21 Reasons to Say No to Pitocin According to Manufacturer

Posted on 24. May, 2012 by Sickly Cat in Health

Have you ever read the package insert for Pitocin? It’s a fascinating read. Did you know that the manufacturer of Pitocin, JHP Pharmaceuticals, actually wrote a really sensible list of recommendations and warnings for the use of this drug?

Given the current nationwide epidemic of Pitocin abuse, I started reading this document with my hackles up, expecting to be annoyed – but it wasn’t long before I became surprised by what I was reading. JHP Pharmaceuticals didn’t create this drug to hurry up the labor experience for normal, healthy women. In fact, the package insert warns against the use of Pitocin induction when it’s not medically indicated. The Indications and Usage section opens with a framed important notice that reads “Elective induction of labor is defined as the initiation of labor in a pregnant individual who has no medical indications for induction. Since the available data are inadequate to evaluate the benefits-to-risks considerations, Pitocin is not indicated for elective induction of labor.”

There you have it, straight from the manufacturer. Pitocin isn’t even meant to be used for induction when there’s not a medical need for it. According to these instructions, there are specific situations which warrant the use of Pitocin. Maternal diabetes, Rh problems, preeclampsia at or near term, certain cases of uterine inertia (ineffective contractions during true labor), or situations where the water has already broken are listed as examples when Pitocin may be used appropriately.

Here’s another warning from the package insert that caught my eye. “When properly administered, oxytocin should stimulate uterine contractions comparable to those seen in normal labor.” That was really surprising to me. I thought it was an unavoidable fact, that Pitocin-induced contractions are simply longer and stronger than naturally occurring contractions. That’s been the common knowledge among women I’ve spoken to about this subject. A huge percentage of women who have given birth naturally and also with Pitocin say that their Pitocin births were more painful. As it turns out, artificially long or strong contractions are associated with overdose of this drug, not the recommended dosage.

Here are 21 more reasons why most women should say no to Pitocin, brought to you by – the manufacturers of Pitocin. Each of these warnings comes from the package insert.

21. Induction with Pitocin requires constant fetal monitoring, but external monitoring is inaccurate. The best way to monitor the baby’s heart rate is by using an internal monitor called a Fetal Scalp Electrode that is attached the top of the head, through the cervix. It’s very invasive and can be quite painful (for mother AND for baby) to have one of these inserted, and there have been reports of babies being cut, scraped, and even receiving eye injuries from the device.

20. Pitocin should not be used when there is a predisposition to uterine rupture, as is the case when a woman has had uterine surgery such as a c-section. The sad fact, though, is that there are many hospitals and OBs that will not “allow” a woman to attempt a VBAC unless she agrees to an induction and close monitoring.

19. Nausea and vomiting are some of the most minor symptoms on the manufacturer’s list of possible drug reactions.

18. Pitocin, just like any drug, can cause a severe allergic reaction called anaphylaxis, which causes hives, difficulty breathing and swallowing, heart palpitations, and can lead to death.

17. There is an increased risk of postpartum hemorrhage after Pitocin-augmented births.

16. Pitocin can disrupt the normal heartbeat of the mother, causing reactions such as cardiac arrhythmia or premature ventricular contractions.

15. Another risk of Pitocin is pelvic hematoma, a blood clot or even larger area of blood in the soft tissue of the pelvis.

14. Pitocin has an antidiuretic effect on the body, meaning it increases the absorption of water. This leads to the risk of water intoxication, especially when there are additional fluids such as saline in the IV or lots of water to drink. There have been cases of women suffering severe cases, including coma and even death, during labor.

13. Pitocin can cause a hypertensive episode in the mother. This basically means a sudden surge in blood pressure,and if the elevation is severe it can cause a heart attack or stroke.

12. Fatal afibrinogenemia is another listed side effect of Pitocin. In everyday language, this translates to slow, uncontrollable bleeding that results in death.

11. Women have died from uncontrolled high blood pressure, bleeding on the brain, water intoxication, hemorrhage, and uterine rupture after the use of Pitocin during the first and second stages of labor.

10. There have been no studies to examine the carcinogenicity or mutagenicity of Pitocin. In layman’s terms, we have no idea if this drug causes cancer or causes cells to change in any way.

9. We have no idea what kind of effect Pitocin has on a woman’s future fertility, let alone the fertility of her newborn baby.

8. The deaths of babies, for a variety of reasons, have been associated with the use of Pitocin during labor.

7. Pitocin has been associated with heart problems in the newborn, such as bradycardia (slow heartbeat), premature ventricular contractions, and other arrhythmias.

6. Cases of permanent damage to the newborn’s brain or central nervous system have been documented as a result of Pitocin-induced births.

5. Pitocin during labor is associated with low scores on the five minute Apgar test, the newborn exam that looks at alertness, respiratory, and circulatory health.

4. Retinal hemorrhage, a common symptom of shaken baby syndrome, can be caused by the physical force of a Pitocin-induced birth.

3. Increased risk of newborn jaundice is associated with Pitocin.

2. Hypertonic (excessively strong) contractions, and tetanic (prolonged) contractions are some of the most common side effects of Pitocin overdose. If the contractions are coming so fast that there’s no resting time in between, the dose is too high. And this leads to my number 1 reason to say no to this drug, because it seems that far too often an inappropriately high dosage is given.

1. Overdose of Pitocin is characterized by an even more frightening list of symptoms, including cervical and vaginal lacerations, deceleration of the baby’s heart rate, postpartum hemorrhage, fetal hypoxia (oxygen deprivation), and even organ failure and death in the mother or baby. It’s chilling to me, to realize that the long list of complications before this paragraph are in regards to normal doses of Pitocin, and there is a separate section to discuss the problems with overdosing.

Pitocin, just like any of the pharmacological drugs we have available to us, is an important and sometimes lifesaving tool, but like any drug or medical procedure, it must be used with caution. The list of dangerous or even fatal complications is very long, and this list doesn’t even mention some possible lifelong implications of this drug, such as the suggested link between Pitocin and autism. There are always risks when we interfere with the natural order of pregnancy and birth, and these risks must be considered carefully when an option like Pitocin induction is on the table. It’s almost always possible to wait a while longer to let nature take its course, but once the induction is underway the options become more and more limited as the urgency of the situation grows.

Was Pitocin involved in any of your births? Do you feel you were well aware of the risks associated with it?

Source: BrioBirth

Tags: Childbirth, Medicine, Pitocin, Pregnancy

http://www.facebook.com/pandaosa Amanda Richardson-Meyer

Very interesting! Thank you for your post. I will pass it on.
http://www.facebook.com/vbacfacts Jen Vbacfacts Kamel

“20. Pitocin should not be used when there is a predisposition to uterine rupture…” This does not tell the whole story as this issue is not black and white. Induction with Pitocin does and should remain an option in women with prior cesareans.

There are times when a scarred woman develops a complication that requires delivery sooner rather than later, but not necessarily in the next 10-15 minutes. In these situations, medically indicated induction can be the difference between a successful VBAC and a repeat cesarean section. This is an area where mom should review the risks and benefits of her available options with her qualified and supportive health care provider.

Definitive statements like the one I quoted above do not help women make educated decisions because that statement leads the reader to believe that Pitocin should never be used in a woman with a prior cesarean – and that’s just not the case.

In fact, the quote above only reflects a portion of the statement from the Pitocin insert. The entire sentence reads, “Except in unusual circumstances, oxytocin [Pitocin] should not be administered in the following conditions” and then lists
“previous major surgery on the cervix or uterus including cesarean
section.” However, despite conventional wisdom, a prior cesarean is not listed under the contraindications section.

To be clear, the Pitocin insert says, “The decision [to use Pitocin in a woman with a prior cesarean] can be made only by carefully weighing the potential benefits which oxytocin can provide in a given case against rare but definite potential for the drug to produce hypertonicity or tetanic spasm.” Read more here: http://vbacfacts.com/2013/02/12/induction-is-wrong-wrong-wrong-wait-what/
Jennifer

I have had 8 deliveries, including 2 c-sections, 3 vbacs and 1 vba2c (after 2 c-sections) and out of the 6 vaginal deliveries, I have had pitocin with three of them, including 2 of the vbacs. I have always had a horrible experience with pitocin, however, with one vbac, I had a certified nurse-midwife, and she did something the drs. never did… she turned the pitocin down to keep my contractions at a normal pace with what would be normal, natural contractions… if the contractions slowed down too much, she increased it slightly, but she always kept aware with what was going on with me and my ability to cope. It was such a difference for me, and made labor much more tolerable and similar to the labors without pitocin. Unfortunately, the next vbac I had pitocin, but the dr. was not there till the last minute, the nurse managed my care poorly and I had a horrendously painful delivery. She only turned down the pitocin at one point because I asked her to. It didn’t occur to her otherwise, and I don’t think she turned it down enough. It resulted in a traumatic experience for me, and I was very thankful when the drs. told me that in order to have my vba2c, years later, that I had to go into labor on my own and that they wouldn’t use pitocin. I told them, I’d rather be cut open again than have pitocin. Thankfully, I did go into labor on my own and delivered without difficulty without that drug.
http://www.facebook.com/profile.php?id=1593626323 Lani M Dingman Siciliano

Number 15 makes me so angry. My family has a history of DVTs (blood clots) during pregnancy. My doctor was well aware. I was even referred to a hematologist for monitoring. My first birth lasted for a long time, water broken with GBS+. I was dosed with antibiotics but due to arbitrary rules for length of labors my doctor ended up giving me pitocin at the very end of an otherwise unmedicated birth during my 2 hours of pushing. I ended up with a life threatening DVT that extended from my pelvis to my left knee, diagnosed 2.5 weeks postpartum and hospitalized for 8 days as a result. I never had a hint of a recurrence in the following 5 totally unmedicated births. Grrrrr.
http://www.facebook.com/chicadee4587 Stacy Spencer

i was given pitocin when i was giving birth to my daughter. my contractions weren’t doing anything and the nurses didn’t start Mr in the dug when the doctor said to, so when he came in, he was upset that i want started on it yet, he told then to start it and give a high dose. my contractions were registering of the screen. that was the worse passion i have ever felt and will not ever have another child. it hurt so bad i couldn’t Beth. horrible experience.i ensured this pain for ten hours. i had five hours natural,pitocin for ten and then finally got epidural for last two hours. horrid pain. but my daughter and i are both healthy thank goodness
http://www.facebook.com/chicadee4587 Stacy Spencer

by the way, ignore my horrible spelling, I’m on my phone.lol
Jacquie

WOW. So ALL of the contractions Ii’ve had were never real labor contractions. WhAT ON EARTH ARE DOCTORS DOING? WHY do they do these things to women KNOWING that it can cause major issues! I keep findng out more and more about labor/delivery and the more I find out the less I like it.
Lisa Madison

I had Pitocin with 3 of my 4 children… my first was totally natural, wonderful labor and delivery…very easy with no pain medication whatsoever…did it all on my own…the Pitocin deliveries were all very painful required pain medication, just terrible… I would have Pitocin contractions and then my own real contractions with little than 3 seconds between them… very hard to handle… I did survive and to my knowledge have healthy children… I am surprised that there are no disclaimers to read before you agree to Pitocin.. did not know any of the dangerous side effects of this…this is very scary to me, because I have allergies to certain medications and stings…so I could have gone into shock… I did experience the racing heart, high blood pressure, which is usually very low…nausea and vomiting…. sounds like I experienced several side effects…. word of advice, don’t do it, unless your life or the babies life is in danger…
Rachel

Pitocin was NOT used in either of my hospital births… precisely for these reasons. It’s so sickening.
aprylan

I gave birth to 4 children. Only one “required” the pit drip as it was called back then in 1981. My son is now the only one who has anger issues, has no patience, and becomes almost irrational when confronted with these or any problems. He also has a tendancy to be a hyperchondriac. As an infant he hardly ever cried, and appeared to be normal in every way. As he aged, his temper flared, and the issues were becoming seated. During those years, I read Dr. Gott’s column in the local newspaper, and a reader posed a question concerning Pitocin and his own child’s temper. I then wondered if it could be true, but had limited means to pursue the subject. Does anyone else have similar observations with their children? This article really upsets me. The MD is now deceased, and I am wondering if the hospital has the records that far back.
http://beyondbirthstory.wordpress.com/2013/04/06/induction/ Induction | Beyond A Birth Story

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Kaitlin

I’ve been induced and had Pitocin for both of my deliveries. I don’t really know what contractions feel like without the Pitocin. I do remember one nurse saying my Pit drip wasn’t “that high” when I delivered my son two months ago. It made me mad. It didn’t help that I managed to deliver my son without pain meds, but I had a difficult time keeping on top of my contractions at the end. Out of all of the hospital staff that attended me during my last labor, the resident had seen 4 women deliver without an epidural and the interns? Out of all three, they had only seen one woman deliver without an epidural. No one had ever seen a woman go through an induction without one. It was a scary thing to realize for me.

Both of my OBs have treated Pitocin as something normal, routine. I wish I had known about this list sooner. I don’t know if I would have chosen differently, but I would have liked the information before so that I could weigh the risks and decide for myself.
http://www.facebook.com/coral.basharat Coral Lorna Basharat

I have had three births , the first was a mid cavity forceps delivery 36 years ago , when my waters went , the peadiatrician saw they were bright green and ordered double strength pitocin to accelerate delivery as I had moderate eclampsia as well , protien in my urine , high bp , and swelling of extremeties, the baby appeared to be doing cartwheels inside me , this lasted for several hours and was very violent , I later read this is a sure sign of fetal distress , I wish I had known as I would have made more fuss and it upsets me now to think he was suffering . After the pitocin was administered through he drip , my contractions became unendurable , no body offered me anything stronger than injections of painkiller , gas and air and diazepam for the blood pressure. Ben was eventually born after more than 31 hours of active labour, and thank goodness scored ten on the apgar scale , his only injuries were forcep blade marks on both cheeks which faded after a week ,it was heavy bruising, and he weighed 4.5 kilos about ten pounds, in pic below taken during the hot summer of 75 , I am four months pregnant , Ben was born later that year on Christmass eve , my christmas baby!!
http://www.facebook.com/coral.basharat Coral Lorna Basharat

My second baby , dan born three years later , was a different prospect altogether, just a nice gentle labour , uncomfortable rather than painful , no pre eclampsia , no fetal distress and no need to hurry the birth , dan was born naturally just a small graze ,and no crazy pain , unfortunately he did suffer from heart probs , and had surgery at a month old , and again at eight years old and eighteen years old old , is a loving son and at present is studying to become a nurse for the disabled, a lovely son
http://www.facebook.com/coral.basharat Coral Lorna Basharat

Tom was my final son born , a few years after Dan, he was ten days late , as was Dan , labour started well , until the waters went , and again green , the peadiatrician put me on a double strength drip , and then the fun really started , every contraction becamea total nightmare , I beged anf implored them to turn the drip down but te medical staff wished Tom to be born before 6pm and it was already 12 midday and I was only 6 centemetres, If you have every watched an animal in pain it will knock itself against the wall to drive the pain away , and on a truly animal instinct that is exactly what I longed to do , throw myself against the wall to knock this awful pain out of my body, I was truly distraught and was so relieve when tom was born and the awful drip could be taken down , tom was actually very distressed when born and needed active resusitation, his Apgar score was the lowest at three to four, and he was limp and lifeless for two minutes I was in shock as second stage was over in five pushes taking place over about 15minutes, he was 4.35 kilos , 9 pounds and eight and a quarter ounces, pitocin does definately increase the power of the contractions , all my children are worth it but it takes a while to come to terms with the pain
whit601

I have given birth to three beautiful children. One of them
decided to come on her own the other two not so much. My first delivery hurt no
pitocin, just plain good old fashion pain. I was in the hospital for hours
waiting to have that baby. I got an epidural at 5-6 centimeters dilated and
that helped a lot but I pushed for an hour and felt every bit of that pain. My second
baby was 9 days late. I went into the hospital to get induced because at that
point I wanted the baby out! I have heard over and over that pitocin hurt and
made the contractions start hard and strong. After being on the pitocin for
several hours I honestly didn’t get what the fuss was about. I made it to a 5-6
with little to no issues and decided to get my epidural because it wouldn’t
hurt so bad to be all hunched over if the contractions weren’t as bad. My daughter
was born about an hour after the epidural was administered and only took 2
pushes. My third little one born just a few weeks ago was also induced. They started
me on a drug before they started the pitocin to loosen things up a bit more than
they were. Once that started to look good they started me on pitocin, Things
got heated up when baby’s heart beat started dropping with contractions (only
after they broke my water) and I had to get the internal monitors put in. THOSE
HURT! I finally got to the pushing stage and she was her in just a few minutes.
With less tearing then the other two. And she was HUGE just shy of 10lb. I
understand there are risks using any drugs pitcocin included, but I don’t feel
for me personally that the pain or risk associated with the drug was not worth
the benefits.
JB

Honestly, stories about how “blah, blah, I had pitcoin when I was in labor and blah, blah everything turned out fine” are completely irrelevant. The bottom line is: is it worth the risk? IMO, no effing way. Natural is and will always be the best and safest way to go. Anything else is just fluff. (IE: epidurals).
http://www.facebook.com/people/Alexia-Hoyt/757194922 Alexia Hoyt

My first birth was induced, I think with Pitocin, and I was given NONE of this info. Thankfully other than 3rd degree tearing, there were no other effects, that I can think of.
CAFinNY

23 years ago, when my son was born, they wanted to give me pitocin after he was born to contract my uterus & stop the bleeding. The Dr said that every woman needed it. I refused unless there was an absolute need. The bleeding stopped on it’s own.
Rose

The use of pitocin was something that I’m questioning, though my daughter is almost 3. I was in labor and by all accounts, she was coming fast… yet I was given pitocin, which made me so nauseous (just what I needed!). It was never explained to me during or after why it was administered, and as a first-time mom I didn’t question my doctors. When I go in for Baby #2 I will certainly be more aware of it!
Dr. Carson

Articles like this are meant only to scare. Pitocin is a viable drug in some cases that can help deliver a healthy baby and keep mom healthy as well. It should not ever be used as a matter of course and each pregnancy team- mom, dad/partner, doctors should weigh all factors. For all the broad statements above there has been NO evidence that pitocin has a statistically significant cause-effect relationship with anything harmful to mom or baby. Of course it will increase odds but if weighing an emergency c-section with much higher risks due to a stalled labor or trying pitocin, most rational people would choose pitocin.
Rebekah Worthman

I was not made aware…I had an extremely mild case of preeclampsia (only the numbers said I had it, I had no effect, and the numbers were only fractionally over normal) and they sprung the induction on me. We didn’t discuss possible side effects at all. I am happy I was not overdosed, I believe.
Alicia Woods

I can agree with you about pitocin and its dangers. You lost me when you ended with your “anything else is just fluff (IE: epidurals)” CRAP. This article is about pitocin, not epidurals. Epidurals are a saline block to help ease the pain of labor. It is not a “drug.” If done correctly, you can still feel the pressure of labor and are able to push. It gives the mommy a chance to breathe. To act like someone who uses an epidural is wrong is ridiculous. Frankly, your post comes across as nothing more than a rude, little girl. I’m so sick and tired of seeing posts from people who think they’re better than everyone else because they “did it all naturally.” Big whoop-de-do! I had an epidural during all three of my deliveries. My kids are now 18, 15, and 12. My oldest wants to be a teacher and is well on her way. My other two are smart, funny, well-rounded young men. If you can give birth in a way that maintains the health of the child and the mother, then all that matters is how you RAISE your child from birth on. Gee. Had epidurals and my kids turned out just fine….no better than fine. GREAT. Get over yourself. *eyeroll*
Mamamojo

I am not weighing in on the argument of whether epidurals are good or bad, but they are not ‘a saline block’. “The typical epidural is a combination of two powerful opiates: fentanyl and bupivacaine. Fentanyl has 80 times the potency (and side effects) of morphine. Bupivacaine has the ability to cause tingling around the mouth, tinnitus, tremors, dizziness, blurred vision, seizures, depression, loss of consciousness, respiratory depression and/or apnea. Bupivacaine has caused several deaths by cardiac arrest when an anesthesiologist accidently inserted the epidural analgesia into a vein instead of the epidural space in the spine.” “http://www.midwiferytoday.com/articles/epiduraltrip.asp”
It is a woman’s choice whether she has one or not, but to suggest it is just salt water without risk is disingenuous or misinformed.
LR

I really hope that some of you are either doctors or nurses that actually know what they are talking about. Just because you think this medicine is causing this, think again. There are other factors that play into the birth process. I wish you guys would do more research before opening your mouths and spreading rumors.
Mamatobe

I just saw this post and am disgusted by your self-perceived right to judge someone who you don’t know, and whose opinion is so much more medically appropriate and correct than your statements about your kids turning out “better than fine”. Glad to hear that ignorance is still bliss. Please consider looking into medical research behind epidurals, pitocin, and risks associated with such before blaspheming a young moms heart and passion to do the best for her child. JB, I applaud you. AW, its people like you that will drive our IQ points and healthcare down the drain.
Mamatobe

Sorry for the crap you’ve gotten, I applaud your perspective and I maintain the same opinions. Why take a chance with your newborns health if you don’t have to? Not worth it. Read my comment to AW below.
Concerned Husband

Dr. Carson, I think you are wrong.
I disagree with your statement that, “there has been NO evidence that pitocin has a statistically significant cause-effect relationship with anything harmful to mom or baby.” This is inherently wrong because the warnings are listed on the packaging themselves by the manufacturers. If no statistically significant data was ever found to support these warnings, why are they even there? There would be no need for them and I am sure these manufacturers would love to not include a few of them if not all of them. FDA testing must have discovered these symptoms which forced them to be listed. Statistics are inherent with every warning given, the manufacturers just don’t share them with us.
4timesmom

You know it’s so true. I feel like my doctors should listen to me and look at me as a person different from others. It seems too often that Doctors look at me in a ‘mass scale’ perspective rather than as an individual.
I am also concerned that it is possible that nurses do not understand the risks involved with this drug. My last delivery (4 in all) was the worst yet with palpitations, massive chest pains, contractions beyond my capability, massive clots with hemorrhaging and through all this the nurse is saying, “we need to turn this up.”
I don’t know if the nurses have some sort of schedule to keep to hurry me out of the delivery room or misinformation from a computer trying to interpret how I feel. Maybe from a doctors view point most people have mild reactions and will be fine, but I was one of those persons who wasn’t. I wasn’t statistically ‘normal’ and would have liked to understand these side effects so I could yell at the nurse, “NO, DON’T TURN IT UP! TAKE IT OUT! STOP THIS DRUG!” But I was not informed.
I love my doctor and appreciate everything he did for my baby and me. If there is to be another delivery you can be sure we are going to discuss this very topic. I thank you for writing and sharing this. It has explained a lot of things for me.
Elizabeth

My first two sons were born with the use of Pitocin, 1970 and 1973. Until this past year I did not know that Pitocin could cause such terrible problems. (I had trusted the “medical profession.) About a year ago it occurred to me the only difference in the birth of the first two babies and the third baby was Pitocin. So I started doing some research, finding the problems that my sons were having were directly related to the induced labor with Pitocin. It was used to iINDUCE and maintain labor with the first two. The third was born without any drugs of any kind. Not only was the labor much more difficult with the induced labor but I had a realization that the problems that my sons have had are probably a result of being given Pitocin. I was not informed of any adverse or side effects for myself or the babies, was not monitored constantly, and above all, was not medically necessary. I trusted my doctor not knowing the lifelong consequences on my babies. Both of them have had some problems both physical and emotional to the point that it is difficult for them to function in moden society as they should. PLEASE give consideration as to the necessity of having induced labor with pitocin – properly named – it is the “pits” for my sons!
http://portlandmamababycenter.com/2013/04/30/want-a-avoid-a-cesarean-section-avoid-the-induction/ Want a Avoid a Cesarean Section? Avoid the Induction!! | Portland MamaBaby Center

[...] to begin with, an intravenous (IV) drip of fluids and Pitocin in one arm. The fluids, while necessary due to the anti-diuretic properties of Pitocin, are [...]
datone

Yes it was worth the risk…if they hadn’t given me pitocin my baby would’ve died…I’ll take the risk if it means saving my childs life! Think before you speak you little self righteous witch!
Sara

I was pitocin induced with my daughter who is now 2. I was never told of any issues that might happen. My labor went very well, but was very uncomfortable. The internal monitoring was invasive and uncomfortable, nor did I know there could be any risk to my baby from having that type of monitoring. I hated being so stuck in one place. Pregnant now and I have plans to not be induced and go epidural free. Wish me luck.
Sara

I was pitocin induced with my daughter who is now 2. I was never told of any issues that might happen. My labor went very well, but was very uncomfortable. The internal monitoring was invasive and uncomfortable, nor did I know there could be any risk to my baby from having that type of monitoring. I hated being so stuck in one place. Pregnant now and I have plans to not be induced and go epidural free. Wish me luck.

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