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Discussion Starter #1
Does anyone know what the chances are that CO will cause the baby to pass a dangerous amount of meconium? Should I take the CO and if it doesn't work, do I need to hurry and get induced to prevent any trouble for the babe?<br><br>
Kristi
 

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<div>Originally Posted by <strong>~~Mama2B~~</strong> <a href="/community/forum/post/7891078"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Does anyone know what the chances are that CO will cause the baby to pass a dangerous amount of meconium? Should I take the CO and if it doesn't work, do I need to hurry and get induced to prevent any trouble for the babe?<br><br>
Kristi</div>
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I just went 43 wks. with my son. (Had to have a c-section b/c he was occiput posterior...after 6 hours of pushing his head was basically stuck!)<br><br>
Anyways, we tried *all kinds* of natural induction methods. Literally, mentiion one and I bet we tried it.<br><br>
Lesson learned: your body will go into labor when it is ready and not before, no matter whar you do. These methods work *if you are ready*!<br><br>
Graeme was born with a LOT of meconium. They had to do a ton of suctioning, and the day after had to do a lavage (spelling?) to clean him out. And he;s still having reflux issues...can't prove a connection, but feel it's all related.<br><br>
I think it certainly could have been b/c of the two doses of castor oil I took to try to induce. We also did black & blue cohosh.<br><br>
So, were the decision mine, I would not do the castor oil unless I felt like labor was starting/not progressing.<br><br>
My 2 cents! HTH!
 

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I personally would not risk it. I had read and heard about several castor oil related meconium aspiration incidents, and it is just not worth it IMO.<br><br>
I know how you feel mama! Being pregnant for so long is sooooo hard! My earliest baby was 41 weeks and the last one was almost 43 weeks! Nothing I did really helped speed things up, so all I can say is: try to rest, drink lots of water and eat well. Your baby will be here soon!! Hang in there!<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/grouphug.gif" style="border:0px solid;" title="grouphug">
 

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I know I already posted this in your thread, but I thought it would be good to have here in case other search for castor oil. Got this off of my doula yahoo group. Not so sure I would use it now.<br><br><div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">"Castor oil has been used safely for years. It is over the counter."<br><br>
Aspirin has been used safely for years. Aspirin is available over the<br>
counter. Because a drug is available over the counter and has been used<br>
safely in one circumstance does not mean that it is safe to use during<br>
labor.<br><br>
The castor seed contains ricin - 0.2milligrams is a lethal dose. Ricin is<br>
twice as deadly as cobra venom. The side effects of an overdose of castor<br>
oil include diarrhea, liver cell death, kidney failure, convulsions and<br>
shock. So the diarrhea that results from taking castor oil is in fact one of<br>
its toxic effects that is causing this symptom.<br><br>
There has been no research done to determine a safe level in pregnancy, now<br>
to consider the risks to mother or baby. There have been some small studies<br>
but nothing controlled or large enough to be of real value. Some of the<br>
small studies have found that the risk of meconium staining in babies whose<br>
mothers used castor oil was greater, other studies have found this not to be<br>
true.<br><br>
So we have a highly toxic drug, no research of value, no information on safe<br>
doseages and conflicting information on risks. This is an intervention.<br>
Using castor oil to start labor is an induction. Only the mother can<br>
determine whether or not the risks are outweighed by the benefits for her.<br><br>
As others have mentioned, it is the mothers call whether or not she chooses<br>
to use castor oil. But wrapping it up with a pretty ribbon and saying it is<br>
ok because it is natural and not really an induction is just kidding<br>
ourselves, and the mother! We do not know if it is safe, nor do we know if<br>
it is unsafe. Being postdates is not a medical indication for an induction.<br>
There is nothing wrong! An induction carried out because a woman is<br>
postdates with no clinical signs of a problem is prophylactic - choosing to<br>
intervene to prevent something that MIGHT happen.<br><br>
I am not denying that choices can be extremely limited to women if they go<br>
beyond 41 weeks. It may be that a woman is told she "risks out" of homebirth<br>
because she has gone "postdates". She may decide that she is simply fed up<br>
with being pregnant. It may be that this is a way to avoid an oxytocin<br>
induction with pitocin. But this is still an induction. Let's at least call<br>
it what it is.</td>
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Don't know anything statistically, but with dd2, I took castor oil, had minor diarrhea (just cleaned things out basically) and she was born about 12 hours later, no meconium, at 42 weeks (nuchal hand, though, pretty sure that was unrelated <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">). Thought I'd chime in. For me, it was better to try it than get risked out of my mw homebirth. As a UC, I probably wouldn't have. I also know that there was some tremendous stresses I was going through at the time, and it may have been just a mental/physical connection where I gave my body permission to start labor...that my body had been holding baby in because of all the stress and needed a sign. (going through an early separation leading to divorce, my stbx came to town and threatened to steal our older daughter a couple of days after my due date, my mom was running for an election in the town we live in, etc.)
 

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Discussion Starter #6
I'm planning on trying CO as a last ditch effort before going to the hospital to be induced by them. I really want my UC, but DH is really freaking out about the post-term pregnancy. I'm almost to 43 weeks now. I have some mild contrax a few times a day, but I'm not dilated and nothing is happening. I'm trying EPO to get my cervix ready so if I do go with CO this weekendI'll be ready. I just don't want to give up my homebirth and I think the longer this goes, the less supportive DH will be and the more worried we both get.. Blah...<br><br>
Kristi
 

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I have used it with two births, no meconium. I was already in labor before taking it...I tend to have month long labors and wanted to speed things along. I was impatient with the first (was 6cms--acording to self--and having contractins 10-30mins apart for 3 days), my kidneys were also giving me severe pain. He appeared to be premature at birth. With the second (my most recent) I was 41.5 weeks and just plain tired, and nearly crippled with SPD. I had (as I always do) irregular contractions for several days and was in early labor already.<br><br>
I had the babies within 5 hrs of taking it both times.<br><br>
Personally, I don't know that it's worth all the pooping! I don't recommend it to people, but faced with a medical induction I'd do it again.
 

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How sure are you of your dates? Is it possible you conceived later than you think, do you have longer cycles, or were you having irregular cycles? This is your first baby, which do tend to cook longer. My friend regrets using CO for her first birth. If it were me, I'd concentrate on optimal fetal positioning so when you do go into labor, it's hopefully fast and efficient with no positioning issues at all.
 

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Not a really big study, but this one shows no increase in meconium with castor oil:<br><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=11406076&query_hl=2&itool=pubmed_docsum" target="_blank">http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_docsum</a><br><br>
This one, also small, doesn't seem to show ill effects<br><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=10631825&query_hl=2&itool=pubmed_docsum" target="_blank">http://www.ncbi.nlm.nih.gov/entrez/q...=pubmed_docsum</a>
 

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Acupressure and using Moxa on certain points has a very good record of helping labor start and progress, and since it is working with your own chi (energy), it isn't going to do anything your body is not ready for. Google up "acupunture" and "Labor" and "traditional chinese medicine" and see what you find.. these stratgies IMO are so simple, self-empowering, and many many people in the world use them- they would be a good step before going with something that will make you violently ill IMO.
 

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I used it and then ended up transporting to the hospital. There was mec and and they suctioned him - the whole tube down the throat thing, thumping on the chest - horrible thing to watch. (I believe it was unneccesary, most babies will spontaneously expel mec, and he was born with 8/9 APGARs.) Then they had stressed him so much they had to take him to the NICU and wouldn't release him for 5 days, kept him on antibiotics. (I believe the antibiotics hurt the flora in his intestinal tract, and he had reflux until I started feeding him yogurt daily.) I vote for not doing it - why risk it?
 

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I vote for not doing it either. THere are so many "good" stories about it. but my ONLY story with it was a bad story -- ended up in the hospital after my water had been broken for 24 hours, no contractions and RAGING fever. Went on to pitocin, epidural and broken tailbone and displaced bladder from pushing too hard under the epidural.<br><br>
I would lovingly suggest you walk. Call a friend, whatever you need to do, take your cell phone with you and just go outside and walk for as long as you can. Then come home and sleep. And do the same thing again tomorrow. And the next day, too. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
GOod luck!!!!<br><br>
ETA: bring that cell phone so you can call someone to pick you up when you don't feel like walking anymore. Oh, and walk nice and slow, if that's all you feel like.
 

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I used castor oil to induce my first at 42 weeks 3 days. There were lots of complications with his birth at home, but meconium aspiration wasn't one of them.<br><br>
My thoughts for you...<br><br>
This is your first baby. It seems that there are often more "problems" associated with first babies. And then next time your body goes "oh yeah, I remember this" and just does it with more grace. Like your hormones are more balanced after the birth of your first. (this is totally imo and in my experience with other pregnant mamas through midwifery, friends' stories, etc)<br><br>
Maybe you just are a longer gestating mama- some mamas routinely are pregnant for 42 or more weeks. So maybe you aren't "late" at all.<br><br>
Like a pp said, maybe your dates are off.<br><br>
And then I think sometimes babies born truly "late" are born with more problems as they aren't really meant to stay in there forever! Two of the issues with babies going post-dates is fluid level (which can decrease with time) and the health of the placenta (it can get calcified with time, making less area for blood to be passing through, hence less oxygen for baby). This is why some people opt for the post-dates ultrasound, to see if their body is indeed still supporting the pregnancybaby in a healthy way.<br><br>
I felt like my son wasn't coming because he had issues that needed hospital attention. We tried acupuncture (which worked GREAT to help bring on strong ctx with my 3rd pregnancy), nipple stim, sex, herbs...castor oil finally worked for us, but we had to transfer to the hospital anyway. The thing is, though, I KNEW something was up. I felt really wierd about him being so late and felt like he should've been born weeks before when I was having lots of contractions and was in that spacey homey space...then it all stopped and I seriously wonder if I ever would have gone into labor in a timely enough manner to make sure he was healthy. Because his main "issue" was that he didn't make enough red blood cells to oxygenate himself well enough, which got worse the bigger he got and there was more of him to oxygenate!<br><br>
I am just sharing my experience and thoughts with you. You are having your own unique experience that is not the same as mine. But I do ponder lots on post-dates and why they go late, etc...<br><br>
I have seen castor oil work when a woman's body/baby is ready, and when it works it works well. Otherwise you just poop an awful lot and are still pregnant!<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> Good luck to you, mama!!!!!!!!!!!!!!!
 

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Discussion Starter #14
Well... I took two does of CO today and I haven't even had excess potty time- let alone a baby! I tried a teeny bit this morning and when that didn't work I tried 2 tbsps in the afternoon. Nothing! Sheesh... I guess I'll have to try something else. Tomorrow marks week 43 and we're getting antsy... Thanks for the help though!<br><br>
Kristi
 

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The dose I took (recommended by my midwife) was 2 oz. in orange juice, followed an hour later (if nothing started) by another 2 oz. I did both, and contractions started about an hour after the second dose...baby was born 12 hours late (major improvement over my first 28 hour labor!). So maybe it's a dosage issue?<br><br>
Anyways, I've been thinking about you, and wish you happy birthing!!
 

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I personally don't agree that castor oil causes meconium. When you are postdates, the chances of baby passing meconium rises, that's why many of the babies you see who are born past 40-41 week are born with mec. regardless of if mom took castor oil.<br><br>
I work as a doula, and none of my clients who took castor oil had babies born with mec. Three of my moms without castor oil had babies born with mec.<br><br>
Another case in point, my partner gave birth to our son at 40w3d, he was born with thick pea soup meconium, she did not take any castor oil, or anything else to induce labor. When I gave birth to our 2nd child, I tried taking the castor oil twice, ds was born at 40w3d(not at all related to the castor oil) with NO meconium. What ended up working to put me into labor was stripping of the membranes.<br><br>
I wouldn't really recommend it, but only because I haven't really seen it work, and it isn't really all that fun to be running to the bathroom for hours on end, and towards the end of it, the poop can really burn your bottom. But I don't think that the castor oil will cause meconium.<br><br>
Kristi, if you want the castor oil to work, you need to take a good dose of it, most midwives recommend 2 oz, followed by another 2 oz about 1-2 hours later. 2tbsp won't do a thing to help start labor! Take it with orange juice or root beer.<br><br>
At 43 weeks, the chances of your baby having passed mec in the waters is pretty common, since many of them do past 40 weeks. This doesn't mean there will be complications in labor.
 

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I used castor oil for my first home vbac-when my water broke, 30 minutes before crowning, there did seem to be a small amount of meconium. It didn't cause any problems, however.<br><br>
For the second homebirth, I decided to skip the castor oil because it made me soooo miserable. I had acupuncture, it worked great at inducing at 41+ weeks and was much more pleasant.<br><br>
The one difference I did notice was that ds who I used castor oil with passed the meconium in one shot after birth, his brother took days. IMO it definately affects baby on some level.
 

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I wasn't post dates when I took castor oil. I had just been in labor for a week. It also had no effect on my bowels even with repeated doses.
 

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Everything I have read states that with genuinely post date babies there is no way to tell for sure what cause the meconium. It could have been CO, it could have been that they were post date, or a combo of both.<br><br>
ETA: I took an entire bottle with DD and neither of us had bowel issues. I went to the bathroom as I normally did and never got sick whether through my backside or upset stomach.
 

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Discussion Starter #20
Okay... I'm going to take the advice of one pp and take 2 oz now and another two later... Gag... I'm NOT looking forward to that!<br><br>
I am dilated to about 4 cms and I've been having little puny contrax for a few days that are start and stop. Hopefully since my seems to be getting ready this will help it out.<br><br>
Thanks.<br><br>
Kristi
 
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