----- Original Message -----
From: "Kathy McCarthy-Bushby" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Saturday, September 24, 2005 11:35 PM
Subject: Re: [ozmidwifery] Oral EPO dose for cervix?
> Hi Kelly,
> Sounds like a confusing visit with the registrar. But great news of giving
> the woman more time to focus on getting into labour. Continuing the EPO
> would be a suggestion, vaginal application may be helpful especially if
the
> cervix is closed, although it can be messy, so wearing pads can be
helpful.
> After a period to time of taking EPO, caullophyllum can be used in
> conjunction with EPO (have a look at the birthrites website or phone
contact
> birthrites). Other suggestions are accupressure, sex, clitoral
stimulation,
> orgasm, passionate kisses, nipple stimulation including using a breast
pump
> which can all be done antenatally. Maybe, encouraging the woman to focus
on
> things that help her get out of her head space eg baths, massages, walks
on
> the beach, navel gazing, visualising, drawing or writing being in labour
and
> pushing the baby out, remind her that she can do it, affirmations like i
can
> trust my body and baby will stimulate labour and i can safely birth my
baby
> and placenta etc.... The birthrites and cares website has lots of great
> information including other women's vbac birth stories, or does the woman
> know someone who has had a vbac that she can chat to. The other important
> thing to consider is the position of the baby, to encourage an anterior
> position encourage leaning forward positions and spending time on hands
and
> knees 2-3 times a day for 10-20 mnutes etc...
>
> Maybe, in the meantime, chat to staff at Monash about whether they use the
> balloon, known as the ATAD ripener device for labour induction, and if
they
> have skilled personel to insert it if the woman's cervix is still
> unfavourable. It's not unusual for vbac women to go overdue either. But
it's
> good to have a back up plan.
> keep the good work up
> kathy
> ----- Original Message -----
> From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]>
> To: <ozmidwifery@acegraphics.com.au>
> Sent: Saturday, September 24, 2005 3:11 PM
> Subject: RE: [ozmidwifery] Oral EPO dose for cervix?
>
>
> Yesterday was a bit of a flop - had a very questionable registrar who had
no
> history on my client (well hadn't bothered reading which she should have
> being a high risk patient, in more ways than just a VBAC). She had trouble
> finding the cervix and continued on to say it was closed. I asked if it
was
> at least soft and she said yes, but on speaking to my client who
apparently
> checked for herself only hours before, she said it was definitely hard and
> closed - so I am really questioning this registrar who had no idea... My
> client is going public at Monash... Registrar made her another appointment
> for next Friday (11 days post dates) which I thought was good in that they
> are giving her the opportunity to go into spontaneous labour - but we had
to
> ask her several times for a scan to check placenta function / fluid since
> she was going overdue ('no, you had one at 19 weeks you don't need anymore
> for a pregnancy - how about some monitoring?') - to which we reminded her
> that in her last pregnancy, the umbilical cord fell off the placenta as
baby
> was born via caesar... *argh* - it was a complete nightmare for poor mum
and
> me to listen to it! She said yes about a balloon induction but then said
no
> they don't have the skills to do it - very confusing - it was like she had
> no idea what was going on. So mum is freaking out, will be going for more
> monitoring and a scan on Tuesday morning to which mum is more relieved to
> get confirmation of the placenta and fluid being okay. I think if this
> registrar turns up when mum is in labour, she will have a heart attack. If
> she makes it to Friday, she has an appointment with the consultant, so
> she'll get more sense out of it... I really hope she can hang in there.
>
> 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 9:33 PM
> To: Ozmidwifery
> Subject: Fw: [ozmidwifery] Oral EPO dose for cervix?
>
>
>
> ----- 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
> >
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