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On Natural Birth...
The real question about safety is not whether you want a pleasant birth at home or a safe birth in the hospital ? It is, “Do you want to give birth at home and run the miniscule risk of an emergency that might (but not necessarily would) be handled better in the hospital, or do you want to give birth in the hospital and run the considerably increased risk of infection, the certainty of additional stress, and the near certainty of having unnecessary (and potentially risky interventions?”) ~ Henri Goer

Members of the home birth movement have chosen their alternative form of care not through faulty understanding of medical principles, but as a result of active and reasoned disagreement with them. ~ Bonnie O’Connor

Information About Induction Drugs

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About Home Birth - Why Birth at Home?

Information about Birth ...Coming Soon!

 

 

Commonly used Drugs for Induction

Dinoprostines (PGE2 gel, Cervidil, Prepidil)
Misoprostal (Cytotec) Not FDA approved for cervical
     ripening, Cochrane libraries  suggests not to use
     misoprostal due to lack of studies and propensity
     for hyperstimulation
Oxytocin (Pitocin) IV, Subuchal, IM:  for stimulation
     of uterus.

 

All medications require continuous fetal monitoring of uterine activity and fetal heart tones.  Complications include: fetal distress, hyperstimulation, uterine rupture,  fetal hypoxia, and possible fetal and maternal death.

 

Pain Medication used orally, IV, and IM

 

Opioids: Depress CNS, along with respirations and decrease sensitivity to Co2; causes urinary retention,
diaphoresis, decreases gastric motility and causes nausea and vomiting.

 

The physiological response:  Reduce pain without loss of consciousness however can produce physiological
dependence.  The fetal side effects decrease FHR, variability, respiratory depression, increase metabolites,
abnormal neurological behavioral exams, delayed breast feeding, possible dependence, low APGAR score, may require greater resuscitation and may cause fetal death.

 

Commonly used Analgesics in labor:

  • Stadol (Butophanol), narcotic, moderate sedation
  • Fentanyl Citrate, narcotic, moderate sedation
  • Nubain (Nalbuphine), narcotic, mild sedation
  • Demerol (Meperidine), narcotic, mild sedation
  • Morphine Sulfate, narcotic, sometimes combined with visteral or phenergan to sleep a woman before labor, moderate to severe sedation
  • Phenergan (Promethazine), ataractic, decrease anxiety
  • Vistaril (Hydroxyzine), ataractic, decrease anxiety, moderate sedation