Sunday, 1 July 2012

Natural labour induction

I just reworked my advice sheet for natural inductions (well, the football is on....), and as it contains a lot of practical advice, I thought it would be good to share it for all the pregnant ladies out there who are getting close to their due date:


Natural labour induction

For 40 weeks you've been waiting for this day. Your birth plan is ready, your bag is packed and surely any minute now you will have your first contraction! But... nothing… not even a twinge!!!!

Patience is a virtue ~ baby will come when he or she is ready!  But if an induction date is looming, you might feel like you want to give him or her a gentle nudge. So here are some alternative methods to bring on labour:

Before you do anything: get the “all clear”!

It’s important to have the all clear from your midwife or consultant, especially if you have a pre-existing medical condition. This usually means you will be 40 weeks+.


 
Acupuncture

Studies have found the benefits of acupuncture for labour induction are:

o    time from due date to delivery is reduced

o    faster cervical ripening and dilation

o    stronger and more frequent contractions

o    lower likelihood of medical interventions such as caesarean section or oxytocin

o    relaxation.

Please check the website of the British Acupuncture Council for details of these studies (www.acupuncture.org.uk, Acupuncture in pregnancy and labour: the evidence for effectiveness).

Sometimes only 1 treatment will suffice, but often a second or third treatment within a few days is required.




Natural tips

In addition to having acupuncture (usually 2-3 sessions closely together), also try the following:

o    walk – climb stairs – sit on an exercise ball - basically keep your pelvis moving as much as possible!

o    drink raspberry leaf tea

o    it might not be your top priority, but sex is also beneficial (on the condition that your waters haven’t broken, though, due to risk of infection) – prostaglandins in semen and uterine contractions with orgasm might just help to set things off– trying to find a comfortable position could also be fun!

o    take 1000mg of evening primrose oil per day orally – also at night before bed, poke a small hole in a capsule and insert vaginally (again, waters have to be intact – wear a sanitary towel) – the EPO suppository helps soften the cervix

o    try nipple stimulation – this releases natural oxytocin, you need a lot of stimulation to release noticeable amounts, but in addition to the other measures, it might just help – also watch videos of breastfeeding mums on Youtube as this might also help you release oxytocin

o    visualisation/relaxation – tension is counterproductive in labour, so find a way to relax and visualise your baby moving through the birth canal and being born

o    Debra Betts has a lot of information on her website – use the acupressure points clearly marked on her website several times per day http://acupuncture.rhizome.net.nz/acupressure-intro.aspx

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