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	<title>Choices In Childbirth &#187; Induction of Labor</title>
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	<description>Childbirthirth Labor Support, Childbirth Education</description>
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		<title>Some Thoughts on the use of Pitocin</title>
		<link>http://choices-in-childbirth.com/2010/03/some-thoughts-on-the-use-of-pitocin/</link>
		<comments>http://choices-in-childbirth.com/2010/03/some-thoughts-on-the-use-of-pitocin/#comments</comments>
		<pubDate>Sun, 21 Mar 2010 22:19:59 +0000</pubDate>
		<dc:creator>doula</dc:creator>
				<category><![CDATA[Choices we Make]]></category>
		<category><![CDATA[Induction of Labor]]></category>
		<category><![CDATA[Let Labor Begin on its Own]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[informed consent]]></category>
		<category><![CDATA[natural childbirth]]></category>

		<guid isPermaLink="false">http://choices-in-childbirth.com/?p=243</guid>
		<description><![CDATA[One of my favorite down-time things to do is peruse my ever-growing list of birth blogs.  Today I can across this great post on Pitocin by Christine Fischer,  a traditional Midwife who blogs at Midwifery Ramblings.
The more I am around birth the more I have opportunity to see that these interventions we have can be [...]]]></description>
			<content:encoded><![CDATA[<p>One of my favorite down-time things to do is peruse my ever-growing list of birth blogs.  Today I can across <a title="What Pit does to your baby" href="http://midwiferyramblings.blogspot.com/2010/03/what-pitocin-does-to-your-baby.html" target="_blank">this great post on Pitocin</a> by Christine Fischer,  a traditional Midwife who blogs at<a title="Midwifery Ramblings" href="http://midwiferyramblings.blogspot.com/" target="_blank"> Midwifery Ramblings</a>.</p>
<p>The more I am around birth the more I have opportunity to see that these interventions we have can be both blessings and curses to laboring mothers.  The more I am around birth the more I see births that truly did need medical intervention.    And on the flip side the more I am around birth, the more I see births that certainly could have done without so much fiddling.</p>
<p>And so I get to <a title="What Pit does. . ." href="http://midwiferyramblings.blogspot.com/2010/03/what-pitocin-does-to-your-baby.html" target="_blank">Christine&#8217;s post on Pitocin</a>.  I think it&#8217;s great because it cautions parents not to  blindly enter into an elective induction or augmentation simply for the sake of time when mama and baby are both doing fine.  I have supported labors where the labor was progressing just fine and the OB ordered Pit simply because that&#8217;s how she rolls, and then watched as the baby quickly became distressed.  I have also supported labors where a little Pit at the end of a long labor kept the mom out of the OR by giving her body the nudge it needed to finish well.</p>
<p>So to all you pregnant women check out the link, learn a little about Pit, watch the video clip and then file that info away for your labor or your discussions about inducing your labor. . .</p>
<p>And to you mama&#8217;s who have labored before with Pitocin -  I&#8217;d love to know what your experiences with Pit have been.  Love it?  Hate it? Necessary? Unnecesary?</p>
<p>My personal Pit experience was with number two.  I was unnecessarily induced.  I was in early labor and didn&#8217;t realize it and was asked to come in for an induction.  At that point in my life I didn&#8217;t even think to question the advice so we went home (THAT should have been a clue that the induction was NOT a medical emergency!!) got our stuff and returned for the induction.  Well, I certainly didn&#8217;t need it.  Within two hours of starting the Pit, I was in the throes or transition and my dear little daughter was almost born in the elevator on the way to the delivery room.  (She was born overseas in a maternity clinic that had a LABOR floor and a DELIVERY floor.  You have no idea how sensible the whole L&amp;D combo is until you are trying <strong>not </strong>to birth your baby in the hospital&#8217;s elevator!)  I would have <strong>much </strong>preferred my body&#8217;s slower pace because it would have been so much more manageable.   Spreading out all that work over a little more time would have been so much nicer.</p>
<p>So there&#8217;s my little trip on Pit.  What&#8217;s yours??</p>
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		</item>
		<item>
		<title>Cracking Down on Inductions Before 39 Weeks</title>
		<link>http://choices-in-childbirth.com/2009/10/cracking-down-on-inductions-before-39-weeks/</link>
		<comments>http://choices-in-childbirth.com/2009/10/cracking-down-on-inductions-before-39-weeks/#comments</comments>
		<pubDate>Fri, 30 Oct 2009 16:53:55 +0000</pubDate>
		<dc:creator>doula</dc:creator>
				<category><![CDATA[Evidence Based Maternity Care]]></category>
		<category><![CDATA[Induction of Labor]]></category>
		<category><![CDATA[Let Labor Begin on its Own]]></category>
		<category><![CDATA[due dates]]></category>

		<guid isPermaLink="false">http://choices-in-childbirth.com/?p=184</guid>
		<description><![CDATA[Looks like hospital regulators are trying to reduce first-time cesareans and to-early inductions.

Check out the AP's article here. 

This is a great thing for mothers and babies:]]></description>
			<content:encoded><![CDATA[<p>Looks like hospital regulators are trying to reduce first-time cesareans and too-early inductions.</p>
<p>Check out the AP&#8217;s article <a title="Preventing preemies" href="http://www.google.com/hostednews/ap/article/ALeqM5hWS_O1LKoXQDMVrFkONadZl0_kIwD9BJ9S980" target="_blank">here</a>.</p>
<p>The burden of so many cesareans is starting to weigh on more than just the women and families involved.  Regulators are beginning to hold practitioners and hospitals accountable:</p>
<blockquote><p>Hospitals also will have to report cesareans for first-time mothers, <strong><em>too often a result of a failed induction.</em></strong></p></blockquote>
<blockquote><p>&#8220;<strong>That&#8217;s not a good outcome for the baby or the mom</strong>,&#8221; says joint commission president Dr. Mark Chassin. &#8220;We believe this will be a very important driver of improvement in perinatal care.&#8221;</p></blockquote>
<p><span id="more-184"></span></p>
<p>It&#8217;s time that those who set the rules and protocols for hospital birth start to realize that <strong>unnecessary cesareans are not a good outcome</strong> -  as more babies have respiratory problems, moms have much longer and more difficult recoveries while simultaneously caring for a newborn and possibly other small children, and many moms suffer from post-op infections, not to mention many other risks and side-affects of major abdominal surgery.</p>
<p>For more info on inductions check out Henci Goer&#8217;s articles on <a title="Elective Induction" href="http://www.hencigoer.com/articles/elective_induction/" target="_blank">elective induction</a> and <a title="Henci Goer on accuracy of due dtes" href="http://parenting.ivillage.com/pregnancy/0,,jb56,00.html" target="_blank">due dates</a>. Henci Goer has made combing the medical research for best practices and translating that evidence for the rest of us her life&#8217;s work.  She is the author of <a title="Thinking Woman's Guide" href="http://www.amazon.com/Thinking-Womans-Guide-Better-Birth/dp/0399525173/ref=sr_1_1?ie=UTF8&amp;s=books&amp;qid=1256920986&amp;sr=8-1" target="_blank">The Thinking Woman&#8217;s Guide to a Better Birth.<br />
</a></p>
<p>Nursing Birth gives some great advice in her &#8220;<a title="Don't Let This Happen to You" href="http://nursingbirth.wordpress.com/category/nursing-notes/dont-let-this-happen-to-you-the-injustice-in-maternity-care-series/" target="_blank">Don&#8217;t Let This Happen to You&#8221; series</a> when describing <a title="Back-Door Induction" href="http://nursingbirth.wordpress.com/2009/04/13/don%E2%80%99t-let-this-happen-to-you-24-part-1-of-2-jessica-jason%E2%80%99s-back-door-induction/" target="_blank">how one couple dealt with an induction</a>.   Nursing Birth accurately describes the birthing climate in many of today&#8217;s hospitals and writes from an evidence-based point of view.</p>
<p>Related Posts:</p>
<ul>
<li><a title="Do We Even get a Choice?" href="http://choices-in-childbirth.com/2009/05/do-we-even-get-a-choice/" target="_blank">Do We Even get a Choice?</a></li>
<li><a title="Where do We Give Birth?" href="http://choices-in-childbirth.com/2009/04/one-choice-we-make-where-do-we-give-birth/" target="_blank">One Choice We Make: Where Do We Give Birth?</a></li>
<li><a title="Good Things Come to Those Who Wait" href="http://choices-in-childbirth.com/2009/10/good-things-come-to-those-who-wait/" target="_blank">Good Things Come to Those Who Wait</a></li>
</ul>
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