Re: [ozmidwifery] Synto question

[Michelle Windsor]

Hi Shelley,

 

Sorry have taken awhile to reply....have been away from the net.  I think that there definetly were more PPH's as other midwives from different places had noticed it too.  And I guess it proved it with the amount of low Hb's and blood transfusions that were given.  It is a high risk tertiary referral centre and also very medicalised, so I guess those factors all come into it.

 

Cheers

Michelle

michelle gascoigne <[EMAIL PROTECTED]> wrote:

I have checked my pharmocology for midwives. It says to check the data sheet from the manufacturer. It must be quite some time though because community midwives in the UK. (certainly the 3 places I have worked) carry it for home births, not refridgerated. When we do that, we ignore the use by date by the manufacturer and pharmacy put a new one one which is 6 months from being dispensed to us. Have you noticed more PPH's directly? If not maybe they measure differently or do they have a different definition. Has it been happening for a long time or is it just a glitch and could this just be a faulty batch? (everywhere I have ever worked does things slightly differently). In terms of risk having the synt drawn up in advance seems like a bad idea to me.

Shelly

----- Original Message -----

From: Michelle Windsor

To: Ozmidwifery

Sent: Sunday, September 03, 2006 1:01 PM

Subject: [ozmidwifery] Synto question

 

 

Just a quick question.... does anyone know how long Syntocinon can be out of refrigeration before it starts loosing its effectiveness?  Where I am working at the moment there are an amazing number of PPH's, and also the common practice of drawing up the synto and having it ready often hours before the birth. 

 

 Aside from all the other medical intervention which would contribute to PPH, if controlled cord traction is started after a dose of ineffective synto, it's probably contributing to the PPH's.

 

Cheers

Michelle

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