resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
March, 2006, Vol. 06, Issue 03
The Truth About Pitocin
By Elaine Stillerman, LMT
There is a little publicly known law in New York (Public Health Law, Section 2503), passed in 1978, that requires all physicians and midwives to fully disclose and require informed consent from laboring women regarding the use of all drugs during labor and delivery.Unfortunately, many care providers fail to tell their patients about the potential side-effects and possible risks involved in administering one of the most common drugs used during labor, pitocin. Pitocin is a synthetic form of oxytocin, the natural hormone that stimulates the onset of labor, promotes a sense of well-being and enhances maternal bonding, given to women to induce or augment labor. It's manufactured from the pituitary extract of various animals, and combined with acetic acid for pH adjustment and less than one percent of chloretone as a preservative.
The routine use of pitocin is not backed by any scientific data, and the side-effects of pitocin during labor (and sometimes during the third stage of labor to assist the expulsion of the placenta) rarely are discussed with the laboring woman. Regardless of how many labors are induced with pitocin, most of them are not medically necessary.
During the 1980s, Dr. Roberto Caldreyo-Barcia, a former president of the International Federation of Obstetricians and Gynecologists and a renowned researcher into the effects of obstetrical interventions commented, "Pitocin is the most abused drug in the world today." He claimed its use was medically necessary in only about 3% of labors, yet estimates of its use range from 12% to 60%. Often, the drug is administered without the woman's knowledge and she never is told of its potential harmful risk factors.
The Physician's Desk Reference supports the use of pitocin only when medically necessary and advises to begin with a minimum dosage to see how the laboring mother tolerates it. The mother should receive oxygen and continuous electronic fetal monitoring, since fetal distress is more common with pitocin use and needs to be carefully watched.
The natural rhythm of labor is supported by the release of oxytocin in bursts as needed, whereas pitocin is administered as a constant IV drip that confines most women to bed. This decreases their ability to control the escalating pain caused by drug-induced uterine activity, and laboring women are more likely to require pain medication that slows labor. Think of the dichotomy: pitocin is administered to speed up labor, but the increased level of pain requires medication that slows it down. In addition, pitocin often has no effect on cervical dilation even though the contractions are much stronger.
Pitocin might cause a tumultuous, difficult labor and tetanic contractions, rupture of the uterus and dehiscence of a uterine scar, lacerations of the cervix, retained placenta or postpartum hemorrhage. Postpartum perineal and pelvic floor pain is increased as a result of augmented uterine contractions. Fetal complications might include fetal asphyxia and neonatal hypoxia, physical injury and neonatal jaundice. The use of pitocin also might be a factor in cerebral palsy from deprived oxygen and autism.
Dr. Eric Hollander of Mount Sinai Medical Center in New York presented a theory at a 1996 annual meeting of the American Psychiatric Association that linked autism with pitocin-induced labors. He put forward the idea that pitocin interferes with the newborn's oxytocin system that results in the social disabilities of autism. When he gave autistic children oxytocin, it made them four times more talkative and twice as happy, although some patients did not respond.
(Author's note: consider how the heightened, augmented uterine contractions might impact the soft fetal cranium and its possible injurious affect on the cranio-sacral system.)
Pitocin was first synthesized in 1953, and became available for use two years later. By 1974, it was an established medical fact that its failure rate was 40% to 50%. In 1978, an FDA advisory committee removed its approval of pitocin for the elective induction of labor. Interestingly, the drug never was approved by the FDA for use in augmenting labor.
While not all women and their babies are harmed by the use of pitocin, there are natural ways to coax labor that are rather effective and have no potential risks. Orgasms cause the release of oxytocin that might initiate the onset of labor in late pregnancy. Sex always has been a recognized method of starting labor. Sperm contains prostaglandins that encourage the cervix to ripen. Spicy foods, long walks, nipple stimulation, certain herbs such as blue cohosh (Excessive amounts of blue cohosh might raise maternal blood pressure to dangerous levels and might have an overdosing effect on the baby. A naturopath or herbalist should be consulted before recommending this or any herb to your pregnant clients), the use of castor oil, acupuncture, massage and general relaxation techniques might all be effective in initiating labor without the harmful side-effects of pitocin.
Labor is a complex physiological function that begins with the harmonious synchronicity of the fetus, mother and placenta. Any intervention of these essential participants offsets the balance and rhythm of labor. Babies, like fruit, ripen in their own time. The best way to promote a healthy pregnancy, labor and birth is to let the forces of nature work at their own pace.
Click here for previous articles by Elaine Stillerman, LMT.
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