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01-08-2013 at 8:56 PM
MommyLizzy
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Pitocin

My friend is 2 weeks past her due date,  she said she doesn't want to be induced with pitocin because it often leads to a c-section.  This is her 4th child and she's had them all vaginally so far.

I've never heard of pitocin doing this, I was induced with pitocin with my first, and other then the pitocin I had him completely natural.  No one has ever mentioned a this to me before. 

Has anyone heard of this?  

 


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01-08-2013 at 9:09 PM
MrsW101011
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It's believed that once you have medical intervention more will follow. Like if you're induced with pitocin your contractions will be stronger so you'll need an epidural. The epidural may halt labor, therefore you'll need more pitocin or may end up with a c-section. It's not always the case but can happen

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01-08-2013 at 9:19 PM
StrikeGirl
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2 weeks? Ouch. Talk about pushing out a big baby! Good luck to her...I get it though. I get why she's waiting.

I was induced 2 days after my due date....stayed on Pitocin for 13 hours and nothing. Didn't dilate, nothing happened. My doc actually let us go home and wait another week....Fast forward to 41 weeks and 2 days now...I get induced again on Pitocin at 6am. At 10:15am, she breaks my water. At 1:15pm, I was contracting every 60-90 seconds and couldn't take it anymore so I got an epidural. I stayed on the epidural until 5pm when we all decided it was best to call it. I was barely 3 cm and he was -2 station. NOT in place to come down the canal! I had my son via C-section at 6:12pm that night. When my doc cut me open, she saw that his head wasn't even making any contact with my cervix. Back in the old days, we both would have died.

I had a wonderful birth experience despite the C-section. Some people think it's a shame to have one...everything worked out fine. Even though it wasn't what we'd planned but my doc let us wait longer and DS still wasn't coming on his own. So, who knows what would have happened naturally...but at this point, the baby is just getting bigger and bigger and bigger...vaginal birth could be more difficult. But, she's a seasoned mama with 4....I'm only working on number 2.

All I know is that Pitocin did nothing for me...did not put me into labor but nor was I going into labor on my own!


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01-08-2013 at 9:38 PM
MrsW101011
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Can't quote for some reason but that is basically my story. I waited until 41 weeks 6 days to be induced. I was given 2 doses of Cytotec and then put on the max dose of Pitocin for about 8 hours and never had a single painful contraction. I was having good contractions on the monitor but they just weren't doing anything.

I never dilated to even a full 1 and ended with a c-section. Once he was born we discovered that I had cooked a 10 pound baby and there was no way his big head could get into position.

I really wanted a natural birth but I'm not at all sad about my c-section. I'm thankful for all the medical knowledge and we also both would have died without it.


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01-08-2013 at 9:54 PM
QueSyrah
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It all depends on your body and how it reacts (or doesn't) to labor.

I was induced at 40w3d. But I walked into my induction at 5cm dilated and 80% effaced. Pitocin was started at 9:30 am, my water was broken at 11:30, got my epidural around 1:30. Slept until about 5:30. Started pushing at 6:00pm and DS was born at 7:04 pm.

Inductions are more likely to end in c-section, but it's not guaranteed. Some women go into labor on their own and still end up with c-sections.


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01-08-2013 at 9:55 PM
MrsSt2009
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Watch "The Business of Being Born," it's been a few years since I did, but it's interesting and explains it all pretty well. Ricki Lake has something to do with it, producer or something.  It used to be on Netflix.


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01-08-2013 at 10:00 PM
Monsieur_e...
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I'm not a Dr, so take my opinion for what it is...

I think pitocin is not the problem in itself. I think induced labour leads to c-section more often than natural labour. i believe it's because sometimes, the body just isn't ready for the baby to come out and just won't be forced into doing so.


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01-08-2013 at 10:32 PM
nikip6454
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I had low fluid levels, my water broke and I had zero contractions. I was given pitocin and had dd vaginally 5 hours later. In my case I probably would have had a c/s without the pitocin.

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01-08-2013 at 11:50 PM
nyki06
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Not all 42 weekers are huge, mine was 8lbs 8oz which seems pretty average. If I wouldn't have gone on my own right at 42 weeks we would have induced though. 

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01-09-2013 at 7:42 AM
jlpev
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I was induced at 39 wks and a day with DS and ended up with a csection BC DS couldn't drop. After 23 hrs of trying which we knew he had the cord wrapped around his neck. We decided to do a csection even tho I was against it. Good thing we did BC DS not only had the cord wrapped around his neck but also both ankles!!!
He wasn't going anywhere!! So I'm happy it turned out the way it did.

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01-09-2013 at 8:17 AM
UberBiz
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MrsW101011:
It's believed that once you have medical intervention more will follow. Like if you're induced with pitocin your contractions will be stronger so you'll need an epidural. The epidural may halt labor, therefore you'll need more pitocin or may end up with a c-section. It's not always the case but can happen

This is the simplest explanation. I do believe that there are statistics showing that the more medical intervention there is, the higher the chances of having a c-section. But don't quote me on that, I haven't done research, just what I've heard. I had an epi, labor slowed down, then had pitocin, and wound up with an emergency c-section. I think it's a valid fear, but if she's already 2w over-due, then they're gonna have to do something to help her along and get that baby out!


 
01-09-2013 at 8:37 AM
sunkissed7...
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MrsSt2009:

Watch "The Business of Being Born," it's been a few years since I did, but it's interesting and explains it all pretty well. Ricki Lake has something to do with it, producer or something.  It used to be on Netflix.

The movie is awesome...and there is a part two now as well.  Last time I checked (about a week ago) they were still on there!

 Everyone should check them out! 

 
01-09-2013 at 9:06 AM
lovingmygi...
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I went into labor on my own before my 39th week, with strong contractions ea 2-4 mins...when we arrived at the hospital I was told I was 2cm...told to walk, which we did and a few hours later when we were checked I was still 2cm. Since contractions never slowed or stopped my OB decided to admit me and put me on Pitocin...that sped up my labor and eventually I had my DD vaginally (with an epi). If it hadn't been for the Pitocin I don't know if I would have progressed on my own.  GL to your friend!

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01-09-2013 at 9:23 AM
MommyLizzy
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sunkissed7804:
MrsSt2009:

Watch "The Business of Being Born," it's been a few years since I did, but it's interesting and explains it all pretty well. Ricki Lake has something to do with it, producer or something.  It used to be on Netflix.

The movie is awesome...and there is a part two now as well.  Last time I checked (about a week ago) they were still on there!

 Everyone should check them out! 



I will for sure check those films out. It's my 2nd child but I feel like I don't know anything about labor! It's been almost 10 years, and I had a very very easy labor. I was induced, but I didn't have any other drugs, and everything went perfect. I guess now I'm scared this time will be horrible.

If I was 42 weeks pregnant I wouldn't care how they got the baby out!

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01-09-2013 at 10:09 AM
rochella
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It just depends.  I would avoid pitocin and induction at all costs, but at 42 weeks I would be very nervous about placenta calcification, fetal distress, and macrosomia.  But that's not always an issue for some women - sometimes the baby's just not ready.  
01-09-2013 at 10:15 AM
lovingmygi...
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I went into labor on my own before my 39th week, with strong contractions ea 2-4 mins...when we arrived at the hospital I was told I was 2cm...told to walk, which we did and a few hours later when we were checked I was still 2cm. Since contractions never slowed or stopped my OB decided to admit me and put me on Pitocin...that sped up my labor and eventually I had my DD vaginally (with an epi). If it hadn't been for the Pitocin I don't know if I would have progressed on my own.  GL to your friend!

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01-09-2013 at 10:39 AM
Haley.Beth
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Pitocin makes your contractions stronger, longer, and closer together. It's great for doctors and hospitals because it supposedly speeds things up, but for you and baby, it's miserable and potentially dangerous. Your baby isn't made to handle contractions that strong, and it can send him/her into distress very easily. Just because you get the epidural and can't feel them, doesn't mean your baby isn't still being beat on by the strength of the contractions.

My sister-in-law was induced with cervadil and pitocin 3 days after her due date. It went well until the pitocin kicked in, then her baby's heart rate started dipping with each contraction. She got an epidural because she couldn't handle the pitocin contractions, but her baby's heart rate got lower and lower until she was rushed into a c-section. 


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01-09-2013 at 10:57 AM
skio
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Yes.

Every body will react differently to different drugs. I have definitely heard of pit causing problems that can lead to c/s. For me, it made me swell ridiculously. My cervix was also affected and was too swollen to allow DD to descend.



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01-09-2013 at 11:12 AM
Nowuseeme3...
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I was induced at 39 weeks with Cervodil and pitocin, and later I had and epi which I knew I wanted before ever going into it. I wanted to enjoy the experience rather than be overwhelmed by pain. My labor and delivery went extremely smooth and uncomplicated.

I understand the want and need some women have for going Natural and I have not one negative word to say about any form of delivery. As long as the baby is healthy and mother is happy then I dont see a need to gripe.

on op's question I have never heard of pitocin being more likely to lead to a C-section and if your friend is 42 weeks and still nothing I would be thinking about alternate options only because I read the longer you go past the Due date then the high risk you run for still birth! Best of luck though. 


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01-09-2013 at 11:18 AM
LibbyLouHo...
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Monsieur_et_Madame_Ha:

I'm not a Dr, so take my opinion for what it is...

I think pitocin is not the problem in itself. I think induced labour leads to c-section more often than natural labour. i believe it's because sometimes, the body just isn't ready for the baby to come out and just won't be forced into doing so.

This is basically what my doctor and the nurse that taught my birthing class said as well. If you are showing signs of going into labor (dilation, effacement) prior to being induced with Pitocin, the chances of having to do a c-section are greatly reduced.

Personally, I am against inductions unless they are medically necessary. In the case of a 42 week baby, I would start to be concerned about other issues developing and would be willing to risk an induction, even if it ended in c-section.


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01-09-2013 at 11:31 AM
nikip6454
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A another issue with the theory is once a medical intervention is deemed required, something is already going on.  Of course, if everything is going fine and normal, no interventions are needed making a c-section unlikely.

 I believe after 42 weeks there is a concern for the placenta to deteriorate. 

 Editted to fix a few things!


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01-09-2013 at 11:37 AM
GraceInCA
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nikip6454:
I another issue with the theory is once a medical intervention is deemed required, something is already going on.  Of course, if everything is going fine and normal, no interventions are needed.

The problem is that inductions are done routinely that are not medically necessary. One of my best friends gave birth last year, and her induction turned into a C/S. The induction happened at 40w1d because her doctor said, "I don't really like to see patients go over 40 weeks." This is not some brand new med school grad, it's a highly respected OB in Santa Monica with a very large patient load. People are also pressured to induce because "OMG your baby is going to be HUUUUGE!" after a BPP, which very often turns out not to be the case at all. 

This is all too common now. Barring the rare instances of complications, the baby will come when the baby is ready. Sometimes, all it takes is a few days past "due date", which by the way is merely an estimate; no one can pinpoint down to the day when baby is done and ready to come out.


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01-09-2013 at 1:17 PM
homebird
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At 2 weeks past her due date, she is probably not doing herself or her baby any favors by resisting induction.

A due date IS just a geuss (and can be wrong), so I am a fan of letting baby be born when they're ready. But at a certain point the placenta actually starts to degrade and it could put the baby in danger. Many doctors will not allow their patients to go past 42 weeks.

Has she been having any non-stress tests or ultrasound to check on the baby's health?

Pitocin CAN lead to c-sections, but most of the people I know who are induced have vaginal deliveries. She shouldn't be afraid of a c-section. Sometimes a c-section is medically necessary, and may be the only option left.


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01-09-2013 at 1:17 PM
homebird
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Monsieur_et_Madame_Ha:

I'm not a Dr, so take my opinion for what it is...

I think pitocin is not the problem in itself. I think induced labour leads to c-section more often than natural labour. i believe it's because sometimes, the body just isn't ready for the baby to come out and just won't be forced into doing so.

Yes, this too. 


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01-09-2013 at 2:50 PM
Liz4444
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With Li, my water broke and I wasn't even dilated to 1 cm, so they gave me Pitocin and a cervical balloon, that was at about 6:30am.  I had an epi around 11am, but that had nothing to do with the Pit, I was planning on getting it anyway.  I had Li vaginally at 3:30pm. 

Everyone's body handles things differently.


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01-09-2013 at 4:11 PM
srhcmt
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LibbyLouHoo:
Monsieur_et_Madame_Ha:

I'm not a Dr, so take my opinion for what it is...

I think pitocin is not the problem in itself. I think induced labour leads to c-section more often than natural labour. i believe it's because sometimes, the body just isn't ready for the baby to come out and just won't be forced into doing so.

This is basically what my doctor and the nurse that taught my birthing class said as well. If you are showing signs of going into labor (dilation, effacement) prior to being induced with Pitocin, the chances of having to do a c-section are greatly reduced.

Personally, I am against inductions unless they are medically necessary. In the case of a 42 week baby, I would start to be concerned about other issues developing and would be willing to risk an induction, even if it ended in c-section.

My feelings exactly. By 42 weeks I think you have a medical reason to use intervention.


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