EBB 131 - Evidence on: Pitocin During the Third Stage of Labor

Evidence Based Birth®

Rebecca Dekker

Pregnancy, Health & Fitness, Childbirth, Parenting, Birth, Medicine, Kids & Family, Doula, Obstetrician, Midwife

4.6 • 978 Ratings

🗓️ 24 June 2020

⏱️ 71 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this episode, I cover all the latest evidence on the use of Pitocin during the third stage of labor - which is also the topic of the latest Evidence Based Birth Signature Article, released this week!

The third stage of labor, or placental stage, begins after the baby is born and ends after the birth of the placenta (sometimes called the “afterbirth”). It follows the first two stages of labor - the dilation stage and the pushing stage. In practice, there are three main approaches to care for the birth of the placenta - active management, expectant management, and mixed management. Some of these methods include the use of Pitocin - a synthetic form of the hormone oxytocin. I cover the pros and cons of each of these, as well last the latest research and recommendations.

For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on Facebook, Instagram, and Pinterest. Ready to get involved? Check out our Professional membership (including scholarship options) and our Instructor program. Find an EBB Instructor here, and click here to learn more about the Evidence Based Birth® Childbirth Class.

RESOURCES:

See the Evidence Based Birth Signature Article, The Evidence on: Pitocin During the Third Stage of Labor, here! All research and sources are linked at the end of the article.

Download the EBB one-page handout on Pitocin During the Third Stage of Labor here.

Transcript

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0:00.0	Hi everyone on this podcast we're going to talk about the evidence on Patosin during the third stage of labor.
0:07.0	Welcome to the Evidence-Based Birth Podcast. My name is Rebecca Decker and I'm a nurse with
0:15.3	my PhD and the founder of Evidence Space Birth. Join me each week as we work together
0:20.9	to get evidence-based information into the hands of families and professionals
0:25.5	around the world.
0:27.1	As a reminder, this information is not medical advice.
0:30.5	See EB-B-Bbirth.. Disclaimer for more details.
0:37.0	Hi everyone today is a special day and it is a day that we are going to release this podcast all about the evidence on Patosin during
0:45.1	the third stage of labor. This is a topic that has been requested by our audience
0:49.4	for many years and we are so thrilled that we're able to provide this research
0:54.4	evidence to you and make it publicly available. So let's dive in. Since this is a
0:58.8	bit of a longer podcast I thought I would give you an outline before I get
1:02.2	started.
1:03.0	We're going to start by going over some definitions first,
1:06.0	and then we'll talk about the three different types of management of the third stage,
1:09.0	active, expectant, and mixed.
1:12.0	We'll then talk about the history of how the third stage of
1:14.2	labor has been managed over time. We'll talk about how oxytocin works in the
1:18.2	body and how it differs from synthetic oxytocin. We'll discuss the new
1:22.3	definition of postpartum hemorrhage and talk about
1:25.1	the causes of postpartum hemorrhage, how it's measured, and whether or not rates of
1:29.1	postpartum hemorrhage have been increasing around the world. We'll then move on to the research evidence on active
	...

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