Using Oxytocin in Labour – Risks and Concerns

The hormone oxytocin is known to enhance pain thresholds, reduce anxiety and arouse various kinds of positive feelings in the body. Oxytocin plays a pivotal role in inducing uterine contractions which start the procedure of childbirth. In case of difficult or delayed labour, doctors may intravenously deliver Pitocin (a dose of medically administered oxytocin) to the pregnant woman to induce labour. In the instance of the excessive post-birth bleeding use of oxytocin can aid in reducing the disproportionate loss of blood.

It is quite natural that many women may like to know how to produce oxytocin naturally to induce labour. Some of the natural ways to increase the release of oxytocin in the body are by loving physical contact which includes hugging, cuddling, even shaking hands, getting massages, nipple stimulation, etc. Even physical exercises like yoga, dancing, or activities like meditation, listening to soothing music can stimulate oxytocin generation in the body.

However, the use of synthetic oxytocin in labour can have certain risks. Therefore it is essential that pregnant women use synthetic oxytocin only after consulting their doctor.

What is Oxytocin

Oxytocin is a hormone which is created in the hypothalamus and issued by the pituitary gland (situated at the base of the brain). Oxytocin is popularly referred to as the ‘love hormone’ as it is released during lovemaking. It is responsible for making us feel good. It can also stimulate nurturing behaviour and feelings. It is the key hormone responsible for forging a loving bond between new moms and their babies as it helps in the release of milk into a mother’s breasts for lactation. In the incidence of inadequate or insufficient labour pains, use of oxytocin to induce labour is quite common. Oxytocin also aids in tightening of the uterus after childbirth to help deliver the placenta and control subsequent blood loss.

What is the Role of Oxytocin During Labour

Oxytocin can play a crucial role during labour in the following ways:

1. In case of insufficient uterine contractions, oxytocin can help induce labour which facilitates dilation of the cervix, enabling the baby to be stirred out of the mother’s body.
2. Oxytocin may help the uterus to contract to seal many of the blood vessels in the placenta thereby preventing extreme bleeding after childbirth.
3. Oxytocin may help the placenta to detach from the uterus’s wall so that it can be expelled from the mother’s body after childbirth.
4. Oxytocin can obstruct pain receptors which may prove beneficial during childbirth.

What are the Side Effects of Using Oxytocin in Labour

Synthetic oxytocin may not suit all pregnant women. Certain side effects of using synthetic oxytocin in labour can be:

• High blood pressure
• Allergic reactions
• Vomiting
• Uterine ruptures particularly in multiple pregnancies
• Post-labour bleeding
• Foetal suffering

Concerns While Taking Oxytocin in Labour

It is very important to take special care while taking oxytocin in labour. Some concerns that you may like to keep in mind are as follows:

1. Different pregnant women may need a diverse dosage of oxytocin for labour induction and for regulating post-labour.
2. Use of oxytocin during pregnancy should be limited only for inducing labour and managing post-birth bleeding.
3. Oxytocin can trigger unmanageable contractions (uterine hypertonia) which may then require pain medications. The doctor can also discontinue oxytocin dose if the need arises.
4. Oxytocin should be discontinued right away in case of any distress to the unborn child or any occurrence of hyperactivity in the uterus.
5. It is advisable for patients to disclose if they are taking any other medication before taking oxytocin as certain medicines can interfere with the use of oxytocin.
6. Some women may have concerns regarding their newborn child consuming oxytocin through breastfeeding. It is always a good idea to discuss any such concerns in detail with your doctor before taking oxytocin in labour.

The use of oxytocin in labour can have many benefits. However medical supervision is vital. Your doctor upon examination may establish your requirement and the needed dosage of oxytocin to smooth the progress of labour.