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Pitocin to Prevent Postpartum Hemorrhage, History and Current Practices
- 2024/09/23
- 再生時間： 52 分
- ポッドキャスト
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サマリー
あらすじ・解説
The First 15 continues, closing out the triad of active management of the third stage of labor. To accompany cord clamping (now delayed 60 sec), cord traction and uterine massage.
Doing our part to lower maternal death, the leading cause being hemorrhaging by including not only as a treatment, but as prevention. In the hospital, most providers choose active management as their practice but fail to discuss the experience, the benefits, the risks or any other alternate options.
It seems to be so routine that they do not feel it is a decision that the mother or parents need to even make. Though active management and pitocin can be a great choice for many women looking to lower her chance of hemorrhage and has had multiple interventions already, the power comes with knowledge.
I'm researching, discussing and sharing that knowledge with clients and you, so let's get into the history, date and current recommendations for pitocin and uterotonics in postpartum.
Resources:
Pitocin During the third Stage of Labor by Rebecca Dekker, RN and Anna Bertone MPH, Evidence Based Birth
Management of the Third Stage of Labor, Updated:
Jun 03, 2024, Author: John R Smith, MD, FACOG, FRCSC; Chief Editor: Christine Isaacs, MD, Medscape
Postpartum Hemorrhage: Prevention and Treatment, 2017, AAFP, Ann Evensen, MD, Janice M Anderson, MD, and Patricia Fontaine, MD, MS
00:40 Breaking Water and Pitocin Orders
02:18 Concerns About Early Pitocin Use
04:41 Importance of Informed Consent
09:45 Postpartum Pitocin and Hemorrhaging
14:30 Historical Approaches to Hemorrhaging
18:14 Development of Oxytocin Drugs
24:35 Discovery of Oxytocin
26:44 Pitocin: Synthetic Oxytocin
27:23 Active Management in Labor
29:50 Historical Trials and Errors
32:25 Prostaglandins and Alternatives
36:01 Modern Practices and Recommendations
41:13 Preventing and Managing Hemorrhage
45:20 Final Thoughts and Advice
50:35 Upcoming Episode Preview
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