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Subject:
From:
"Janaki Costello, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 6 Apr 1996 12:05:43 -0500
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Dear Mary and all,

This is just from my personal observations as a doula and also IBCLC :
 Fentanyl is definitely a part of epidurals here in No.CA. and is used
frequently.  Frankly I see problems with early latch on and sucking
sometimes, and other times there is absolutely no problem at all.

Prostaglandin gel is also used here to soften the cervix before induction
with pitocin.  If a mom is 41 and 1/2 weeks or god forbid, even 2 weeks
overdue (read sarcasm here) , she is put into the hospital at night and the
prostaglandin is applied to the cervix that evening and possibly early in the
morning.  If labor doesn't begin soon (or without waiting to see if it does),
 a pitocin drip is started.  I haven't personally seen any "allergic" effects
or really negative effects besides the usual bummer of being induced and all
that usually entails - IV fluids, epidurals, etc.  But I don't have all that
much experience with it......

With my own clients I urge alternative methods of starting labor before the
41 and 1/2 week mark.  Some of these alternative methods incude; making love
each day, walking a lot, perhaps the use of herbs if they get advice from
someone who knows more than I do about that, acupuncture treatments,
acupressure massage, chiropractic adjustment for starting labor....  These
often work great and there is no need for pitocin!!

No studies quoted, but I hope this was helpful!

Yours,  Janaki Costello, IBCLC, LLLL, Doula, CCE in No.CA.

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