I posted over in childbirth proffesionals but thought you ladies might have answers for me as well.... I am hoping some of you can help me figure something out.... I am wondering if there is any research or information available on the effects of pitocin on a women's future labors? More specifically if pitocin given to a woman in labor will affect her bodys ability to produce natural oxytocin in the future?
A little background information that prompts my questioning.... DS1, SROM at 37.5, no natural labor, pit started at 12 hours after rupture, epidural 10 hours later, baby born 3 hours after that. Vaginal delivy with CNM, no tears, nothing out of the ordinary for a hospital birth. DS2, SROM at 38.1, no natural labor, pit started at 12 hours after rupture, epidural 5 hours later, baby born 4 hours after that. Vaginal delivery with OB (CNM out of town) no tears, very similar experience as with DS1. DS3, planned a homebirth, took some extra precautions against SROM a little too early (considering labor didn't start within 12 hours of rupture with the first 2), even though I know they shouldve "allowed" me to go 24 hours and just monitored baby and temp for infection, but it's hard to fight the hospital :( I was encouraged to take extra vitamin c during 3rd pregnancy to help build a strong amniotic sac, and even with a cerclage that was removed at 36.5, labor NEVER started on its own.... At 42 weeks I was induced due to state homebirth and midwifery laws. Technically I could've gone past 42 weeks with a BPP, but when midwife guessed babys weight at over 9lbs I didn't want to risk an automatic csection from OB knowing he is kinda cut happy.... Pit started at 7:40 am at 42.0 no epidural, AROM at 12:40pm, baby born at 3:43 pm....
Based on my experience, I am wondering if there is a link between pitocin use in labor and an effect on future births and if so, if there is anything I can do in future pregnancies or beforehand to increase my chances of spontaneous labor?
any help would be very much appreciated
I am terrified of having to go through another induction in the future.... All I want is a peaceful, gentle homebirth....
I have no scientific evidence for you, but I'd doubt it would have any effect on subsequent labors. As far as I know, it doesn't linger in your system, but someone with more medical knowledge would have to confirm that. I had similar anxieties while expecting #2. With #1, I had SROM at 40w2d, but no contractions (none I could feel, anyway) for about 18 hours thereafter, before I accepted pitocin. (Once labor kicked in, it was 3.5 hours from first contraction to birth, so it went FAST and CRAZY.) I was so concerned that the same would happen with #2, even though I was better educated and knew that I should just wait it out (some women go days or even weeks after ROM before labor gets going--sounds to me as though your doctors were rushing you!). But again, my labor began with SROM at 39w6d, and contractions began right away. dd was born 7 hours after ROM (blissful home waterbirth), though only about the last hour of that felt like serious work. So healing!
My current MW mentioned that this scenario--ROM without labor beginning right away--is often a sign of ROA presentation (baby is head-down and facing the mother's back, but turned slightly to the right instead of the optimal left. So if I were you, the most important thing to work on would be fetal positioning--but also consider a homebirth, where your care providers are likely to be less anxious to force things along. Fetal positioning can also be a reason for going "post-dates," so... Chiropractic adjustment, by someone trained in Webster technique and skilled with pregnancy, can also help a lot.
Sarah ~ ds X 12/05 ~ dd E 3/08 ~ 7/12
Thank you, that does help, I have never heard this being something related to fetal positioning... I planned a home birth with #3 but due to state homebirth and midwifery laws, I had to be induced at 42 weeks because labor never started... I did EVERYTHING under the sun to jump start it too... Reiki, acupuncture, chiro, b&b cohosh, I even took castor oil 3 times... And he was definitely post dates, he was 9.5 (my other 2 born right around 38 wks each were 7.10 and 7.12) and he had no vernix and very dry peely skin. me kept trying to strip my membranes but she said he was too high.,, he didn't drop until pit started at 42 weeks :(. And, there are currently ZERO homebirth midwives in my area and only 1 CNM but she doesn't do HB :(. I am in contact with LM schools trying to entice someone to come practice here.... It's a very sad thing that we no longer have access to alternative birthing options :(. Anyways, I do appreciate that tidbit, I had never considered it! Thank you!
I have been induced three times, too. It's overwhelming for me to think about going through that again. So, I can really relate to these concerns. I recently came across this information about pit, it has really eased my mind.
QUOTE "Oxytocin is produced by the brain and affects the brain in its natural form. Pitocin is introduced into the blood stream and does NOT affect the brain."
Hope you have a wonderful birth!
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