Pitocin before placenta?

Specialties Ob/Gyn

Published

Our docs have always ordered Pitocin to be ready for IM injection immediately after the delivery of the placenta.

This afternoon I was called in to help with a delivery, and the med student asked for IM Pit after baby delivery, but before placenta delivery. The regular doc (who has never ordered it that way) said he had read something about that recommendation, and that's what we did.

How are you guys doing it?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

i should ask this one to the perinatal listserve...

who does it and how successful do they feel it is.

i have never heard of this practice and would like to learn more...

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I've always found it works well, and have very rarely seen a retained placenta (maybe twice in 3 years). This has always been the norm when I worked in Canada.

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All this discussions about giving pit before or after the placenta is scary. Some of the practices sound fairly barbaric (no offense to anyone in particular.

We,too, use pit quite routinely but not always. Sometimes we do ot use any pit at all. WE have one OB group who uses NO pitocin at all after a c/section and the ladies fair well.

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

interesting betsy....

veddy interesting.

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WE give it IM or IVP depending on the pt. IV pt's on a pit drip for labor get it cranked up to 300cc/hr just after delivery then we wean it.

Our older docs give the pit after placenta, but the new ones just out of residency give it AFTER THE HEAD AND SHOULDERS are delivered!!!! Now try juggling giving an IM when you are still holding legs!!!!

I can't really see the difference with before or after placenta. My mom's still PPH the same etc.

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