I am planning a home birth with a certified midwife. She is great and we are planning no interventions as far as possible. At our last visit she presented us with an option to have a shot of oxytocin (which is what Pitocin is called here in Canada) after the birth of the baby but before the placenta. I guess the idea is that it helps the uterus clamp down and prevents hemorrhage. I had never heard of this, only of using oxytocin to induce labour, which I know I want to avoid. Does anyone have any thoughts? Normally, I'd say no thanks, but I have flirted with low platelet levels toward the end of this pregnancy and in truth I am afraid of postpartum bleeding. The levels haven't been low enough to necessitate a hospital birth (in my province I can birth at home or in a hospital with my midwife, so the hospital option isn't as dramatically different from a home birth as is my impression about the US situation) but they have made me nervous. So now all of a sudden I'm presented with something that feels like it makes the whole thing less risky. Does anyone know if an "after the fact" shot of oxytocin will interfere with any good hormonal stuff going on?