Chandler, Arizona
Sweet Pea ​Births
Sweet Pea ​Births
...celebrating every swee​t pea their birth
...celebrating every swee​t pea their birth
Blog
Getting Labor Started
Posted on October 21, 2016 at 12:29 PM |
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Among the common text questions I get, is "What can I/my friend do to get labor started?" The answer I want to give: Wait. My_theory is that here is nothing you can do that is going to start labor if the baby isn't ready. And sometimes it's not the baby...it's the mother. The mother has more factors in play that can be influenced: physical, chemical, mental, emotional...any one or all of these can delay the onset of labor. Since we are an action-type of culture, here are the things I offer when I get this text. All of them **do not** include "taking something". They are all things to help the mother and baby align physically and emotionally with the oncoming labor and birth of the baby. Along with "doing something", we also invite our students who send us this text to do some internal checks: is there anything they are worried about? That they have left to do or say before the baby arrives? Are there any unexplored conversations or feelings to face? An extra disclaimer: for any of the body workers, do your homework and check out their certifying organizations. In addition, trust your instinct - if you do not feel comfortable with them, politely decline an appointment and call the next person on your list. So, having said all that...here are some ideas to try if you feel like waiting is not an option... For Mom: Acupuncture - an ancient Chinese modality that involves inserting very fine needles along meridians of energy in the body. Acupressure - if you are needle-averse, this uses applied pressure on the energy meridians. Pregnancy Massage - your local childbirth educator, doula or midwife probably has at least one or two names for you to contact. These practitioners specialize in releasing tension and opening the body. Chiropractic Adjustment - again, your local birth workers may have some leads for you. A chiropractor trained in the Webster Protocol can do an assessment to see if the mother's body is optimally aligned for labor and birth. Making love - yes, really. If your partner is a man, his semen can help ripen your cervix with natural prostaglandins. If you were to be induced in the hospital, they will insert the synthetic version to get things going. Whatever gender your partner is, as long as they can help you climax, there is a possibility that one contraction of muscles may encourage the uterine muscles to start contracting as well. And if nothing starts, at least you (hopefully) both had an enjoyable time trying to get labor started. Self-Reflection - Is there anything you still want to do - say - accomplish before your Sweet Pea arrives? Any issues or fears you would like to explore or resolve? I encourage our students to do some kind of fear release exercise or an art exploration to access their right brain and see if anything new comes up or any ideas present themselves. Sometimes just naming them makes a huge difference in being emotionally ready for the birth journey. For Baby: Pelvic Rocking - encourages the baby into an optimal fetal position. When you are on hands and knees, it is more likely for them to put their heaviest side (spine-down) against your belly-button. Deep Chest-Knee Position - kneeling on the floor, instead of resting on your hands, put your chest on the floor. This position helps to get a malpositioned baby that has found a comfortable spot out of that spot that isn't allowing labor to start or progress. Once the baby is out of the pelvis, you can try other things to get baby back into the pelvis with a better alignment. Miles Circuit - a series of three exercises to encourage optimal fetal positioning. Two doulas brainstorming over the phone gave rise to this popular labor tool. Spinning Babies - a website that offers several ideas to encourage babies into an optimal fetal position. Read more about how we used Webster Protocol and Deep Chest-Knee position in THIS post. Disclaimer: The material included in this video is for informational
purposes only. It is not intended nor implied to be a substitute for
professional medical advice. The viewer should always consult her or his
healthcare provider to determine the appropriateness of the information for
their own situation. Krystyna and Bruss
Bowman and Bowman House, LLC accept no liability for the content of this site,
or for the consequences of any actions taken on the basis of the information provided. This blog and video contain information about
our classes available in Chandler, AZ and Payson, AZ and is not the official
website of The Bradley Method®. The views contained in this video and on our
blog do not necessarily reflect those of The Bradley Method® or the American
Academy of Husband-Coached Childbirth®. Birthing From Within and Bradley Method® natural childbirth
classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert,
Mesa, Scottsdale, Payson |
Q&A with SPB: When is it time to go to our birth place?
Posted on September 21, 2016 at 7:47 PM |
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Q&A with SPB: Variations and Complications
Posted on May 17, 2016 at 3:41 PM |
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Birth Story: Marathon Labor
Posted on January 23, 2015 at 9:45 AM |
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Christine & BJ Bollier Bradley Method© Birth Story This story is a great example of making your wishes known,
persevering through a long labor that stalled (The Bradley Method® calls “the stall”, aka
“failure to progress”, a “Natural Alignment Plateau” or "NAP"), and making decisions as the labor progressed for a Healthy Mom,
Healthy Baby birth experience. Even with
an intervention they did not initially want or anticipate, they were able to have the vaginal,
unmedicated birth they had prepared for. One of my favorite quotes from the video is Christine’s
statement, “I was tired, but I was never scared, because I knew what to
expect.”
Here is a quick summary of their labor: She started with contractions around 15 minutes
apart on a Thursday morning. They went
to their doctor’s appointment that afternoon and decided to go home and let their
labor progress. On Friday, they were timing contractions throughout the
day. When they got to five minutes apart,
they decided to go to the hospital because of the impending blizzard (they live
in Payson, AZ). By the time they were
all checked into their room, it was 2:30 am on Saturday. By Saturday evening at 6:00 pm, they hit a NAP
at around 8 cm dilation. They made the
decision to accept an amniotomy (breaking the bag of waters) at 10:00 pm. Their son was born on Sunday morning at 3:30
am. When the Bollier's time their labor, they call it 36 hours from the
contractions that were 6 minute apart on Friday afternoon to the time when he was born on Sunday morning. They both stayed awake for the whole of that time, save a few cat naps that happened between contractions when they were both exhausted. It is good to note that they did sleep on Thursday night when contractions were still in the "putsy-putsy" stage. I am so glad she talks about how she experienced contractions
– that’s a big question mark for first-time moms. Christine says she felt them as rhythmic and
internalized them – she says she could have painted you a picture of the
contractions. I love that perspective! HIGHLIGHTS Birth plan
Changing the Plan
Christine’s Insight: Q: What did BJ do as a Coach that helped you the most? A: He kept me from freaking out when it had gone on for so
long. As she explains, he kept her on track through the
exhaustion. BJ kept her calm with reassurance; he also pointed out the progress they had made. Loosely paraphrasing: [The hard part] wasn’t the pain – it was the exhaustion. I knew the pain was purposeful because
I was getting a baby. [Contractions] came in bursts and they were
not constant - it wasn’t miserable pain or constant pain from an injury that hurts all the time. Looking back a year later, [a contraction] was such a short period of time. BJ’s nuggets of wisdom Education & knowledge quell fear – having notes at
my fingertips kept me from getting scatterbrained while I was watching
(coaching) my wife through labor. Postpartum advice for the husbands: Don’t be proud – just say
yes. Don’t be too proud to accept help –
it’s a gift. On the lighter side, you’ll hear the inauguration of the
term “The Splash Zone” – now that we know our student’s perception of watching
all the birth videos from the first row of chairs, it’s what we call that front
line when we show birth videos in class - lol. QUESTIONS FROM THE CLASS: Q: Were you both awake the whole [36 hours of progressive
labor]? A: Yes…If I had it to do over again – we would rest throughout
labor. You’ll hear it in class that you
should rest. Seriously – REST. After the baby is born, you are playing
catch-up with sleep. Q: What can you tell us about breastfeeding a newborn? A: Get your hands on reading material, borrow books, have phone
numbers of support people you can call, have a good structure around you to
encourage, inspire, and inform you. Invest in good bras – wear a tank top with shirt underneath
at this age (son is about 11 months old in this video), after the infant stage
the nursing cover is not staying on! Did you have a long labor?
What labor management tips would you share with first-time parents? Please leave us a comment - it will be moderated and
posted. The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
I believe
Posted on June 2, 2014 at 5:27 AM |
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The female form is beautifully made to grow a baby and birth a baby. Birthing wisdom tells us that, in general, Sweet Peas will not grow bigger than the outlet the vessel carrying them can provide. Another idea that is brought to mind is the analogy that our bodies know how to maintain our heart beat, breathe, digest, and do all the other autonomic functions that keep us alive. All this, without any instruction or direction from us! Why, then, would these miraculous bodies fail us when it comes to childbirth? Believe!! A tenet of The Bradley Method® is for parents to attend classes and then read, read, and then read some more to be be informed and confident consumers. This confidence begets the abtility to birth without fear of the process, possible interventions, variations or complications. Prepared parents can believe in the ability of the mother to birth. This allows them to approach their labor and birth with the best intentions for an unmedicated, vaginal birth, and then see that birth through in spite of any variations or decision points they may face. The mother has the confidence in the process and her ability to birth. The Coach has the confidence and the motivation to be at her side and meet her needs for support and encouragement. NOW COMES THE BIG *HOWEVER*... I have to admit, this affirmation gave me pause as I was preparing it. We have had students in the past who have worked so hard and so beautifully to have a vaginal birth, and it just did not go that way for them. So I put this out today with a caveat...believe in your ability to birth for a Healthy Mom, Healthy Baby outcome. Sometimes, the focus may need to switch to "I will give this baby the birth that (s)he needs," which gives us the space to change from our expected path to the birth that needs to happen for a Healthy Mom, Healthy Baby outcome. If that is the case, please talk to someone who understands that a mother can grieve her birth experience while still appreciating the fact that she has a healthy baby. THIS article by Milli Hill articulates so beautifully the feelings a mom may have with the knowledge that she has a healthy baby AND a variation from the birth experience she may have wanted. Here is a picture from our last birth - still the look of surprise and the "I did it!", even though it was our fourth birth!! Never cease to be amazed by the miracle of life that you grew within you...no matter how you birth, take heart from the fact that the new human being you are holding in your arms was grown within you and by you with loving intention. Image: ©2011 A Bunch of Smiles Photography
All rights reserved - we are not models - please do not copy image - thank you! What is a birth mantra or affirmation that helped you or inspires you? Please leave a comment - it will be moderated and posted. The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Rested and Ready for the Birth-Day
Posted on February 24, 2014 at 7:26 PM |
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5 Step Plan for Labor
Posted on December 10, 2013 at 4:28 PM |
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If you follow these steps, you
can figure out if you are in “real” labor.
If you are not, somewhere along these steps, your contractions will fizzle
out. And if they do, mama has eaten
well, slept, and hopefully had a good nap so that you are rested for the next round
of contractions when they begin again. If you are in labor, you will go through these five steps and discover that despite the change in activity and positions, your contractions are progressing. Now you can get excited because you will be meeting your baby sooner than later. And then, settle down to "work", because labor is definitely an athletic event, albeit one of the most rewarding ones ever! Eat
Drink
Walk
Shower
Nap
You can definitely follow this labor pattern over and over, until the mother is unable to sleep anymore because she is going through transition, and/or having the urge to push. It is definitely a way to manage labor without additional pain relief. The love and support of an invested coach, replenishing energy, and rest can go a long way for a family to have a natural birth. If you liked the way you labored, what was your recipe for success? Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Dr. Bradley's Keys to Labor
Posted on December 9, 2013 at 8:00 PM |
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We saw that one of our mamas from our Fall class is in labor...so exciting! I thought today would be a great day to share these instructions Dr. Bradley left for laboring mothers in his book, Husband-Coached Childbirth. Here is a written version: Here is a visual version: I hope that one of them will be a great reminder for what you can do to have the energy you need to see your labor through from beginning to end when it's your turn. I will write more about the principles behind these bullet points tomorrow :) Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Losing Modesty (as it relates to labor!)
Posted on November 5, 2013 at 12:24 PM |
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Warning Labels: Drugs Used for Augmentation
Posted on June 21, 2013 at 11:07 AM |
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To be clear – we are not anti-care provider or anti-drug. We are grateful for modern medicine that saves lives in circumstances when Mother Nature needs help. It exists for a reason, and we are thankful for the opportunity to meet all the Healthy Moms and Healthy Babies when we hold a class reunion. We are passionate about helping families have their Best Possible Birth. By that we mean the path that leads each individual family to a Healthy Mom, Healthy Baby outcome. We want families to have a toolbox full of tips and techniques that help them manage the ebb and flow of labor. We want them to be comfortable with the path of a normal, low-risk labor. We want them to have true informed consent by having an open line of communication with their care providers. To that end, I am sharing the information below in the interest of furthering our goal that all our students have true informed consent: knowing all the benefits and risks of a drug or procedure. It is very rare for anyone to read the drug information insert that comes in all drug packages. To save you time and squinting, we are already researched Epidural Drugs and Induction Drugs. To conclude the “Warning Label” Series, here are the drugs used for Augmentation and to counteract the strong contractions they have the potential to stimulate. PITOCIN: Pregnancy Category X http://www.drugs.com/pro/pitocin.html Contraindications: “Antepartum [before delivery] use of Pitocin is contraindicated in any of the following circumstances: Where there is significant cephalopelvic disproportion; In unfavorable fetal positions or presentations, such as transverse lies, which are undeliverable without conversion prior to delivery; In obstetrical emergencies where the benefit-to-risk ratio for either the fetus or the mother favors surgical intervention; In fetal distress where delivery is not imminent; Where adequate uterine activity fails to achieve satisfactory progress; Where the uterus is already hyperactive or hypertonic; In cases where vaginal delivery is contraindicated, such as invasive cervical carcinoma, active herpes genitalis, total placenta previa, vasa previa, and cord presentation or prolapse of the cord; In patients with hypersensitivity to the drug.” Precautions “When properly administered, oxytocin should stimulate uterine contractions comparable to those seen in normal labor. Overstimulation of the uterus by improper administration can be hazardous to both mother and fetus. Even with proper administration and adequate supervision, hypertonic contractions can occur in patients whose uteri are hypersensitive to oxytocin. This fact must be considered by the physician in exercising his judgment regarding patient selection.” “Except in unusual circumstances, oxytocin should not be administered in the following conditions: fetal distress, hydramnios, partial placenta previa, prematurity, borderline cephalopelvic disproportion, and any condition in which there is a predisposition for uterine rupture, such as previous major surgery on the cervix or uterus including cesarean section, overdistention of the uterus, grand multiparity, or past history of uterine sepsis or of traumatic delivery. Because of the variability of the combinations of factors which may be present in the conditions listed above, the definition of "unusual circumstances" must be left to the judgment of the physician. The decision can be made only by carefully weighing the potential benefits which oxytocin can provide in a given case against rare but definite potential for the drug to produce hypertonicity or tetanic spasm. Maternal deaths due to hypertensive episodes, subarachnoid hemorrhage, rupture of the uterus, and fetal deaths due to various causes have been reported associated with the use of parenteral oxytocic drugs for induction of labor or for augmentation in the first and second stages of labor.” “Oxytocin has been shown to have an intrinsic antidiuretic effect, acting to increase water reabsorption from the glomerular filtrate. Consideration should, therefore, be given to the possibility of water intoxication, particularly when oxytocin is administered continuously by infusion and the patient is receiving fluids by mouth. When oxytocin is used for induction or reinforcement of already existent labor, patients should be carefully selected. Pelvic adequacy must be considered and maternal and fetal conditions evaluated before use of the drug.” Adverse Reactions “The following adverse reactions have been reported in the mother:
“The possibility of increased blood loss and afibrinogenemia should be kept in mind when administering the drug.” “Severe water intoxication with convulsions and coma has occurred, associated with a slow oxytocin infusion over a 24-hour period. Maternal death due to oxytocin-induced water intoxication has been reported.” “The following adverse reactions have been reported in the fetus or neonate: Due to induced uterine motility:
Related drug SYNTOCINON® - most of the information is identical http://www.drugs.com/pro/syntocinon.html ERGOTRATE (ERGONOVINE) – Pregnancy: Should not be administered prior to delivery or delivery of the placenta http://www.drugs.com/mmx/ergotrate.html Pregnancy— “Use of ergonovine is contraindicated during pregnancy…Tetanic contractions may result in decreased uterine blood flow and fetal distress.” Labor and delivery— “High doses of ergonovine administered prior to delivery may cause uterine tetany and problems in the infant (hypoxia, intracranial hemorrhage) {03}. Ergonovine should not be administered prior to delivery of the placenta…Administration prior to delivery of the placenta may cause captivation of the placenta…or missed diagnosis of a second infant, due to excessive uterine contraction.” Breast-feeding “Problems in humans have not been documented. However, ergot alkaloids are excreted in breast milk…Although inhibition of lactation has not been reported for ergonovine, other ergot alkaloids inhibit lactation. Also, studies have shown that ergonovine interferes with the secretion of prolactin (to a lesser degree than bromocriptine) in the immediate postpartum period…This could result in delayed or diminished lactation with prolonged use.” “Ergot alkaloids have the potential to cause chronic ergot poisoning in the infant if used in higher-than-recommended doses or if used for a longer period of time than is generally recommended.” Pediatrics "Elimination of ergonovine may be prolonged in newborns...Neonates inadvertently administered ergonovine in overdose amounts have developed respiratory depression, cyanosis, seizures, decreased urine output, and severe peripheral vasoconstriction." METHERGINE: Category C http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=94c9b1cf-ae12-45f3-8fcb-708a922cbc10 INDICATIONS AND USAGE “For routine management after delivery of the placenta; postpartum atony and hemorrhage; subinvolution. Under full obstetric supervision, it may be given in the second stage of labor following delivery of the anterior shoulder.” CONTRAINDICATIONS "Hypertension; toxemia; pregnancy; and hypersensitivity." TOCOLYTICS MAGNESIUM SULFATE: Pregnancy Category A http://www.drugs.com/pregnancy/magnesium-sulfate.html “Studies in pregnant women have not shown evidence of fetal risk if magnesium sulfate is administered during any trimesters of pregnancy. However, because studies cannot completely rule out the possibility of harm, magnesium sulfate injection is only recommended for use during pregnancy when benefit outweighs risk.” “Newborns may show signs of magnesium toxicity (i.e. respiratory and/or neuromuscular depression) if the mother has received intravenous magnesium sulfate prior to delivery (especially if for a period of longer than 24 hours). Equipment for assisted ventilation as well as intravenous calcium should be immediately available for the first 24 to 48 hours after delivery. One study has reported that maternal magnesium sulfate treatment is associated with reduced brain blood flow perfusion in preterm infants. However, intravenous magnesium sulfate did not lead to lower neonate Apgar scores in a study of women treated for preeclampsia even though the newborns cord level indicated hypermagnesemia.” TERBUTALINE (BRETHINE): Pregnancy Category B http://www.drugs.com/sfx/brethine-side-effects.html “Terbutaline has been shown to cross the placenta, and the fetus may experience the general adverse effects reported in the mother. Pulmonary edema has been associated with the intravenous use of terbutaline in pregnant women. Myocardial necrosis in one infant was thought to be associated with terbutaline given at a rate of 0.5 mg/hr for 12 weeks by subcutaneous infusion. In one retrospective review of 8,709 patients receiving continuous low-dose subcutaneous infusion of terbutaline to arrest preterm labor, only 47 (0.54%) had one or more cardiopulmonary problems. Pulmonary edema was reported in 28 patients (0.32%), 17 of whom had been treated concurrently with large amounts of IV fluids or one to three tocolytic agents and four of whom had been diagnosed with pregnancy-induced hypertension and/or multiple gestation. Other cardiovascular effects occurred in 19 patients (0.22%), including electrocardiogram changes, irregular heart rate, chest pain, or shortness of breath. However, 7 of these patients had a history of cardiac problems. Use of terbutaline in pregnant women for the relief of bronchospasm may interfere with uterine contractility. For the treatment of asthma, administration by metered dose inhaler results in lower plasma concentrations and consequently fewer adverse effects for the mother and fetus. Hepatitis has been reported in at least two patients receiving terbutaline to control premature labor.” “Terbutaline has been assigned to pregnancy category B by the FDA. Animal studies have failed to reveal evidence of teratogenicity. Terbutaline is only recommended for use during pregnancy when benefit outweighs risk.” INDOMETHACIN (NSAID): Pregnancy Category C http://www.drugs.com/pregnancy/indomethacin.html “Animal studies have failed to reveal evidence of teratogenicity or fetal harm except at doses which result in significant maternal toxicity. There are no controlled data in early human pregnancy. Indomethacin has been used in the management of premature labor. However, fetal hemodynamic changes, premature closure of the ductus arteriosus resulting in neonatal primary pulmonary hypertension, and neonatal oliguric renal failure, oligohydramnios, hemorrhage, and intestinal perforation have been reported as a result of this tocolytic therapy. Indomethacin is only recommended for use during pregnancy when benefit outweighs risk.” “Indomethacin crosses the placenta. In one study, 26 pregnant patients were administered indomethacin 50 mg orally one time approximately six hours prior to scheduled cordocentesis, at a gestational age of 23.6 to 36.6 weeks. At the time of the procedure, maternal serum indomethacin concentrations ranged from 42 to 690 ng/mL (mean 218 ng/mL) while fetal concentrations ranged from 87 to 496 ng/mL (mean 219 ng/mL). The mean maternal to fetal serum concentration ratio was 0.97. There was no correlation between gestational age and maternal/fetal ratio. Amniotic fluid concentrations averaged 21 ng/mL. Indomethacin has been used successfully in the treatment of premature labor as well as polyhydramnios. In several studies, indomethacin was as effective and better tolerated than beta-agonists for premature labor. However, while earlier reports and studies suggested indomethacin was safe for the fetus or neonate, especially when use was confined to pregnancies of 34 weeks gestation or less, more recent data suggest a substantial increase in the risk of serious fetal or neonatal side effects. Eronen (1993) studied the effects of indomethacin or nylidrin on the fetal and neonatal ductus arteriosus and tricuspid valve function. A total of 84 pregnancies (94 fetuses) with premature labor between 22.9 and 34.0 weeks gestation were evaluated. Ductal constriction occurred in 46/49 (86%) of fetuses (gestational age 24.0 to 34.0 weeks) treated with indomethacin. The gestational age of the fetuses without ductal constriction ranged from 24.3 to 28.6 weeks. Eleven fetuses with ductal constriction also had tricuspid regurgitation. Data from this study suggest increasing reactivity of the ductus with increasing gestational age; although, ductal constriction occurred in one fetus at 22.9 weeks gestation. In addition to hemodynamic changes, other serious sequelae of maternal indomethacin use have been documented. One study compared 57 infants delivered at or before 30 weeks gestation whose mothers received indomethacin for the treatment of premature labor with 57 infants whose mothers had not received indomethacin. The total dose of indomethacin ranged from 50 to 6000 mg (median 425 mg) and the duration of therapy ranged from 1 to 79 days (median 3 days). Necrotizing enterocolitis occurred in 29% of infants exposed to indomethacin compared with an 8% incidence in the control group (p=0.005). Intracranial hemorrhage occurred in 28% of infants in the indomethacin group compared with only 9% in the control group (p=0.02). Maternal use of indomethacin has resulted in reduced fetal urine output and subsequent oligohydramnios, neonatal renal failure, fetal pleural effusion, and ileal perforation. In addition, at least two cases of neonatal lower limb ischemia have been reported following prolonged intrauterine exposure to indomethacin. Fetal echocardiograms after 24 hours of maternal indomethacin therapy and then weekly, thereafter, if long-term therapy is necessary, have been recommended. In addition, assessment of amniotic fluid volume is also recommended.” RITODRINE (YUPOTAR): Pregnancy Category B http://www.drugs.com/pregnancy/ritodrine.html “There are no controlled data in human pregnancy. Neonatal hypoglycemia, tachycardia, and ileus have been reported. Rarely, ketoacidosis resulting in fetal death has been reported. Ritodrine is only recommended for use during pregnancy when benefit outweighs risk.” Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
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