>In a message dated 5/5/2004 1:05:45 PM Pacific Standard Time,
>[log in to unmask] writes:
>Many of our clients are now being told that they will receive a "shot of
>Pitocin" immediately postpartum.  They are told it is mandatory.  I recall
>discussing this before, but I'm having trouble finding anything in the LACTNET
>archives.  I'm attempting to determine what, if any, affect this has on the
>initiation of breastfeeding.
>XXXXXXXXXXXXXXXXXXXXXXXXXXXX
>Every mother who delivers in a hospital in the USA and most of the developed
>world gets an IV dose of pitocin (not an IM injection) to help decrease blood
>loss by contracting the uterus.  The cheaper, better way to do this is to put
>the baby to the breast immediately!
>
>Nancy


In the UK, it is an IM injection and I would guess virtually
everybody gets it - you have to argue for a 'physiological third
stage' and get it written into your notes this is what you want if
you want to avoid the injection.

My understanding is that it is important to have the whole package of
'physiological third stage' - no use withholding the injection and
the midwives still doing controlled cord traction to remove the
placenta, as this could be dangerous.

Heather Welford Neil
NCT bfc, UK

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