or should that be
... I was reorganizing my notes from a midiwfery conference earlier this year, and I ran across some interesting information that Ina May Gaskin shared on the subject of induction...
- In the last 10-15 years, the rate of induced labor has gone from 9-12% all the way to 40+%.
- Ruptures (uterine) have occurred with ALL FORMS of hospital induction.
- Physicians are allowed to prescribe medications for off-label use at their discretion.
- Breaking tablets (as in Cytotec doses), is not a safe form of reducing dose since the distribution of the active ingredient in tablets is not uniform, a quarter of a tablet may actually have most of the active ingredient in it and be equivalent to a full dose...
- Cytotec studies are too different, the variables are too many, as to: dosage used, time frames, whether administration was oral/rectal/vaginal, whether placed in the cervix or behind, etc.
- Of under 5000 women given cytotec in studies, 25 had ruptures, 2 maternal deaths, 15 infant deaths, and 8-10 hysterectomies.
- Uterine rupture and artery damage have occurred with Cytotec use. Even 1/4 of a tablet has had horrible results. Death and hysterectomy have occurred, even 13-30 hours after vaginal tablets were given. Hyperstimulation of the uterus can not be regulated with cytotec (unlike pitocin which can be turned off or down).
- There is increased risk of postpartum hemorrhage and amniotic fluid embolism.
I could not feel safe using this product, even if a dosage system could be agreed on, I do not like the fact that it can not be regulated if the mother does have an intense reaction. There is no antidote that can be given to counteract or stop the effect of the drug- you just have to ride it out and hope for the best.
That said- there is not a form of medical induction out there that is 100% safe, and all have caused uterine rupture. You just have to make an educated choice if you are in a position of being induced.
Even the "natural" forms of induction can have risks attached. I would go for least invasive and medical first, like sex- nipple stimulation- Evening primrose oil orally and vaginally... then it would be a toss up between a labor stimulating tincture or castor oil (I would not use the full recommended dose though. I would even consider using a different laxative oil such as flaxseed oil...) I'm really not fond of any form of induction, I've been on pitocin- not fun- and we used nipple stimulation to start another of my labors and it was really intense too. Castor oil induction, while close friends have used it with success, they were not happy with the results overall- labors were too fast and hard, some meconium staining...
Sometimes you have to pick out of the options what you can feel most confident with.
The Lord bless you,