uterus is spread – and how quickly the person spreads after the pitocin supplements. “It depends on whether the mother has had a previous delivery and not her uterus – is it soft, is it spreading? Rosenn says, there is a whole range of possibilities.” How much time is it? It seems completely depends on the situation and the woman. ”

Pitocin side effect

With most medicines, if pitocin is not properly administered and monitored, it can potentially be dangerous. Pitocin triggers contraction, which are essential for delivery-but many contractions in quick succession can actually harm the child.

Rosenn says, “Every time you contract, it squeezes blood vessels, thereby reducing the supply of blood to the placenta.” “Baby’s oxygen is dependent on placenta on good flow of the mother’s blood, so if you often contract, the child may have trouble – that is why you do not want contractions to be too long or too long.”

Other Pitocin side effects include:

Uterine Rupture. If extremely rare, if contractions are very intense then pitocin may break the uterus or tear in the uterus wall. Rosann says that women who had the last c-section and now they are trying to give vaginal, then the risk of breakdown is about 0.5 percent – but the use of pitocin increases by about 1.5 percent. A woman with a previous c-section may still have a Pitocin- she needs to identify only the risk and stay in the hospital setting, so the doctor can respond to any change. But it should not be worrying for women who have “the risk of breaking down in women, who have never had a C-section, even with the use of pitocin”.

Retention of fluid. Sharma says, “Another potential side effect is the addiction of water.” “Pitocin is similar in its structure to ADH, an antidiuretic hormone, and in addition, pitocin can cause water addiction or fluid retention.” But it can be managed in the establishment of the hospital.

More painful contractions. Although it is difficult to assess fairly, many women report more painful contractions with Pitocin. Rosenn says, “This is a common topic among women.” “For those women who wanted to go to labor without regional anesthesia (or an epidemic), Pitocin could make it more difficult.”

In the last few years, Pitocin has developed a little rap. “This is one of the most scary medicines among many women, because they often hear many bad things about it-how it can increase the pain of contraction, how can this c-section take, how dangerous it can be Etc., “says Rosenn. “But we have to remember that this is a naturally occurring hormone which has a role in labor – because without this hormone, women will not be in labor or will not progress with their labor.”

Pitocin and Ownership: Is There a Link?

There are many contradictory studies on whether there is a link between pitocin and autism. According to the research findings outlined in a 2016 report, “The mother who received pitocin during the biting process, was diagnosed with autism in 2.32 times more likely to be diagnosed. [However, the fact is that after All children exposed in [pitocin] have not developed an autism phenotype, which suggests interaction with other factors, which current research is clear Mitigation is trying. “The study has also acknowledged that other recent publications dismiss such findings, and eventually require more research.

Rosenn says, “At this time, there is no good believing data” which indicates a correlation between pitocin and autism. “While considering Pitocin, this is the last thing I want to worry about women.”

Sharma agrees that there is a need for better discoveries and analysis of causes of autism. “Advanced maternal and ancestral age are associated with autism, it says that advanced motherhood is associated with increased risk for C-sections and conditions, for which labor and C-sections can be involved, autism spectrum disorders “It shows that we do not know all the reasons behind the autism spectrum disorders and the prevention.”

Sharma says, “Waiting for a comfortable labor can often be the best option,” but discussions with personal, cautious thoughts and your obstetrician are always strongly recommended. “

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