Category Archives: Medications/Epidurals

Newborn Baby – ISO Vitamin K

Did you know that Vitamin K is a controlled substance? I don’t mean controlled in the way oxycodone or morphine is controlled.  But it is a controlled substance none the less.  Let me explain what I mean.

I’m working with a mom who is due to deliver any day now.   (She is having a hospital birth with a physician and I am working as her birth sister/doula.)  She decided a couple of weeks ago that she did not want the Vitamin K injection and would opt for the oral drops.  Great!  I say. “I will pick some up for you and bring it over during our next visit.”   Well… that’s what I thought.  I was WRONG, WRONG, WRONG. Not the local Co-op, not Whole Foods, not The Vitamin Shoppe, the herb shop, or GNC, none of them had oral Vitamin K drops. Fortunately I was able to reach out to a local midwife who had just ordered a case and she had a couple of vials to share.

Vitamin K is routinely given to newborns as an injection within minutes of birth to prevent Hemorrhagic Disease of the Newborn, also called Vitamin K Deficiency Bleeding.  The incidence of this disorder is low but it can definitely be severely damaging and even deadly for a newborn.   Because of this reality, in the 1960’s the American Academy of Pediatrics instituted a recommendation that all newborns get an injection of Vitamin K at birth.  We have been giving babies this injection, at birth, ever since.

I agree that this dose of Vitamin K is important. I don’t agree that the injection is the ONLY way to provide the necessary Vitamin K to a newborn.  And it pisses me off that families are not given more information about other options including prenatal maternal loads of Vitamin K and Oral Vitamin K drops for baby after birth.  And then once informed, a family may not realize Vitamin K drops are essentially controlled and they have to be ordered because you can’t get it a local store!! What’s up with that?  Is it because it’s too dangerous for the masses?

How dangerous is Vitamin K?  I did some searching to learn about the risk of overdosing on Vitamin K just to be sure I wasn’t trippin. Yea, I’m not. THEY are.  Why is information about Vitamin K and the oral option withheld from parents?!  It’s really ridiculous if you ask me.

Vitamin K

The good news is that you CAN order it online.  I was able to find K-Quinone, a brand of oral Vitamin K at Precious Arrows and Birth With Love If you need a vial, you can order it from them, just don’t wait until the last minute to place your order!

There is soooo much more to know and to learn about the Vitamin K injection and other routine newborn interventions. I hope you will make plans to join me for my 6-part webinar series The Birth Plan Myth Extended.  Call number 5, titled What About My Baby will be all about routine hospital procedures that are done to newborns sometimes without your knowledge or permission.  You can register today for the entire 6-part series for only $60!!! This pre-conception rate will not be around for much longer so be sure to take advantage of it today!

Did you opt out of the Vitamin K Shot?
Did you give oral drops or nothing at all?
Share your story!

Nausea & Vomiting ~ A new remedy

A few weeks ago I posted an article from Drug Watch telling women of the dangers of Transvaginal Mesh, used to treat urinary incontinence.  As we were planning that post, I asked them their opinion on the drug Diclegis, a medication that had been recently re-released/approved by the FDA to treat morning sickness.  According to what I was reading, the drug had been wrongly accused of increasing the risk of birth defects.  I was a little suspicious as I often am LOL, and I didn’t have a lot of time to research the medication.  Fortunately, the folk over at DrugWatch.com love sharing truth about medications. Below is their input on Diclegis.  Are you experiencing nausea and vomiting in pregnancy.  Learn more… and always remember… No. Matter. What… Ask before you say yes.

Diclegis Approved by FDA for Morning Sickness

A drug that was pulled from shelves 30 years ago in response to lawsuits alleging that it caused birth defects is back on the market.

Diclegis, a combination of vitamin B6 and the over-the-counter antihistamine doxylamine, is prescribed for pregnant women whose morning sickness does not respond to lifestyle changes such as small, bland meals, acupressure wrist bands and meditation.

Doctors have prescribed the two ingredients in the drug as a combination treatment for morning sickness for years, but Diclegis will be the first single-capsule, time-release version of the medicine in three decades.

A Long Journey Back

Diclegis was first sold under the name Bendectin in 1956, and an estimated 33 million women were prescribed the drug. Bendectin was removed from the market in 1983 when its manufacturer decided it could not afford to continue to defend the drug from lawsuits.

Much of the controversy and legal trouble for the drug stemmed from the hysteria surrounding thalidomide, a drug marketed as a safe sleeping pill for pregnant women that resulted in the horrible disfiguration of newborns. After the terrible results of thalidomide, women were much quicker to blame birth defects on medication.

Since then, studies have concluded that Bendectin had no effect on the baseline risk for birth defects, which is 1 in 33 babies. According to Dr. Keith Eddelman, the director of obstetrics at the Mount Sinai Medical Center in New York City, “This new FDA medication is a great option for pregnant women suffering from morning sickness,” and the data are very convincing that the drug poses no risk and should never have been taken off the market.

The FDA agrees, saying in a press release that observational studies have shown that the combination of active ingredients in Diclegis does not pose an increased risk of harm to the fetus. Side effects of the drug do include severe drowsiness, however, so the FDA recommends that patients taking Diclegis avoid using heavy machinery such as cars until they know how it affects them.

Always Be Cautious

As always, use of prescription drugs in pregnant women should be a last resort. In most cases, morning sickness is not serious enough for a prescription medication. If someone is vomiting hourly, however, the benefits of Diclegis greatly outweigh its risks.

It’s important for women to do their research before taking any medication during pregnancy. While Diclegis does not have serious documented side effects, certain antidepressants like Zoloft, Paxil and Prozac have been linked to birth defects, along with risky behaviors such as alcohol consumption and smoking.  Women need to make sure their doctor knows about any and all medications they are on if they are pregnant or planning to become pregnant.

Linda Grayling is a writer for Drugwatch.com, a consumer advocacy website. She stays up to speed on the latest medical news, including recalls and clinical trials.

Medication in Pregnancy: Doing Without Knowing

I just finished reading a short article about the use of Odansetron (Zofran), a medication often given to pregnant women to help them when they have nausea and vomiting. While this medication has been WIDELY prescribed for nausea and vomiting in pregnancy it is NOT approved for this purpose. 

Zofran (Odansetron) IS approved by the FDA for the prevention of nausea and vomiting associated with cancer chemotherapy and for the prevention/treatment of nausea and vomiting after surgery.  What this means is using Zofran for pregnant women is an “off label” use.  Off label usage of medication is nothing new and it happens all the time. While I do understand this, I believe that we need to be MUCH more cautious and careful when working with pregnant women.  We need to do better about understanding the risks profile of a medication before putting it widely into practice.  Doing without knowing is NOT okay.

From the article “Although most often used as an antiemetic following chemotherapy, ondansetron frequently is used off-label to treat nausea and vomiting during pregnancy. However, few studies have assessed the safety of ondansetron when used for this indication. A report in the New England Journal of Medicine [1] used Danish national data to determine the impact of ondansetron on risk for spontaneous abortion, stillbirth, major birth defects, and other perinatal outcomes.”

After reading this article, I couldn’t help but think about the horrors of thalidomide.  Sold in the late 50’s/early 60’s, thalidomide was given to pregnant women in off label use for morning sickness. It was untested and after a few YEARS of use and massive birth defects were noted, it was pulled from the market. This was all in the name of stopping nausea and vomiting, which BTW is a NORMAL part of early pregnancy and can even be normal throughout pregnancy if weight gain and fetal growth are appropriate.  But I digress and that’s a topic for another post. My point today… Doing without knowing is NOT okay.

We introduced the electronic fetal monitor (EFM) in the 1960’s in the name of preventing birth defects. The use of the fetal monitor quickly became widely used nation wide without research. It is the number one intervention on labor and delivery units today even though it is common knowledge among birth professionals that EFM has not and does not create better birth outcomes. And in the face of research that shows continuous EFM increases c/sections and intermittent monitoring is safe and effective at detecting fetal distress we continue to use electronic fetal monitors nation wide! In this case we initially did without knowing. Now we know better but since EFM has become such a part of our maternity culture that we still do even though we shouldn’t.

Honestly, this is really is just a little rant. Reading the first part of the article irritated me.  I’m continuously like… SERIUOSLY?!?!  When will we stop experimenting with women and our unborn children.  This article goes on to say that the researchers found no increase in birth defects, miscarriage or still birth. This article highlights however that we still casually do without knowing and this is NOT okay. Doctors and midwives prescribe medications and procedures all the time either without full knowledge of the risks or without full disclosure of the risks. It’s not fair to women and its NOT okay.

The take home message:  Please remember ALL substances that you take, whether it’s a vitamin or hard drugs and everything in between… ALL of them DO in some way, and in some amount, cross the placenta and get to your baby.  Whenever you are prescribed a medication… ask a question. Find out if there is a better/different option. Ask about waiting until later in pregnancy. Ask. Ask. ASK.  Don’t assume everything they give you is necessarily safe, or that it is even necessary.  What medications did you take during pregnancy? Would you take it again?  Share your experiences…

In Birth and Love
Nicole (Dont forget to follow me on twitter @SistaMidwife)

Women’s Herbal Workshop in Louisiana

Do you want to learn how to make your own herbal Infusions, Tinctures & Salves?  Do you live in OR are you willing to travel to Louisiana?
If you answered yes to these questions this is for YOU!

Join Divine of Supreme Wellness for a Women’s Herbal Circle Workshop:
Infusions, Tinctures & Salves for the Pre-Natal Period & Beyond

This workshop will be held in Opelousas, Louisiana SATURDAY MAY 5, 2012 11AM-2PM

Topics Covered include:  *Anemia *Sore Muscle Healing *Weak Cervix *Miscarriage Prevention *Hemorrhage Prevention *Perineum Healing *Water Retention

This will be a full HANDS  ON  experience.  Every student will leave with their own tincture, infusion, & salve. All supplies & herbs will be provided.

ALL PARTICIPANTS MUST PRE-REGISTER – Registration is ONLY $35

For more info: Contact Divine via email: supreme_wellness at yahoo dot com or hit her up on twitter @SUPRMWellness.

The Marathon/Childbirth Discussion: Why Don’t We Celebrate Both??

One of my favorite cousins is a runner.  She ran in high school.  She ran in college.  She runs now.  I admire people who run.  Their determination and focus.  Their endless goal setting for a faster time or a further distance.  Their passion for running only truly shared by other runners.  It is to be admired.  

I on the other hand am no runner.  I will walk a few miles in the name of exercise and personal fitness, but running has never been me. I remember vividly when I was a little girl, I ran a race in the middle of the street, as I tried out for the track team at the neighborhood park.  I fell.  HARD.  I scrapped my hands, my knees, and my ego. I was so embarrassed.  I don’t think I ever ran another street race, and I certainly never grew to like the sport/activity.  Regarless of my lack of interest in running, when I hear someone is training for or interested in running a marathon;  I am happy for them and admire their fortitude. I will admit however, running a marathon is NOT on my personal bucket list.  

What IS on my “bucket list?” Experiencing a successful full term pregnancy and home birth.  I do want the experience of birthing in a way that leaves me exhilarated, empowered, and full of pride.

Its well documented that “The sense of personal empowerment, accomplishment and achievement that comes with it is simply amazing.”

Yes, its hard work:  “You have points where you want to sit… and cry.  Points where you don’t think you’re going to make it any further…  But when… you’re able to say ‘I got through it and I’m OK,’ there’s no feeling of accomplishment like it in the world.” 

I recently read someone say:  “I haven’t found any other experience in life that bestows the blending of mind, body and spirit in as positive and powerful a way… It changes people’s lives”

But wait a minute…  What exactly am I writing about here?  Is this about birth or about running a marathon?  Well BOTH actually.  You see, the quotes above, each came from a recent article I read about running a MARATHON!!  As I read the article I was reminded that I promised my cousin, the one mentioned above, that I would write a quick post re: the comparison between running a marathon and giving birth without the aid of medication.

I mentioned to her during a previous conversation that posts and articles about this topic were plentiful. In fact, I just googled “Natural Birth Marathon” and got over 20,000,000 results and the first page is full of great articles. Unfortunately, while the preparation, the attitude, the mental capacity, the final feelings of accomplishment and elation have long been compared, the disparity of responses to each continues.

When individuals announce “I am going to run a marathon.” They are greeted with hugs, cheers and congratulations.  At the same time, women who say “I am going to have an un-medicated birth” are often laughed at, discounted and some are even shamed as they are asked “WHY on earth would you do that?!?!”

What’s most interesting to me are the women who run marathons themselves yet simultaneously think that an un-medicated birth is a crazy idea. I met such a woman a number of years ago in California.  The woman was being admitted for an induction.  She let me know she was DEFINITELY planning to have an epidural.  She told me about her friend who had a natural birth and she could not understand why her friend would put herself through so much pain.  I had recently read an article comparing natural child birth to a marathon and I mention this article to her. She then admitted that she had run not one, but TWO (maybe 3) marathons!! I was like REALLY!!?? In my opinion I told her jokingly… YOU are the crazy one.

I won’t go into detail about the endorphins that are experienced and used by both marathon runners and women in labor alike to endure pain and experience a life changing experience. 

I will not go into detail describing the physical and mental preparation, the need for focus, determination, and a support system and a plan.  I won’t discuss the way mind over matter makes them both a reality.  I will not go into detail about the potential for pain, injury and disappointment that comes if the desired outcome is not realized.  i.e. the marathon is not finished  or the birth ends in cesarean. 

Instead, I will refer back to the quotes above. The ones that came from an article on running a marathon and at the same time can be used easily to describe natural birth.  My favorite:  “I haven’t found any other experience in life that bestows the blending of mind, body and spirit in as positive and powerful a way… It changes people’s lives”    REALLY??!!  Obviously that person has never experienced or witnessed natural child birth which I would argue can do all of that and MORE!

What I really want to do is challenge you to change your opinion of women who desire “natural” child birth.  Celebrate them as you do the marathon runner. Embrace their goals like you do the marathon runner. Support their efforts like you do the marathon runner.  Tell them you are proud like you do the marathon runner.  

Women who choose un-medicated birth are no more “crazy” than the individual who chooses to run a marathon.  Just as I can appreciate the hard work, dedication and preparation that goes in to running a marathon, it’s time we celebrate the hard work and effort that goes with an un-medicated birth.

Somehow I believe if men could birth babies and chose natural birth, it would be looked upon differently.  I believe like the marathon, the triathlon, the decathlon, and the iron man it would be celebrated and not made into a societal joke.  That’s really sad, because the reality is, with no disrespect to Marathon runners:

“I haven’t [witnessed] any other experience in life that bestows the blending of mind, body and spirit in as positive and powerful a way… It changes people’s lives.”  And I am talking about childbirth!!!

Did you have an un-medicated birth? Have you ever run a marathon? Which one was more difficult? Share your story!!

Nicole

Lets connect on Twitter I’m @SistaMidwife