Dear Linda,
There are many recipes for encouraging labour, however it must be said
the formulae for succesful birth should not include any interference
whether obst. or midwifery initiated.
The first course of action for yourself would be to give the power back
to the women to decline induction at 42 weeks by informing them of the
gradual but slight increases in morbidity associated with expectant
management. WE should never dictate any action to any birthing women
our role is to advise. With this information clients can then enforce
their right to decide the pros and cons of expectant versus induction
management.
I have heard many recipes from the use of uterine toning herbs to
contraction enhancing root products, the use of gin, bowel stimulants
from sugar solutions to spicy foods and castor oil, to acupressure,
hypnotherapy, orgasmic sex and nipple stimulation, bumpy car journeys
to various formats of activity washing and polishing wooden floors for
example.
The truth is some will work on various people where others they wont.
The indian women who dines on very spicy food and has regular bowel
movements will not largely benefit from bowel stimulation, the women
who has a direct anterior presenting baby will feel less benefit of
polishing floors to the lady with an op presenting baby.
Check dates from your clients if their is an incongruence with any
performed USS which correlates to your continued Antenatal assessments
of gestation, identify any emotional or pyschological barriers to
birth, and then discuss the physical aspects.
Give the power to your clients and be with them in THEIR decision.
"In the light of the availible evidence, the best policy is to offer
women a choice of induction of labour by the best method available once
the duration of pregnancy has WITH CERTAINTY attained 41 weeks or
more." Enkin et al Offord 1995.
"Post term pregnancy, another indication for induction of labour, is a
rare occurance; its true incidence is only 4-6%........." Crowley 1991
cited wagner 1994.
Good references for more gentle forms of induction are to be found in
Spiritual midwifery, and Davis's Heart and Hands.
Hope these thought s help.
Nigel
===
>From Cathy Bock and Nigel Duncan.
at
BIRTHING HANDS (Homebirth, ante/post natal care and hospital support)
[EMAIL PROTECTED]
0414 886827 or 0414 554840
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