Re: [ozmidwifery] syntocinon infusions following elective C/S

[brendamanning]

Janine,   In our small Mid unit ( 300+ births P/A) we average one EL C/s birth per week. I cannot recall the last time we had a PPH following a birth by this method.   All women return to the ward with a Synt Infusion ( 40 u in 1000mls over 4 hours). Repeated PRN ( this is very rarely required).   I wonder if your 'nasty PPHs' are a result of surgical technique/management or the reason for the C/S in the first place has predisposed the woman to bleed?   Maybe looking at the basic management before putting extensive brain work into reviewing obscure causes would be the way to go.   Haven't seen any studies & am unaware of EBProtocols.   Will ask one of our Obs next time I see him ( we have one who is a walking encyclopaedia for research & stats) about studies for you.   Good luck.   Brenda M   ----- Original Message ----- From: Steve & Janine Clark To: ozmidwifery@acegraphics.com.au Sent: Saturday, July 23, 2005 9:40 AM Subject: [ozmidwifery] syntocinon infusions following elective C/S Hi all,   Following a couple of nasty PPH’s a few hours after elective C/S, I have offered to do a lit review for my workplace regarding syntocinon infusions (or lack of) following elective caesarean sections.   Does anyone know of any studies done?   What does your workplace do? Do you have evidence-based protocols regarding this issue?   Regards Janine