Our hospital has recently started orders that say our ladies have to have a bag of pit running for several hours (I think it is 4) postpartum. Previously, the orders just read to medlock when current bag (at time of delivery) was finished unless the bleeding was heavy.
Personally, I think it is overkill. The dose of pit is a reasonable one (that is, not a huge dose), but I just don't see it as necessary, especially for a uterus that may have already gotten hours and hours of pit. We have hemorrhages, but not enough IMO to justify pitting every single patient after she delivers. (And if they'd quit being so impatient with placentas we probably would have even fewer, but that's another thread.)
Just wondering what you do. Is there some new national guideline or ACOG statement that I'm not aware of, or is it just us?
