Induction with Cervidil: Tips from a doula and childbirth educator 20
What is Cervidil:
Cervidil is a medication used in the induction of labor. In the most basic of descriptions it looks like a tampon with gel on the end of it. Its generic name is dinoprostone.
When is it used:
Care providers will often use Cervidil as the first step in an induction. If a woman’s cervix is not dilated or dilated only a little, cervidil can be used.
How does it work:
Cervidil is inserted vaginally. Some women report a discomfort with this process. It stays in and is usually removed 12 hours later or if regular labor contractions begin. Sometimes it will fall out. Usually moms stay in bed or in a chair during the 12 hours, but can get up and go to the bathroom. Most care providers monitor women while they have cervidil (this means contraction and fetal monitoring). In some areas of the world, providers have sent women home with cervidil inserted and have them return for removal (this doesn’t seem to be the norm).
Tips and other information
- Most care providers insert the cervidil at night so that mom can sleep for the 12 hours that it is in. It is important to eat a good dinner before you arrive at the hospital for the insertion.
- Sometimes cervidil causes regular labor contractions. (yahoo! This is the goal of an induction. If you have a doula, give her an update!)
- Sometimes cervidil does nothing. This means the cervix is the same before and after the cervidil. (very annoying to most women)
- Sometimes cervidil dilates the cervix a bit. (yahoo! This means mom is closer to the goal of 10cm)
- Usually cervidil only softens the cervix. This means that a woman’s cervix is more effaced/thinned after cervidil. (in my experience this happens most of the time)
- Occasionally cervidil causes extreme contractions (uterine hyperstimulation) that are right on top of each other. In this case you should alert your nurse and care provider. They usually can remove the cervidil if this happens.(this does happen! I've witnessed it)
Why cover your birth ball? Tips for packing your hospital bag. 3
Do you use a ball cover? Please share your experience below!
32 Options For Childbirth (epidural isn't the only option) 1
Did you catch all 32? There are so many options for working through labor. I am sure there are childbirth educators and doulas that can add ideas to this list.
I would love to share this video with anyone preparing for childbirth. Please help me spread the word.
If you don't know your options then you don't have any!
Doula Tip: Grab their attention with Logo Rice Socks 1
If you are ready to be remembered, give your contacts something more memorable than a business card. How about a rice sock with your business logo on it?
5 steps to GRAB the attention of a potential client
1) Contact your referral partners and ask if they will give away rice socks to their pregnant clients. Their clients get a free tool for labor and it is at no cost to your referral partner.
3) Attach a business card to the rice socks with a rubber band. (this step is optional) You can add a discount coupon to the card if you are running a promotion.
4) Deliver rice socks to referral partners
5) Wait for the referrals to come flooding in!
Where's the Eject button? 1
Hospital beds are so fancy. They have buttons for everything. You can call the nurse, turn on a light and sometimes control the TV. They go up they go down, they can even turn into a chair.
I'd like to add an "Eject" button!
Nurses tend to ask mom to get in the bed as soon as she changes into her gown. They seem to prefer mom in bed during monitoring periods and I have even heard of moms being restricted to the bed in cases of induction. Is the bed really the best place for labor? NO! And that is why I want an "eject" button to be added to hospital beds.
Let's get moms up and moving around. Lamaze International feels so strongly about movement in labor that it is one of their 6 healthy birth practices. There have been numerous studies that say movement in labor can make labor itself shorter and more efficient. We don't need research to know that contraction pain is usually greater when women are lying on their backs. All we need to do is observe women in labor. Doulas, how many times have you seen a woman get out of the bed an immediately start coping better?
If being active and moving around in labor is so beneficial, they why isn't it prescribed to women in labor? Movement is GOOD. Encourage women to move. It is that easy.
Now...off to call Hill Rom and ask about that 'Eject' button...
IV Fluids and Newborns 1
Nearly one and a half years ago (August of 2011) a team of Canadian researchers published a study in the International Breastfeeding Journal that linked the fluid intake which a mother may receive in labor with excessive weight loss in her newborn. The study concluded that it takes about 24 hours for babies to correct their fluid state and therefore a true birth weight should be done at 24 hours. I don't know about your area of the world, but this is NOT being done where I live. Not only is this not being done, but there seems to be NO knowledge about this research. Sure...the doulas and the IBCLCs know about the study...but not the pediatricians who are often quick to suggest formula for excessive weight loss.
How do we get this research into the hands of the birthing mothers and their care providers? My suggestion is to send this information to your clients. Make them aware of the situation so that they will have the information with them before birth. Help them prepare for this possible scenario!
Below I have listed my favorite posts about this research. The study was reported by a variety of people and news organizations. They range from a Lactation Consultant's blog to an online news feed for pediatricians. Share your favorite one with your clients or share them all!
The Journal Article: From the International Breastfeeding Journal - An observational study of associations among maternal fluids during parturition, neonatal output, and breastfed newborn weight loss
A Lactations Consultants View: From Santa Barbara Lactation - Newborn Weight Loss and IV Fluids in Labor
The News Reporter: From Science Daily - Maternal IV Fluids Linked to Newborns' Weight Loss
The Breastpump company: Hygeia - IV Fluids Linked to Early Newborn Weight Loss
The University where the research took place: University of Ottawa - Maternal IV fluids linked to newborns' weight loss
A Medical News website aimed at Pediatricians: Helio.com - Newborn weight loss associated with maternal IV fluids
Medical School News: Stanford Medical School -Study shows link between maternal IV fluids and weight loss in newborns