But did she look at the correlation between lots of Pitocin & lots of IV
fluids -- or just the IV fluids.
Jan,
I'm with you, an excellent point. Is there anyone who DOESN'T get Pitocin?
It's given to accelerate labor, of course, but also given after delivery to
help contract the uterus.  Inductions with "failure to progress" who end up
with c/s have tons of Pit on board, right? Even moms with inductions who
don't have c/s have lots of fluid retention. And women who get epidurals get
3-4L of IV fluid, at a minimum.  I've seen so many "meaty" nipples and
areolae recently from these situations. We even saw a lady last fall who had
pitting edema - a vaginal delivery.  Poor kid had such a hard time latching
on! Mom could barely walk d/t her ankles being swollen. The doc gave her
Lasix to get rid of it. This really could have been avoided or scaled down at
least.
    I've been noticing lately that babies of c/s moms drop a lot of weight on
paper (looking at just numbers) but are feeding well, peeing and pooping appro
priately. The peds want them supplemented but there is no clinical evidence
to support that. So I fight the good  fight and argue about it. Sometimes we
win, sometimes not.
Mary Kay Smith, RN, IBCLC
Romeoville IL

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