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“Pit to Distress”: Your Ticket to an “Emergency” Cesarean?

Last week I wrote about a hospital reduced it’s use of Pitocin and found that their emergency cesarean rate decreased.

Then today I run across this new term “Pit to Distress” at unnecesarean.com:

“Pitocin is used like candy in the OB world, and that’s one of the reasons for medical and legal risk,” says Carla Provost, assistant vice president at Baystate, who notes that in many hospitals it is common practice to “pit to distress” — or use the maximum dose of Pitocin to stimulate contractions.

I agree, and call aggressive pit protocols the “pit to distress, then cut” routine. Docs who have high c/s rates and like doing them, are the same ones that like the rapid fire knock em down/drag em out pit routines.

Many women are routinely given Pitocin – if their labor started naturally, if their labor was induced, if they are a woman with a prior cesarean – and the OBs are aware of the Pitocin/fetal distress/cesarean relationship and yet they still do it.  Additionally, when women are given Pitocin, their contractions are more powerful, painful, and faster than naturally occurring labors and women who wish to have an unmedicated birth, or at the very least, “see how far they can go,” consent to pain medication which comes with its own set of risks.

Ladies, if you want to avoid a cesarean, if you want to have an unmedicated birth, thoroughly screen your obstetrician, have a hospital birth with a certified nurse midwife or have a homebirth.

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3 comments to “Pit to Distress”: Your Ticket to an “Emergency” Cesarean?

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