Re: caulophyllum thalictroides tablets+ IOL
From: art fougner, md (evsono@pipeline.com)
Tue Aug 16 14:10:07 2005
I await with breathless anticipation the randomized clinical trial ...
art
At Tue, 16 Aug 2005, R. Daniel Braun wrote:
>
>A. It was not "obviously" effective in inducing labor. Two other methods
>that are known to induce labor, acupuncture & nipple stimulation were als
>used.
>B. This is equivalent to giving pitocin, cervadil, and an EASI all at th
>same time to induce labor. If a Doc were to do that it would be considere
>HORRIBLE.
>C. I can't find out much about "Blue" cohosh, except that it should not b
>confused with "Black" cohosh which I can find out a lot about. Using thes
>herbal preps like this for inducing labor is about equivalent to giving I
>pitocin. You can't control the dose, because you can't get it back once yo
>have given it and it will stay there for awhile.
>D. Was the baby or placenta stained with the meconium or was meconium note
>in Macrophages on the placental surface? All of these take at least 24-4
>hours to occur.
>Dan
>
> On 8/16/05, Len2976@aol.com <Len2976@aol.com> wrote:
>>
>> I have a question for the group, particularly MWs and others who are
>> familiar with herbal therapy, an area which I am not familiar with.
>> Sunday afternoon I had a patient (32 y/o G1 at 38+ weeks) present to L&
>> with what appeared to be symptoms of aacute gastroenteritis--severe naus a,
>> vomiting, and diarhea for about 18 hours. The woman was doubled over in ain
>> at times screaming as though she was in transition.
>> Her sister, who is a message therapist, had given her caulophyllum
>> thalictroides tablets to induce labor. She had taken 2 tablets every 3 h urs
>> the evening before and yesterday morning (6 doses for a total of 12
>> tablets). I learned that caulophyllum thalictroides tabs are blue cohash In
>> addition to the blue cohash, she had also done both accupressure and nip le
>> stimulation (for 15 minute periods per hour) to try to induce labor. She had
>> not consulted either the MD nor any of the CNMs with our practice for ad ice
>> regarding this.
>> After assessing her and deciding she was not in active labor on
>> admission, but was dehydrated and exhausted from the vomiting and diarhe , I
>> admitted her, started an IV, and sedated her so she could get some rest. Her
>> cervix was long, thick, and closed, and the FHTs were reassuring.
>> About 4 hours later, I was called by the nurse that she was contractin
>> regularly, her cervix was about 2-3 cms dilated, and that she wanted a
>> epidural. When I got to L&D she had had a SROM with thick meconium stain d
>> AF. Her labor progressed steadily and I anticipated a NSVD. I usually tr to
>> encourage patients with an epidural NOT to push when the cervix is full
>> dilated, but to rest and wait till they either have a strong urge or th
>> head is at a +2 station. This patient, however, had an urge to push at a out
>> 9 cms and insisted on pushing when her cervix was fully dilated and the ead
>> was at a +1 station.
>> Unfortunately when she began pushing there were severe variable
>> decelerations (down to 40-50's x 1 minute with slow recovery) and after
>> few of these I stopped her from pushing (which helped somewhat), called he
>> obstetrician in, and she ended up a C/S. There was no nuchal cord presen or
>> other explanation for the thick mec.
>> My questions involve the appropriate use of the blue cohash. I'm awar
>> that some MWs use blue cohash for cervical ripening particularly with
>> post-dates patients, but I always thought it was used in a tincture form I
>> could not find out anything regarding usual dosage, side effects, etc.
>> Obviously it was as effective in inducing labor as I have sometimes see
>> cytotec to be--in fact it was almost a precipitous labor. Comments would be
>> appreciated.
>> Lenora McCall, CNM
>>
>--
>R. Daniel Braun
>Kinky for Governor
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
