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In This Week's Issue:
1) Quote of the Week
2) The Art of Midwifery
3) News Flashes
5) Check It Out!
6) Midwifery Today Online Forum
7) Question of the Week
8) Question of the Week Responses
9) Question of the Quarter for Midwifery Today magazine
10) For Coming E-News Themes
12) Classified Advertising
1) Quote of the Week:
"I honour the process of birth as natural and instinctual, relying on the 'forces of nature' and the use of practical, non-intervening skills to facilitate this passage."
- Diane Smith, midwife
2) The Art of Midwifery
If you have a "bleeder" from a tear that you can see, try direct
pressure with a sterile gauze pad on which you have placed Yunan
Paiyu, A Chinese herbal combination in capsule form. Three
applications of one capsule each emptied on the gauze pad worked well
for me over a twenty minute period. The tear actually looked
- Donna Vidam, Midwifery Today Issue 49
Share your midwifery arts with E-News readers! Send your favorite
tricks to email@example.com
3) News Flashes
Cranberry juice can prevent cystitis and other urinary tract
infections from occurring because cranberries contain isolated
compounds called condensed tannins or proanthocyanidins, according to
a recent study. These compounds are capable of preventing Esherician
coli (E coli) from attaching to cells in the urinary tract. One of the researchers on the State University of New Jersey team that led
the study estimates that a 300 ml glass of high-concentration
cranberry juice drink consumed daily would help prevent E coli urine
infections. -Pro-fessional Care of Mother & Child, Vol. 10, No. 1
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DOCTORS ARE THE THIRD LEADING CAUSE OF DEATH IN THE US, Causing
250,000 Deaths Every YEAR. Seems hard to believe, but the most
widely circulated medical periodical in the world, JAMA, published
this information last month. Read all the details at www.mercola.com
and learn how you can protect yourself and your family from their actions.
While the United States has a system in place to insure that all
drugs must be evaluated by the FDA before they are allowed on the
market and that certain drugs are to be dispensed only through
physician prescription, there is a hole in this system. Once a drug
has been approved by the FDA for one use and put on the market, there
is nothing to prevent a physician from using that drug for whatever
use at any dose. Trials of new uses of drugs are important as long as
the trials are done as research and everyone understands that this
use is experimental with informed consent from the patient.
Misoprostol induction shows potential for certain benefits but these
benefits must be documented by careful research which, at the same
time, looks carefully for the risks.
We can't just throw drugs at people in an uncontrolled way. If a
practitioner hears about a new use and simply starts using the drug
this new way, this is experimenting on patients without the usual
safeguards in place for research subjects. And while practitioners
should report to the FDA on such off label trials and should always
report to the FDA on side effects and risks found, in reality only a
very small number of practitioners ever report anything to the FDA.
As a result, a large information vacuum exists in the United States
with regard to what prescription drugs are being used for which
purposes and what side effects and serious risks have occurred.
So when practitioners simply begin to use a drug for a new purpose,
there follows a phenomenon I have experienced for years as a
practicing clinician but rarely see described in print--the informal
spread of clinical experience. In hospital corridors, lunchrooms and
staff lounges, doctors, midwives and nurses share their ideas and
A recent technology makes it possible to listen in on such clinical
chat--online web pages and chat rooms. By accessing the World Wide
Web and then using key words such as "misoprostol" and "pregnancy,"
many web pages and chat lines appear. Clinicians, scientists, policy
makers and patients should read these Internet pages from time to
time. While clinicians writing on the web are not necessarily
representative of all clinicians, it is possible to discover how at
least some of today's clinicians think and act. It seems like
eavesdropping because of their candor and their blunt way of
expressing ideas and opinions and revealing their attitudes.
It is the informal communication of uncontrolled clinical experience
which has driven the spread of misoprostol induction as is apparent
from the following actual statements taken from the Internet in 1998: (2)
"Cytotec is extremely effective at very low doses, is very cheap, and
has been used on many, many women without their being aware that it
really is still an experimental use."
"I must say that I have heard some great things about Cytotec myself.
I know some people who have used it and say that they have pretty
good luck with it. It sounds like your ladies are pretty happy with
its effects--two-hour labors and such. Just be careful. I would have
to say that the biggest danger is leaving the woman alone. The stuff
turns the cervix to complete MUSHIE (web message emphasis, not mine)
and opens it with a couple of contractions. So whatever you do,
remember that you must not stay gone too long."
"At my suggestion our high risk OB referral hospital tried
Cytotec--one-half tab per vagina--and after two cases of
hyperstimulation stopped its use."
"We've seen no cases of hyperstimulation after Cytotec that did not
respond to a two-gram bolus of MgSo4. You can almost count on a
delivery twelve hours after inserting the Cytotec tablet."
"We are using it at Yale and although there is a format for how to
give it, there is still controversy on to whom to give it. Pharmacy
uses one of their nifty little pill cutters and sends us one-fourth
of a 100 microgram tablet (remember this stuff was made for treatment
"We are using misoprostol regularly for induction--my department
loves it. We use one of the protocols published on OBGYN.Net web page."
"Our biggest fear is that the company will pull Cytotec from the
market, since our internist/GI buddies tell us that it isn't worth a
darn for its labeled indication."
What is apparent from this Internet medical practice is the lack of
appreciation of any borderline between experimenting on patients and
practicing medicine on patients and the absence of concern for
patient's rights to informed consent.
Also apparent from reading the Internet is the inability of many
clinicians to critically review published papers. The general
assumption is that since there are, as stated in one web message
"gobs of references" (2), the scientific work has been done and it is
okay to use this drug for this purpose. The tendency for clinicians
to misinterpret scientific papers is in part because of a difference
in approach since scientists must believe they don't know while
clinicians, in order to do what they do, must believe they do know. A
common attitude among clinicians, revealed by Internet messages, is
that pregnancy and birth are dangerous until proven safe while
technology and drugs are safe until proven dangerous. -Marsden Wagner, MD, Misoprostol (Cytotec) for Labor Induction: A Cautionary
Tale. Read the entire article on the Midwifery Today website:
The June 1999 issue of the American Journal of Obstetrics and
Gynecology published the article "Uterine rupture associated with the
use of misoprostol in the gravid patient with a previous cesarean
section." The data in this article are truly frightening. "Uterine
rupture occurred in 5 of 89 patients with previous cesarean delivery
who had labor induced with misoprostol. The uterine rupture rate for
patients attempting vaginal birth after cesarean was significantly
higher in those who received misoprostol, 5.6 percent, than in those
who did not, 0.2 percent or 1 in 423, p=0.0001)." Furthermore, a
medical records review turned up several more cases of uterine
rupture associated with using Cytotec with VBAC not included in their
Be clear on what this says. Over five percent of women given Cytotec
for VBAC had a ruptured uterus, a 28-fold increase over those who did
not have Cytotec induction for VBAC. This is a truly shocking rate of
uterine rupture. And one of the five women with uterine rupture ended
up with a dead baby as a result of the rupture.
Just in case you think this paper reports an aberration, the same
issue of this journal has a second paper in which three of eighty-one
women receiving Cytotec for a VBAC had uterine rupture--a still
shocking rate of 3.7 percent. And one of the three babies died in the
NICU after the rupture. Both these papers were retrospective which
means that none of the women given Cytotec were part of a research
project. Thus, none had received the protection of research subjects,
including information on the experimental nature of the drug given to
them. So in these two papers, of 170 women given Cytotec for
induction with VBAC, eight have lost their uterus and two lost a baby
as well. It is my educated guess that to this day none of them has
been told that they were given a drug for a purpose not approved by
the FDA nor has been told their case is described in published papers
saying this drug should not be used in this way.
These women and babies paid a very big price because their
practitioners were willing to use a very powerful drug before it has
been approved by the FDA for this purpose and before it was
adequately evaluated by prospective, controlled research. Hopefully,
no midwife will ever be involved in any birth where Cytotec is used
for VBAC and all midwives will do everything possible to prevent the
use of Cytotec for any type of induction until we have more complete
- Marsden Wagner MD, MSPH
Go to: www.midwiferytoday.com/articles/Misoprostol.htm
When uterine overactivity occurs [due to artificial means], an
attempt must be made to remove the drug that is causing the problem.
Turning off an oxytocin infusion is fast and easy, and usually
results in a rapid return to more normal uterine activity. Some
dinoprostone products are made with a string and are easy to remove
quickly. When dinoprostone gel is used, attempts can be made to flush
it from the vagina with sterile saline-clearly a slower and less
effective procedure. With misoprostol, attempts can be made to remove
the pill, if it has not yet been absorbed. More often than not, the
pill has already been completely absorbed. In this case, there is no
choice but to ride out the excessive contraction pattern with careful
monitoring and measures to maximize the supply of oxygen to the
- Jennifer Enoch, Midwifery today Issue 49
Midwifery Today Issue 49 discusses at length the use of misoprostol
(cytotec). To order the issue, go to:
E-News readers talk about Cytotec:
A primagravida mom went a week postdates and her doctor wanted to
induce labor. He admitted her at 9 pm, and started Cytotec at 9:45.
At 1:45 she was checked, and no change was noted, so another dose was
inserted. At 6 pm she was contracting mildly, about 7 mins apart. At
her next vag check, she was found to be 2-3 cms and 80% effaced,
which was great progress from 0 dilation and no effacement at all.
I'm told by her there was no cervical discomfort with Cytotec, and no
pain or cramping that she noticed. Other clients who have induced
using Cervadil and Progestagel have complained of burning at the
cervix and intense cramping from use. From this I would ascertain
that Cytotec seems to be equally useful as an induction agent, but
seems to be less uncomfortable for the moms. Has anyone else come to
this conclusion? I would love to hear your stories.
- Gina Acosta,ICCE,CD,
Canyon Country, CA
I can only provide insight from the patient's perspective as I have
not used Cytotec in my clinical setting. Each of my pregnancies have
been complicated by pregnancy-induced hypertension. With my fourth
and most recent birth on August 4, I was induced at 38 weeks for PIH
as my blood pressures on bedrest were 160s/100s (in labor they were
as high as 200/100 and I got a dose of Apresoline). I had headaches
for several days that wouldn't resolve with analgesia. I put off
induction for a week, against the advice of two OBs and a
perinatologist. Before the day I was induced, I was feeling well and
had a Bishop's score of 5. I decided to go ahead with it as I just
didn't have the same feeling of well-being that I had had in previous
weeks. Something just wasn't right. I had a Bishop's score of 8 on the day I was induced and my baby's head was ballotable.
I had been induced with Pitocin twice before, once for PIH and once
for severe preeclampsia. I opted to try Cytotec this time so that I
could be more mobile and use hydrotherapy. After getting us settled
in, my labor nurse inserted a 50 microgram tablet of Cytotec vaginally. In
no time at all I was contracting every 1-2 minutes. Compared to
Pitocin, my contractions didn't peak as fast with Cytotec and I felt
I could cope with the discomfort better. I felt so tied down with
Pitocin and felt more in control this time because I wasn't stuck in
bed on my left side. I'm glad I had Cytotec as an induction option
for this birth.
- Maurenne Griese, RNC, BSN, CCE, CBE
When it was introduced at my hospital I did my own research and found
many reasons not to use Cytotec at the dosage we use (100 mcg PO) but
was told I either give it or quit. About two years later the research
is still saying a lower dose is better as it doesn't carry the risk
of hyperstimulation and is just as effective. Clinically, I must say
I haven't seen the problems I had expected and it has proven to be
much more effective than any other methods tried. One big advantage
is the intermittent monitoring so women can be out of bed, walk,
enjoy the tub, etc. Because it is so cheap and easily obtainable I
worry that it may be used out of the hospital. A friend of mine was
given a few doses of Cytotec to be used for a clinic birth, suffered
hyperstimulation, and the baby was born with a 0 Apgar, severely
brain damaged and is unlikely to survive for long. Use EXTREME
caution when using Cytotec!
- Valerie G., RNC, CD
I am a CNM in an out-of-hospital (OOH) birth practice and I will
admit to using Cytotec RARELY in the past few years. I am very well
informed about the risk and benefits of Cytotec and that I can
appropriately offer it to a RARE client for whom indications exist
for getting labor going. I tend to resent the attitude of midwife
purists who believe that, as an OOH birth midwife, I should only be
catching babies that fall into my hands out of the lowest-risk
moms--no interventions allowed. The idea, apparently, is that if a
client is high enough risk to need Cytotec induction, she is too high
risk for an OOH birth anyway.
This might be true in some cases and we OOH midwives need to remain
sensible with our risk assessment, but there are certainly other
cases in which the woman's risk is low, but clearly increasing with
time. If we sit on our hands and wait indefinitely for labor, her
risk continues to increase and she may well find herself in an
interventive hospital birth situation, whereas if we push her into
labor now, she will deliver OOH as a low-risk person.
Case in point: a 29-year-old motivated healthy G3P2 with a history of
PIH in her first pregnancy (induced in the hospital at 42+ weeks), no
PIH with second pregnancy (fast and easy homebirth at 42 weeks),
developing PIH in the current pregnancy. She is extremely desirous of
another homebirth, very adverse to hospital birth. Motivated and
healthy, she eats a high-protein diet, rests on her left side at
prescribed intervals, takes her cal/mag supplement, monitors her BP
at home in-between visits. She does everything she can do to remain
low-risk, but her BP is clearly climbing, from 112/72 in
mid-pregnancy to 130/80 at 32 weeks to 140/84 at 36 weeks to 142/90
at 39 weeks to 150/92 at 40 weeks. She has no swelling or excessive
weight gain, DTRs are WNL, her cervix is 3 cm, EFW is 8-1/2 pounds.
Her history of two previous 42 week pregnancies would suggest that
this kid probably planning to come out soon, but her BP is not one
that you'd want to watch rising for another 2 weeks. She doesn't have
fulminating preeclampsia, obviously, but her risk is clearly
increasing with her BP.
She tries herbs, homeopathics, nipple stim, lovemaking, etc., and
finally, after a long discussion of risks and benefits (and signing a
consent form), we bring her into labor slowly with two small doses of
Cytotec. Her healthy baby boy (8lbs 6 oz) is born easily at home that
evening. Was it inappropriate to use the Cytotec in this case? I'm a
nurse practitioner with prescriptive privileges, so it is within my
professional authority to prescribe. It's legal, but is it good
midwifery? Should I have allowed her to become more hypertensive,
leading to increased risk for her and her baby and possibly an
interventive hospital birth? Not in my mind.
If Cytotec is becoming the candy of the OOH birth midwife as people
are reporting, we're in big trouble because women are going to get
hurt (and midwifery will get hurt as well). But we don't need to
throw the baby out with the bathwater. Clear indications for
induction, extensive informed consent, extremely cautious dosing (max
of two widely-spaced tiny doses in any day), and careful OOH
monitoring need to be a part of any appropriate use of Cytotec OOH.
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Nacer en Casa, First International Congress of Home Delivery and Childbirth
October 20-22, 2000, Jerez de la Frontera, Cadiz, Spain.
Co-sponsored by Midwifery Today. Speakers include Robbie Davis-Floyd,
Marsden Wagner, Michel Odent, and many midwives and practitioners
from Spain, Germany, Denmark, the Netherlands. Program and
Cytotec can be very useful in midwifery but it needs to be used with
prudence. There doesn't seem to be common ground on what the dosage
should be. Because it was never meant to be used on pregnant women,
safe dosages have not been established. From my experience, you need
very little--17-20 micrograms to start. It can be smeared on the cervix in
situations where the woman has spontaneous PROM, she is postdates
with a very large baby, or is exhibiting other signs of needing to
have her baby.
Cytotec works differently on different women. Some need very little
in their system, while others need several doses. Never administer
more than 50 micrograms at a time, and that as a general rule is too much.
Just because a woman is obese does not justify a large dose; her
cervix is still the same size. Contractions are very fast and close
together without giving the baby or mom a chance to recover.
Generally, I would say 89 percent of babies birthed with Cytotec
induction suffer some degree of respiratory distress. Another side
effect is that moms bleed, if not a major hemorrhage, the cervix will
bleed because it has had to dilate so fast. I've seen Cytotec erase
swollen anterior cervical lips.
Most midwives will not be comfortable using Cytotec because there is
so much we do not know or understand about it and it was never
designated for obstetrical use. However, I feel if it is used with
prudence, it can be a very valuable tool in our birth bag. I believe
that in the hospitals Cytotec is being used too frequently and at too
high a dose. Its use with VBACS is totally contraindicated. We must
remember that it cannot be turned off, up or down like Pitocin. Once
it gets into the system, it takes several hours to clear out. As
midwives we need to learn patience and watch and wait. Cytotec should
never be used for our own convenience, or to induce a woman who is
tired of being pregnant. It should be saved for rare situations, and
treated with the utmost respect.
- Cathy O'Bryant, CPM
With recent articles in several midwifery publications regarding the
risks associated with the use of Cytotec for inducing labor, and
reports that Cytotec is the induction agent of choice in many
hospitals, readers may be interested in this memo. The manufacturer
is finally taking a stand on the off-label use of this drug.
- Susan Hodges
IMPORTANT DRUG WARNING CONCERNING UNAPPROVED USE OF INTRAVAGINAL OR
ORAL MISOPROSTOL IN PREGNANT WOMEN FOR INDUCTION OF LABOR OR ABORTION
Dear Health Care Provider:
The purpose of this letter is to remind you that Cytotec
administration by any route is contraindicated in women who are
pregnant because it can cause abortion. Cytotec is not approved for
the induction of labor or abortion. Cytotec is indicated for the
prevention of NSAID (nonsteroidal anti-inflammatory drugs, including
aspirin)-induced gastric ulcers in patients at high risk of
complications from gastric ulcer, e.g., the elderly and patients with
concomitant debilitating disease, as well as patients at high risk of
developing gastric ulceration, such as patients with a history of
The uterotonic effect of Cytotec is an inherent property of
prostaglandin E1(PGE1), of which Cytotec is stable, orally active,
synthetic analog. Searle has become aware of some instances where
Cytotec, outside of its approved indication, was used as a cervical
ripening agent prior to termination of pregnancy, or for induction of
labor, in spite of the specific contraindications to its use during
Serious adverse events reported following off-label use of Cytotec in
pregnant women include maternal or fetal death; uterine
hyperstimulation, rupture or perforation requiring uterine surgical
repair, hysterectomy orsalpingo-oophorectomy; amniotic fluid
embolism; severe vaginal bleeding, retained placenta, shock, fetal
bradycardia and pelvic pain.
Searle has not conducted research concerning the use of Cytotec for
cervical ripening prior to termination of pregnancy or for induction
of labor, nor does Searle intend to study or support these uses.
Therefore, Searle is unable to provide complete risk information for
Cytotec when it is used for such purposes. In addition to the known
and unknown acute risks to the mother and fetus, the effect of
Cytotec on the later growth, development and functional maturation of the child when Cytotec is used for induction of labor or cervical
ripening has not been established.
Searle promotes the use of Cytotec only for its approved indication.
Please read the enclosed updated complete Prescribing Information for
Cytotec. Further information may be obtained by calling 1-800-323-4204.
Michael Cullen, MD
Medical Director, U.S.
5) Check It Out!
A Web Site Update for E-News Readers
EUGENE, OREGON MIDWIFERY TODAY CONFERENCE program is online on the
Midwifery Today web site. Come meet with us in our home town!
BIRTH AT SEA, a poem by Holly Knight
PROCLAIM YOUR LOVE of birth with jewelry from Midwifery Today.
6) Midwifery Today's Online Forum
"I want to start a movement that asks state legislatures and the
federal government to mandate that insurance companies pay for
homebirth. If they can make insurance companies pay for birth control
which is considered a "reproductive right," then homebirth should
also be a reproductive right.
Besides, it will save the insurance companies money for every homebirth.
Do you think this could happen?"
To respond: Go to: www.midwiferytoday.com/forums. Click on "Legal Battles
and Birth Politics."
7) Question of the Week
Is perineal massage necessary? Does it help or hinder tearing? I have
been trained to do perineal massage and it seems to me that all it
does is make the tissues edematous. I'm beginning to think that hot
compresses and oil as well as positioning may be enough.
Send your responses to firstname.lastname@example.org
8) Question of the Week Responses
Q: A friend recently had a late miscarriage (18 wks) due to a partial
septum in her uterus. She is now considering surgery to remove the
septum, and wonders whether the risks/complications and success rate
of such surgery would make it a better choice than simply continuing
to try to carry a foetus to term (she realizes she may have to endure
many miscarriages if she chooses the latter). Does anyone have any
experience with this kind of surgery?
- Jennifer Landels, BA, CBE
A: I had a uterine septum. My first pregnancy ended at 35 weeks with
a vaginal breech birth. My second pregnancy went to 31 weeks
(following 3 days of tocolytics in hospital), c-section for footling
breech, and the baby (now 8 yrs old and strong as a horse) spent 3
1/2 weeks in the NICU. I had outpatient hysteroscopic septaplasty
(laparoscopically assisted, and under general anesthesia) in
anticipation of my third pregnancy, conceived after waiting three
normal menstrual cycles for healing (was given estrogen to take after
the surgery for a couple weeks to facilitate this process), and went
to 38 1/2 weeks. Ultrasound during that pregnancy could still "see"
vestiges of the septal remains. We had a lovely vertex homebirth! The
baby didn't commit to being head down until 36 weeks. Now I am 30
weeks along with a TWIN pregnancy! Ultrasound shows no sign of the
septum, and the babies both change presentation on a daily basis.
So, based on my personal experience, I can say that depending on the
results of your hysterosalpingogram, the results are DEFINITELY worth
it! In my case the septum was not vascular tissue, so there is no
intrauterine scarring from the procedure. The defect was not palpable
externally, and I never knew about it until I was well into my first
pregnancy when I was 27 years old.
I will note that with our homebirth we had a 65 minute (but otherwise
uncomplicated) third stage, and the placenta had been implanted along
the former septal site, which was still apparently non-vascular, as
that area of the placenta was composed of cartilaginous-type tissue
and no vascular area.
- Jennifer Seymour, CNM
Reply to: MSMidwifery@aol.com
9) Question of the Quarter for Midwifery Today magazine
Who is in your birth community? What does the concept "birth
community" mean to you? How have you or how would you go about
organizing one? Send us your favorite story about your birth
Please submit your response by September 15, 2000 to:
10) For Coming E-News Themes
1. Choose a favorite herb or two from your birth bag and share a use
or two. Be specific about amounts, dosages, frequency, duration. Or
tell a brief story as an example of its effectiveness!
2. Let's talk about nausea in pregnancy (hyperemesis
gravidarum)-experience, remedies, philosophy.
**Take part in E-News! Sound Off-Give Advice-Share Your Knowledge!**
Send your responses to email@example.com
Know a strong woman? Helping empower one? If you haven't already done
so, please forward this issue of Midwifery Today E-News to one or two
of your friends or business associates. Thanks so much!
More on rhogam [Issue 2:35]:
Iserve a large Amish community. One of my clients is an only and
oldest child, an extreme rarity in the Amish community. Her mother
and father buried six children due to Rh sensitization. Their oldest
daughter, Rosie, was born on the eve of the availability of Rhogam in
the 60s. I have listened for many hours to stories about the other
babies, and the lengths that Rosie's mom went to, to ensure living
children. She traveled to the tertiary care children's hospital, had
many many amniocentesis, and would tell me how black the fluid was,
how the doctors would shake their heads, and how she knew yet another
baby was to die, either in utero or shortly after birth.
I can't imagine how hard it was for Rosie to grow up under the
umbrella of all that grief, yearning, and dashed hopes. It is hard to
be an only child in the Amish community because most socialization is
done with sisters. Most Amish women do not have close female friends
the way their non-Amish counterparts do. She lives with her mother
and father, husband and her children, and is isolated and lonely. She
has no one except her very immediate family to share her concerns,
joys, and fears.
Her mother seems to be chronically depressed, and is on medication.
Rosie underwent very serious depression during her last birth with
me, barely able to get out of bed, and ended up on Prozac before the
baby was born.
Most of my Amish clients ask for 28 week rhogam because they have
received it from the doctors in previous pregnancies. Most of them
know the risks of sensitization and do not want to take any chances.
There are many genetic diseases in the Amish community that cannot be
prevented, but this condition can be prevented and they are very
willing to pay the price for the rhogam shot, and I am very willing
to come to their homes and give it to them.
Most of my clients know most Rhogam is probably unnecessary, but the
price is extreme if sensitization occur, and it is not one I am
willing to pay or to suggest to my clients.
- Jennifer Williams, CPM
I am negative and have had Rhogam or anti-D after four births. I
don't like having it but I did "just in case." I have since found out
that a test within the first 48 hours after a birth shows if there is
any transfer of baby's blood across. This would save having Rhogam if
there is no blood transfer and also give women time to have it if
I have found that postpartum depression (PPD) is almost always
related to low thyroid function after a birth. All the hormone levels
take a dip after birth and then most come back up to a non-pregnant
normal state. But the thyroid often stays depressed. If asked, women
with PPD often admit to additional symptoms of dry skin, brittle
hair, chocolate cravings, poor night vision, inability to loose
weight after birth, fuzzy thinking, and tiredness as well as the
I often find that giving Thytrophin PMG and Iodomere from Standard
Process Labs is sufficient to pull them out of postpartum depression.
I prefer to stay away from straight kelp at that point because it can
flavor the milk and turn baby away from nursing. The Thytrophin PMG
helps induce the thyroid to work normally again. Sometimes I end up
sending women to an endocrinologist for thyroid balancing. We have a
local one who has actually done research on the connection between
postpartum depression and low thyroid. Many of them do not understand
the connection. If women go to a GP, he will often only check the
simple thyroid hormone level and it will be low normal, so they do
not check further. You need to run all the thyroid tests to find the
problem. Most GPs will simply put the mother on an antidepressant for
years to come. To me that is tragic.
- J. Jones, CPM
I would be very grateful for any advice, tips etc. of how to come to
some peace over a disappointing birth. I have some ideas myself, but
would be grateful for more! This is not sadness over things that had
to change for the health of the baby, but things that were and were
not done which were on my birth plan and were pre-agreed, and could
easily have been done without upset or hindrance to the birth, the
baby or myelf.
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