Just wondering if anyone has any experience/advice/has seen any research on the management of the 3rd stage of labour (delivery of the placenta) especially for a VBAC? My midwife was trained to manage it without the pitocin shot, but is comfortable giving it as well. she always has it drawn up just in case.I was basically given the choice (assuming there are no complications of course), and am really on the fence about it. I am having a hard time finding any info about it! TIA!
PS - I know I'm mostly a lurker, and probably have no right to be asking for advice, but I really have found this board to be very helpful and know that you ladies always have good insight.
Re: 3rd stage
I honestly never looked into this. And nothing was mentioned specifically by my unvbac friendly delivering doctor. Basically what happened for me was, she tod me it as time to deliver the placenta, I bent forward because I couldn't hear her, the placenta fell out. I was already on pitocin (she didn't realize I was a vbac when she ordered it.)
Synthetic Oxytocin = Pitocin, most often. There is one other synthetic form called Syntocin that isn't widely used. If someone told you that you were getting Oxytocin during labor, it was most likely pit. Oxytocin is the term for the naturally occurring hormone.
I don't know if the OB who delivered my DD#2 gave me a pit drip or not to deliver the placenta. I do remember him pulling on the cord, so maybe none was used. I know he wouldn't have given me any pit during my labor, as he said as much.
With my DS, I was given a pit injection to help deliver the placenta. If there was a risk, I'm sure the doctor wouldn't have done it.
No, there's no research showing an increased risk of rupture during the delivery of the placenta in a managed third stage, even though it is apparently quite a large dose....probably because the uterus isn't stretched out and full of baby anymore