----- Original Message ----- From: "Kathy McCarthy-Bushby" <[EMAIL PROTECTED]> To: "Kelly @ BellyBelly" <[EMAIL PROTECTED]> Sent: Thursday, September 22, 2005 9:29 PM Subject: Re: [ozmidwifery] Oral EPO dose for cervix?
> Hi Kelly, > The balloon can be used for any primip or multip with an unripe cervix with > baby in a cephalic position. The balloon seems to be far safer with far less > side effects than the prostaglandin gel (which of course can not be used in > vbac women). I have also seen the balloon used in women planning a vbac > after 1 and 2 c/s with success. Ooops, i'd better clarify, the balloon is > not used for women with a breech baby. what i meant to say that the woman I > was talking about had previously had a c/s for a breech baby and achieved a > vbac with the next baby in a head down position in the second pregnancy. The > balloon has only been around in recent years and it may not exist in all > hospitals, but it is worth looking into. We were initially all a bit > sceptical in our unit when the balloon was introduced, but in hindsight, we > can see that the balloon is a far safer option than the prostaglandin gel > for both the mother and baby. > Keep on reminding the woman that she can do this > regards > kathy > ----- Original Message ----- > From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Thursday, September 22, 2005 4:06 PM > Subject: RE: [ozmidwifery] Oral EPO dose for cervix? > > > Thank-you so much for this info Kathy - do they use this on other women too, > apart from the vbac or breech women? I've just never heard of it before! > > Best Regards, > > Kelly Zantey > Director, www.bellybelly.com.au & www.toys4tikes.com.au > Gentle Solutions For Conception, Pregnancy, Birth & Baby > Australian Little Tikes Specialists > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of Kathy > McCarthy-Bushby > Sent: Thursday, 22 September 2005 3:38 PM > To: ozmidwifery@acegraphics.com.au > Subject: Re: [ozmidwifery] Oral EPO dose for cervix? > > > Hi Kelly, > Kate has given you a great reply on balloon inductions which have been > safely used with vbac induction. After insertion of the balloon, the woman > may begin contracting and the balloon may fall out once the woman is dilated > to 3-4cm, or if the balloon doesn't fall out overnight, then it is removed > the next morning, followed by artificially rupturing the membranes. Some > women experience period pain, back pain, difficulty urinating and early > labour signs with the balloon in place and a very small percentage are > unable to tolerate the balloon at all, so it is usually removed. I remember > caring for a woman at 39 weeks with a history of elective c/s for a breech > baby who was being induced for a particular reason for the 2nd pregnancy, > she had the balloon inserted, it stayed in overnight, she had lots of > contractions overnight, but not in established labour, next morning the > balloon was removed, an ARM perforned at 10am, by 1.30 pm she had given > birth vaginally to a beautiful girl. > > Your Client has options here, an induction should not be considered until > she is post dates just like any other primip who hasn't laboured regardless > of whether she has laboured or not in the past eg 41 weeks. Another woman I > know was 10 days post dates when she went into spontaneous labour on the > 11th day after starting EPO the day before and she gave birth vaginally to > her baby as well (she now has had 2 successful vbacs). The plan was that she > would see the Doctors on day 12 to discuss induction or c/s, but of course, > it wasn't necessary. I have seen women successfully acheive a vbac following > ARM and syntocinon induction, but of course, very close fetal monitoring is > required and the woman's chances of acheiving a vbac drop to about 50%, but > it is nonetheless possible. It can be helpful to consider natural > alternatives following an ARM to avoid syntocinon infusion eg nipple > stimulation, accupressure. > > Another opption to consider would be offering some sort of compromise to > the Doctor eg more frequent assessment of the baby's well being can help the > woman buy more time to await labour. Another way to deal with the Doctor is > to ask "why" or use BRAN eg 'what are the benefits, risks, alternatives or > options of doing nothing" for vaginal birth, c/s or awaiting spontaneous > labour, induction etc..... Kathy > ----- Original Message ----- > From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]> > To: <ozmidwifery@acegraphics.com.au> > Sent: Thursday, September 22, 2005 11:58 AM > Subject: RE: [ozmidwifery] Oral EPO dose for cervix? > > > Thank-you so much for this, have forwarded it to her... She's still going at > 40w3d with no signs of anything happening as yet, appointment with the high > risk Ob tomorrow where I know there will be talk of induction / caesar... > Can you please tell me more about this balloon induction - not heard of it > before? Want to be armed with info for what's to come with the challenge > tomorrow... > > Best Regards, > > Kelly Zantey > Director, www.bellybelly.com.au & www.toys4tikes.com.au > Gentle Solutions For Conception, Pregnancy, Birth & Baby Australian Little > Tikes Specialists > > -----Original Message----- > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of Kathy > McCarthy-Bushby > Sent: Tuesday, 20 September 2005 5:49 PM > To: ozmidwifery@acegraphics.com.au > Subject: Re: [ozmidwifery] Oral EPO dose for cervix? > > > Hi Kelly, > The website www.birthrites.org has a page on natural induction including > information on EPO doses either orally or vaginally, nipple stimulation, > accupressure (4 fingers above the inner aspect of the ankle bone). EPO, is > great for women planning a vbac for ripening the cervix, but if she doesn't > get into labour naturally, EPO can make the cervix ripe for ARM and the > balloon induction has been safely used for vbac women with an unripe cervix. > kathy > ----- Original Message ----- > From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]> > To: <ozmidwifery@acegraphics.com.au> > Sent: Monday, September 19, 2005 12:05 PM > Subject: [ozmidwifery] Oral EPO dose for cervix? > > > Hello everyone, > > I know it's probably a bit late to try this, but I have a mum who's hoping > for a VBAC, EDD today but in order to beat a caesar (they wont induce her of > course) we're thinking of giving EPO a go to help with ripening her cervix. > I have read somewhere that 500mg tid is often used - can anyone confirm or > recommend dosage they have used? She'll ask a herbalist none the less, but > often I find they aren't well versed on specifics for preg & baby like this. > Also her BP is creeping up a little, she had pre-eclampsia with the first > but obviously done well with this pregnancy - will this still be okay with > EPO or is there something else I could recommend? I think she's actually > quite frightened having had a previous caesar hence the blood pressure > (she's had a great BP otherwise) so I am going to meet with her tomorrow to > hopefully relax her about a vaginal birth. She's told me in fewer words > she's frightened but I think she's keeping it in - will have a big chat > tomorrow. > > Best Regards, > > Kelly Zantey > Director, www.bellybelly.com.au & www.toys4tikes.com.au > Gentle Solutions For Conception, Pregnancy, Birth & Baby Australian Little > Tikes Specialists > > -- > No virus found in this outgoing message. > Checked by AVG Anti-Virus. > Version: 7.0.344 / Virus Database: 267.10.24/101 - Release Date: 13/09/2005 > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > No virus found in this incoming message. > Checked by AVG Anti-Virus. > Version: 7.0.344 / Virus Database: 267.11.1/104 - Release Date: 16/09/2005 > > > -- > No virus found in this outgoing message. > Checked by AVG Anti-Virus. > Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 20/09/2005 > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > -- > No virus found in this incoming message. > Checked by AVG Anti-Virus. > Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 20/09/2005 > > > -- > No virus found in this outgoing message. > Checked by AVG Anti-Virus. > Version: 7.0.344 / Virus Database: 267.11.3/107 - Release Date: 20/09/2005 > > > -- This mailing list is sponsored by ACE Graphics. 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