Shortly after the rupture of water occurred in the labor ward midwives older. With a parrot perch but not with a bag of something. I have often wondered what it was and again was followed by silence. As long as my duplicated "What?" I? " I was told "no, this will help you push."
I can not say with mathematical certainty whether it was or not oxytocin. I can not say because of my folder (which I requested and sent copies to the Tribunal for the Rights of the Sick) the bag of "something that will help push tia" has disappeared from the labor per fare la sua apparizione in fase post parto.
Succede, e non mi si dica di no, che in queste benedette cartelle cliniche, sacche di qualcosa e kristeller vengano omesse. Non sto dicendo che sia la prassi e che le ostetriche e i ginecologi con amnesia siano la maggioranza. Riporto solo alcune esperienze. La mia prima di tutto e quella di tante donne che in due anni di blog hanno partecipato - e partecipano - al dibattito qui in questo angolo di web.
Marisa, ostetrica, scrive:
In Italia (ma anche dove lavoravo prima!) ci sono ancora tante strutture dove si butta giù ossitocina a garganella, senza nemmeno una pompa a infusione che regoli il dosaggio, con i rischio gravi che tutto this has (fetal distress, placenta diatacchi etc.).
So I just care that in America there is more malpractice by us, for our giustficare.
I am interested that there is a rational use of oxytocin, when used in adequate doses and monitored, that women know that oxytocin is not synthetic fresh water, which is decisive in this emulator excessive progression, which may be a great help to accelerate a travgalio in which the child must be born a little 'before, but without signs used for speed is just dangerous.
The problem is epidural oxytocin without epidural acceleration with synthetic oxytocin does give the numbers because it increases the pain so absurd, often giving contractions with short intervals, in epidural graces the cover of the pain (due to me and sacrosanct in all induced labor with prostaglandins or "correct "with oxytocin), there is often an abuse thereof.
This is an example of how it is not enough to say "guarantee the epidural" and properly inform women on the epidural, but that it should, simultaneously, reduce and inform on malpractise (oxytocin, or dispensed without indication " eye "and other amenities). How
increases the incidence of post-partum oxytocin in the uterus exhausted by one's throat? we say to women ...
Marisa's intervention for me is flawless. Although there is a point that leaves me astounded.
down one's throat, eye. We are really so bad?
If the abuse of oxytocin to accelerate the delivery is something very well known, a bit 'less well known is the generosity of doses. Down one's throat, even by eye. Oxytocin to relieve a horse and not a woman of, say, 50kg for a height of 1.60 meters.
And why "terrorism" on misdeeds (or malpractice) of the hospitals is not terrorism but complaint of pain while speaking childbirth (physiological) of tocofobia, no desire to breast feed it?
Why do not you may need an epidural while aggratis for those who ask? Because those who claim this right must break his back to get a reduction on the same malpractice?
The bad habits of operators are many, not least that of some midwives' epidural ideologically contrary. " Midwives who, in front of a woman with a catheter, is annoyed and "punish" troubled by leaving it alone, saying "that it sometimes ends up in a tc, a sucker, a Kristeller, an episiotomy."
Perhaps more than information, to reduce malapractise, women dovrebebro claim that the operators are updated a bit and term 'less certain' new '(so to speak) mode for painless childbirth.
But we continue with the hit-and-answer.
Responds Luna (anesthesiologist) Marisa:
Can you tell me in what concentration or dosage you infuse oxytocin? (Scuasa GEKA if you take advantage).
I ask why we, two years ago, dutante a refresher course organized by myself, we found xon grand surprise of those present (ost origin in particular) that our neighbors (we speak of the Burlo Garofalo) uses a casually double dose (and anche +) del nostro. (il punto cruciale della discussione era: ossitocina ed epidurale, ..ma anche solo ossitocina). E a dir la verità anche in altri H avevo visto usarla con molta "generosità" ....molto più che da noi , dove invece si usa con parsimonia e stretti controlli (clinici : valutazione obiettiva della donna, del suo solore della frequenza ed intensità - durata delle contrazionie + monitor).
Da noi, posso dire che l'uso dell'ossitocina nei casi in cui si mette l'epidurale non è aumentato. (ovvero i casi in cui si inizia l'ossitocina DOPO aver inziato l'epidurale sono sovrapponibili a quelli in cui non si fa l'epi). Con la consapevolezze però, that sometimes we put the epi prorpio because, for obstetric reasons, you decide to start oxytocin!
Well, excuse the pun ... we have an epidural does not increase the use of ox! (= Oxytocin)
Marisa responds:
I defy anyone to argue that there are serious risks to infuse oxytocin "eye", without regular assessment of contractile and fetal well-being is not enough to attack the woman on the monitor when the drip 8cosa absolutely necessary) but you have to look at the track produced by the monitor with great diligence and not throwing the eye every half hour.
This other malpractise is widespread and is one that causes damage in what amounts to a control pulse every half hour, which is unsustainable even in the throes superfisiologico and I would say "criminal" if it's on oxytocin.
Responds Vito (gynecologist) to Marisa:
your words:
"I defy anyone to argue that there are serious risks to infuse oxytocin to eye," I was really missing it already! But where do you see? During a labor, but are you sure? looks amazing. However
write on the blog is rapidly becoming difficult or repeat things that you are informed for months - empathy, the conduct of health and bla bla bla all things true, but personally I start to take it for granted for our readers and truly bored - or if you introduce something new it is just misunderstood:
"I care little that malpractice in America there is more that we, for our giustficare "is not why I talked dell'ALM American, you should have realized that I did it for the preamble Tiz on the alleged terrorist of this blog and the compliment implied that I did Geka. I see that there is a tendency to decontextualise everything that is written by the then most inappropriate considerations.
The malpractice is malpractice, how are you supposed to write to justify it: "those who work there look worse than us," I said this in your opinion?
always Vito And The Moon:
After that I learned from Marisa in Italy using oxytocin in labor in "garganelli IN MANY STRUCTURES" I just tell you that our (Italian hospitals who + or less) protocols provide for the so-called Low Doses, which are also those of Canada and North America, the rest is used for high Doses (Central and South America). Down one's throat to define "criminal Doses" and I've never seen a crime like that. If you are interested in the numbers I have only material in pdf, if you want in the future I can let you have; I see that here quickly write "something new" is clearly not easy for me.
Behold, I think it's right of pregnant women to know who is right and who was wrong. If and where it is used to infuse oxytocin eye and why.
And yes of course we interebbero numbers Vito:)
I wanted to bring this exchange because the specter of oxytocin is something often frightening mums with episiotomy. Perhaps most of the pain of childbirth. Most importantly, the vulgate
tells us that each epidural corrisoponde oxytocin more or less down one's throat. Although the hospital of the Moon is not the case (and I have no reason to doubt).
My fear is that an epidural because of the distrust of many midwives and also, we say some of gynecologists, the ossitociana down one's throat is the price to pay for choosing not to suffer.
I close by emphasizing what Vito said:
However write on the blog is rapidly becoming difficult or repeat things that you are informed for months - empathy, the behavior of health and bla bla bla all things very true but personally I start to take it for granted for our readers and truly bored - or if you introduce something new it is just misunderstood.
is yes, I am really sick and tired of constantly having to repeat myself that this blog is not a club of sadists. What empathy, good manners, humanity, respect, goodpractice are corollaries of the theorem "epidural free and guaranteed to those who ask." And with this post
tones a bit 'serious, I hope that I made a subscription to a request for health (and health) more empathetic.
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