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Blackmailedslave Bp Tilv Black Mail Non-Pharmaceutical Induction - from Ronnie Falcão's Midwife Archives

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Obviously, anything inserted into the vagina should be clean and not harmful to the tissues, but evening primrose oil is less likely to cause infection than a penis.

Nipple and Breast Stimulation

Changes in the Bishop score induced by manual nipple stimulation. A cross-over randomized study.
Di Lieto A, Miranda L, Ardito P, Favale P, Albano G
Clin Exp Obstet Gynecol 1989;16(1):26-9

Cervical ripening by breast stimulation.
Salmon YM, Kee WH, Tan SL, Jen SW
Obstet Gynecol 1986 Jan;67(1):21-4

It is stressed that no uterine hypertonus was detected with gentle, unilateral breast stimulation, and there were no maternal or fetal complications as a result of this modality of cervical ripening.

One of my midwife friends swears by the following protocol for a postdates situation or need to start labor because of ruptured membranes:



For multips w/ruptured membranes
Cottonroot bark tincture and nipple stim - baby in two hours
CRB: 1/2 or full dropperful every 30 minutes
Breast pump - stimulate until they get a contraction
Break suction, turn off machine, and then as soon as contraction stops, turn it on again.
Do this until contractions are q 2-3, then continue for 20 minutes.

For a first-time mom, you may need to continue for up to an hour after contractions are coming close and strong in order to keep things going.



It has to be a double electric pump. Self stimulation causes soreness.  Esp. w/multips, if it's gonna work, they're going to get some colostrum out; they'll usually save it.

If the above isn't working, you can increase the cottonroot bark tincture to 3 droppersful every half hour.  This seems a little aggressive to me, and I would worry a bit about overstimulation, so mamas . . . don't try this at home without your midwife's explicit approval!

If membranes are intact and you're dealing with a postdates situation, you might do the breastpump nonstop for at least an hour at a time.

Applying hot packs/heat to breasts is supposed to get a chemical going naturally [ed. presumably oxytocin] and will start labor.  It worked with my second baby.  I had bronchitis and it turned into a bad cold/cough.  About a week before my due date, I had put a heat pad on my chest, hoping to loosen it up for breathing purposes.  The next morning I went into labor and within a few hours, I delivered a healthy baby!!  I then recalled having read somewhere that applying heat to the breasts will induce labor.

Breast stimulation

The method taught to me was to stimulate (with an electric breast pump, preferably) until a contraction starts, stop the pump during the contraction and then switch to the other breast. Switching frequently probably helps avoid nipple strain and the breaks for contractions are supposed to prevent over-stimulation. (If doing manual stimulation, you might try using Lansinoh to prevent nipple soreness.)

Sweeping Membranes aka Stripping Membranes

Sweeping Membranes for Starting Labor

Foley Catheter

Foley Catheter for Starting Labor

Homeopathic Options for Induction

Cohosh (in my experience) can make lots of uncomfortable toning contractions and false labor sometimes with the risk of raising the blood pressure. Because of this, I suggest another option which is taken orally. Nutritional Formulas make Matrigin. A similar medicine is made by Weleda with a different name-Dolisos Caulophyllum Complex. It is a 5 remedy homeopathic concoction that has reduced the length of labor in a double blind study in France (The Dolisos Study). Women started taking it at the beginning of the ninth month.

I have used it for preventing postmaturity and ripening the cervix in a few women who would seem to benefit from that. The remedies in the combination are Arnica, Caulophyllum, Cimicifuga, Pulsatilla and Gelsemium. Perhaps clients seem to fit to the personality/fears/symptoms of a certain remedy, in which case it is better to give a single remedy if a remedy is even warranted. Cimicifuga fears she will die in childbirth, for example. I have turned to caulophyllum in a putzy labor.

Are you concerned at all with the properties of Pulsatilla, which sometimes (generally?) results in babies turning from breech to vertex and vise versa?

Castor Oil Options for Induction

Castor Oil for Starting Labor

About Castor Oil and Meconium

Castor Oil and Meconium

Herbal Options for Induction

Herbal Allies for Pregnancy by Linda Woolven from Mothering Magazine - has a section on Bringing on Birth.

Black and Blue cohosh and B&B tincture if they go overdue.

Blue cohosh tea (check with your caregiver first.)

Blue Cohosh and Birth Defects - This article points out that the alleged association between blue cohosh and birth defects comes from a single case in which the mom didn't even take any blue cohosh until the last month of pregnancy, which is past the point of causing birth defects.

The following is a list of herbs or remedies to encourage or strengthen labor. Individuals may vary in their sensitivity and response to these remedies. Always start with the lowest recommended dosage first and increase slowly only if needed. Please check with your care provider before initiating any of these remedies to be sure they are appropriate for you.

Cervical Ripening

1. Borage and Flax Seed Oil , Black Current Oil. or Evening Primrose Oil, 3-6 capsules, taken orally, everyday and/or rubbed directly on the cervix if bag of waters is intact, after 37 weeks.
2. Blue and Black Cohosh Tinctures, 5-10 drops each, in cup of water or tea, 1-2 times everyday, after 37 weeks.
3. For rapid ripening: Black Cohosh Tincture, 15 - 25 drops, under the tongue, every 30 - 60 minutes, will usually soften the cervix within 6 hours. Evening Primrose Oil may also be rubbed directly on the cervix and in the os and repeated after 30 minutes if necessary.

A tip I've learned in this search of mine... To induce labor in a full term client, use 2 ml palma rosa essential oil (make sure it is therapeutic grade essential oil) in to 100 ml carrier oil (no peanut oil for pregnant woman)to give a full body massage 24 hours before you want labor to start. Paying special attention to the abdomen and back. I haven't tried it yet, but it is supposed to boost the level of oxytocin. I figure at worst you have a very relaxed pregnant mom...And at best... well things get going. ( this tip came from a midwife, RN, and licensed aromatherapist from england. 1500+ births)

This is straight from Naturally Healthy Pregnancy, by Shonda Parker - "Master Gland - A combination of vitamins, minerals and herbs is use do nourish the glandular system so that it might function normally.  Since the glands produce our hormones, it makes sense that this would help initiate labor.  My own personal experience in recommending this to midwives and having them use it with clients is that it has not failed to work in the post dates woman who is ready for labor but not going into labor.  The herbs it contains are:  Licorice, Lemon bioflavonoids, Asparagus, Alfalfa, Parsley, Kelp, Black Walnut, Thyme, Parthenium, Schizandra, Siberian Ginseng, Dong Quai, Dandelion, Uva Ursi, Marshmallow.   Recommended amount:  2 tablets every 30 minutes until labor is underway and throughout the labor.  If headache occurs, discontinue for that day and start again the next day.  I have seen no problems with using this dosage for two to three days.  It seems to make the labors go faster, too."

Goldenseal for Induction

Goldenseal

- We had tried massive doses of the cohoshes and inmortal...which did nothing but make my mouth sore, breast pump & manual nipple stim which only succeeded in giving me purple nipples, castor oil which did get the labor started, but then it petered out to the tune of one itty-bitty ctx every 30 minutes None of these tried-and-trues would keep my labor going --much to the dismay of all, since I was 43 weeks. The goldenseal (taken one dropper q 15 minutes til the babe came out) didn't knock me on my butt like the pit did at my first birth, but did work in the same time span.

I am not an herbalist but...I would be extremely cautious about using golden seal in pregnancy. I say this because I DID IT, but I would not do it again. My firstborn was born at 36 weeks after I took golden seal for suspected UTI. Now, its hard to know what triggered this because I never had a positive culture. The early labor could have been because of the possible UTI or the goldenseal. I have a history of cycles of repeated UTI - usually associated with diaphragm use. Before I figured that out, I found that homeopathic Cantharis was the thing that would turn the corner for me on a UTI faster than all the other remedies combined.

Here is a quote from an excellent little book called "Healing the Family" by Joy Gardner.

"I have not recommended [goldenseal because it] is a very potent herb and not enough is known about it. However, what is known indicates that it should be used with great caution by everyone. It contains high concentrations of very potent alkaloids. It also contains berberine, an antibiotic which has broad-spectrum activity against bacteria and protozoa. And it contains hydrastine, which causes uterine contractions if taken in large quantities."

I have treated one woman who was 2 weeks from her due date with goldenseal caps, 3x a day. Using goldenseal would be the exception not the rule, there is some question of its safety in pregnancy and as a wild plant it is becoming extremely rare.

I did 1/2 dropper q15 minutes after the castor oil induction started to try and piddle out.   We used it a couple more times while I was  still apprenticing and it works pretty well to "augment" but I don't know if it works as a labor inducer, as that is out of my current scope of experience.

General Schemes for Induction/Initiating Labor

Most people agree that induction of labor doesn't always work, but once labor has started, these methods do work well.

        Things often tried:

• Blue cohosh (may cause irritability in uterus, non-labor cxs; better to use to enhance labor rather than induce.  Try making your own tincture.  Less "violent" than castor oil.)
• Castor oil (same as above, also ends constipation/induces runs, but can be very effective with stripping) -- serve in OJ, root beer float or other drink; don't use the mother's favorite just in case it doesn't agree with her stomach. 1-4 Tbsp in drink (in 2 doses)
• sex, nipple stim with breast pump or manually

EPO capsules (evening primrose oil), 2-3 capsules high in the vagina, repeat 2-3x 24hr intervals
• Tincture of motherwort 5 - 10 drops
• enemas
• membrane stripping (same as above): the attendant separates the BOW from the cervix by running her finger around the internal os between the cervix and the membranes.
• cervical massage: 2 o'clock spot on cervix, rub for as long as 30 min. slowly and gently
• Caulophyllum 200 - 1 tab 1/4 hourly for 1 hour then 1 tab hourly for another 4 hours.
• acupuncture

If considering any of these labor stimulating remedies, begin early in the day after a good nights sleep and a light breakfast.

Blue Cohosh Tincture, 5 - 10 drops, in glass of water or tea, every half-hour for up to 4 hours, until contractions are regular. If no labor in 4 hours, take 1 dropper full, under the tongue every hour for up to 4 more hours until labor is strong and consistent..

Castor Oil:

a. May be warmed and rubbed on the belly and covered with a warm towel or hot water bottle if the cervix is ripe and labor seems near. (Blue Cohosh call also be used as above.)