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Discussion Starter · #1 ·
My sister had a pitocin induction on Saturday and delivered a beautiful healthy baby boy who is now moderately jaundiced. When I was talking to her this evening she told me she expected him to be since she had pitocin for 12 hours during the labor. I am an OB nurse, and am sad to say I had never heard of a relationship between pitocin used during labor, and babies having a higher level of jaundice, so I was hoping some of you would be able to help me out. I tried googling jaundice, newborn and pitocin, and only found a couple of statements that it does generally cause increased jaundice, but WHY?<br><br>
Thanks for any input. Both my labors I had pitocin, and one baby was much more jaundiced that the other, but I don't know why.
 

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any drug - be it Pitocin or narcotics - need to be processed out of the baby's body. these drugs compete for the same protein sites as the extra red blood cells and can contribute to NORMAL physiological jaundice being worse and lasting longer than normal (being that the baby wants to rid its body of the foreign substances faster than the extra RBCs).<br><br>
Jaundice is something that I think is way overtreated by the medical professionals, but that's just my opinion. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Here are some abstracts related to this issue:<br><br><a href="http://tinyurl.com/ahzyj" target="_blank">Use of saline or glucose solution for diluting pit</a><br><br><a href="http://tinyurl.com/b88cq" target="_blank">significant relationship between oxytocin in labor and jaundice</a><br><br><a href="http://tinyurl.com/bzodv" target="_blank">This one says that oxytocin didn't increase jaundice unless it was only for augmentation of labor (?) Not sure how that makes sense.</a><br><br><a href="http://tinyurl.com/deoht" target="_blank">and this one says that the umbilical bilirubin was statistically increased in babies whose mothers had oxytocin.</a><br><br>
So most of the literature seems to point to yes, oxytocin in labor (whether aumenting or inducing) seems to increase neonatal jaundice. As with absolutely <i>everything</i> in obstetrics (and medicine in general) even the "experts" disagree.<br><br>
My dad, a surgeon, always says, "You can get any a$$hole to say anything in a study."<br><br>
Chris
 

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Discussion Starter · #4 ·
Thank you for your insight on this. I agree, everything in medicine can and will be challenged by the experts. I was just needing to hear the correlation between pitocin and jaundice. Knowing that it may increase the effects of jaundice in the newborn is important knowledge to pass on. I realize that a traumatic delivery plays a huge factor in jaundice, and include that information to that patients I work with.<br><br>
Thank you again.
 
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