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How do you guys feel about pitocin?

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11 years 5 months ago #47413 by AnnaM
It is quite true that the more interventions you have, the more you risk ending up with a c-section. Most of the interventions we use were designed to be used as a last resort in a small number of complicated labors and have now become pretty much routine in a large percentage of labors. I used to deliver at a very interventionist hospital where I was just about the last FP who still delivered. I remember the looks on the nurses' faces when i had a patient who came in and delivered peacefully and easily with NO interventions whatsoever. No IV, no spiral or IUPC, no epidural, no meds. They were completely astonished. i knew then it was time to move on and I quit delivering at that hospital.
OTOH, I don't think we can lay all of this on the OB's. When I did prenatal care, the intense pressure (from the patients) to induce at exactly 40 weeks and then even before 40 weeks just got to be too difficult to deal with anymore. Now there is growing pressure to schedule elective primary c-sections. That did NOT come from the OB's

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11 years 5 months ago #47414 by rositabean

Originally posted by pathdr2b:
Husband to wife: " You'd BETTER not get an epidural because I don't want my kids born addicted to drugs! And I don't give a rat's booty if you do tear your perineum, suck it up like a "real" woman!"

Actually I think there is more damage done to the perineum by "purple pushing" or coached pushing which women with epidurals generally must do as they cannot feel what is going on in the perineum. They just push and push to the count of 10 with or without a contraction as demanded by their birth attendant. When one is unanesthesized one can feel the "ring of fire" and stop pushing long enough to allow the tissues to stretch enough to reduce the chance of tearing. In addition women who do not have epidurals in place are enabled to be more mobile and may be able to assume pushing positions which are better suited to reducing the risk of tearing. The worst tears also generally happen as an extension of episiotomies which are routine in high intervention / not natural births.

And honestly, relativism can be a little too absurd at times, but if it helps you feel better then have at it. We will have to agree to disagree. And I can pretend that Sunny-D is a natural fruit beverage, silicone breasts are natural breasts, and Spam is a natural food just because I feel like it. But...it still doesn't make it true.


As for the elective cesarean phenomenon, some of that comes from a generation of women becoming used to elective surgeries at the hands of plastic surgeons so they think that a c-section is no biggie. It is important that women be discouraged from this because no matter how you try to present the stats, a c-section IS more risky than a vaginal birth. Women need to be truly informed of the risks for all birthing-related interventions, and I would have to say the majority are not, at least not from what I experienced on my clerkships. For the remaining handful who are just "too posh to push" and the docs willing to cater to them, I just wash my hands of them. If their dates are off just enough and they schedule just early enough they can end up with iatrogenic prematurity and babes in the NICU. What kind of parent or doc would want that on their conscience? I don't get it.

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11 years 5 months ago #47415 by Doc201X

Originally posted by rositabean:
And I can pretend that Sunny-D is a natural fruit beverage, silicone breasts are natural breasts, and Spam is a natural food just because I feel like it. But...it still doesn't make it true.

I see I need to break this down like the Chemist by training that I am. Spam, Sunny-D, and Silicone ALL contain/are INorganic materials.

My vagina is ALL organic (as in derived from Carbon sources) as was my child birth experience (no artifical vagina's were used), and so was that 7 lb 6 oz bundle of joy that traveled down my natural birth canal, the process of which did NOT tear my perineum despite pictocin use.

Organic = natural as defined by Pathdr2b!

Now how did this thread go from pictocin use to organic vagina's? I guess I'm just wondering. Is a child conceived in a test tube yet delivered without pictocin still a natural childbirth? What about the hubby who used a little somethin, somethin, called viagra and his wife delivers a child without pictocin, is that unatural?? At what point in the birthing process does it qualify as unatural? I mean really exactly how far exactly should we go with this arbitrary and irrevelant term anyway? :confused:

I've NEVER heard of young fathers talking in the locker room at the gym about who made a baby with viagra and who didn't. Yet you get a group of young mothers together and sooner or later the "I had natural birth" braggers are gonna make their point. :rolleyes: Blah, I shoulda been a dude!

My Scientist/Physician Journey
www.Doc201X.blogspot.com

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11 years 5 months ago #47416 by Baby Einstein
"no artifical vaginas used" :rotfl:
I like that one! Thanks, I've had a rough week and you made me laugh out loud tonight!

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11 years 5 months ago #47417 by rositabean

Originally posted by pathdr2b:
Organic = natural as defined by Pathdr2b!

Hmm. So then you consider water un-natural? Technically speaking H2O is inorganic (no carbon) so using your dictionary/logic that would make it an un-natural molecule. Maybe it is just me, but I consider water very natural. I can't think of a lovely lake or majestic waterfall or bubbling brook as un-natural. A body of water and a forest epitomize natural to me (unless of course it is a man-made lake...but that is a whole other can of worms.)

I apologize for heading wildly off topic, but your logic just continues to escape me.

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11 years 5 months ago #47418 by Doc201X

Originally posted by rositabean:
I apologize for heading wildly off topic, but your logic just continues to escape me.

With all due respect, I think if you had more of a sense of humor, these statements would go over a little better. :)

My Scientist/Physician Journey
www.Doc201X.blogspot.com

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