bullet1 Active Management, Amniotomy, Oxytocin, Labor Induction --How SOGC induce women to labor, quicker. (www.lotusbirth.com/doc/FEB2003Lotusbirth-126.htm) by Donna Young, Mother and Grandmother

Obstetricians and Gynaecologists Policy Statement , below, is one example of how medical persons (midwives, nurses, doctors, surgeons, even the ambulance medics) are assuming they get to control the women and her baby. Or, so they think without informed choice. Getting consent...is not informed consent. It is a ploy often gotten by information that was not told the mother as to the risk to herself or the baby.  To tell a women I'm going to do this to you, okay ??? ...is not informed consent of the risks and safer options and providing the right to say no, with a waiver that the mother was informed, but refused such and such treatment.  A challenge to SOGC's Policy and to Active Managment is in the Petition link below:


    The right to refuse treatment is not being told to mother's in maternity care, and I believe such failure to inform is a violation and may be battery. No medical persons can impose a policy they have made up to do to another's person's body.   Very few normal pregnancy need to have the mother touched, at all, or the baby.  T his is if the mother births in positions she can catch her own baby, and is not placed on a dangerous high table.  She should be on a low mat, for her own safety and the child's, or birth in a warm water birth. Warm water births help the mother to avoid dangerous drugs, like oxytocin, pitocin, that risk brain injury to her baby and thyroid problems to herself.


MEDICAL POLICIES ARE PROVIDING ALIBIS THAT ARE AVOIDING ACCOUNTABILITY, IN MOST INSTANCES:

    These medical persons are using policies as alibis to avoid legal accountability for the medical person(s) willful choices.  Most medical persons are acting without the mother's informed options or safer options made known to her.  The medical persons are assuming ownership and control over another's person -- the uneducated and uninformed pregnant woman. Most women attending prenatal classes are not informed as well as those who searched the internet for other's personal experiences or other medical opinions on best practices possible, least risk of harm.


    The facts are, many medical persons, including women who are trained as to the clinical policies, below, are intending to do things to the mother's baby, which are highly questionable as to need, such as interrupting the baby's circulation system by early umbilical cord clamping. And insertion of needles taking blood samples and inserting "stuff" of questionable ingredients into the baby.


    These medical persons are intending to conceal the amount of blood and the nutrients of the blood deprived the child, by hasty clamping. They will also conceal they are selling it or providing the baby's blood for research at the hospital's lab...and this is done without informed choice that the baby had the benefit of the blood inside his/her body, at the time of birth.  The placenta blood is needed for the baby's expanding lungs.  The placenta blood is rich in nutrients, amino acids, enzymes, and hormones, all are needed for the baby's best chance to have optimal health.   


Policy Statement -- Induction of Labour NO. 57 October 1996

This document has been reviewed and approved by the Maternal Fetal Medicine Committee of the Society of Obstetricians and Gynaecologists of Canada (SOGC).  The final draft was approved by the SOGC Council as a Policy Statement in June 1996.

http://sogc.medical.org/SOGCnet/sogc_docs/common/guide/pdfs/ps57.pdf

 

Inductions (Comments:  Mothers have a legal right to refuse inductions.  If the doctor gets militant...tell them to take it to the Judge).


"The induction of labour is the initiation of uterin contractions before the spontaneous onset of labour, for the purpose of accomplishing delivery.  Labour induction is an active intervention with potential risks for the mother and fetus.   (Again, say "NO" in a signed contract, why risk it).


 In nullipara, overall, induction is associated with twice the risk of Caesarean section as compared with spontaneous labour.  Therefore, elective induction, in the absense of material of fetal indications, should NOT be undertaken.

 

METHODS OF LABOUR INDUCTION

"Before inducing labour, the responsible physician should have completed a thorough evaluation of the mother and fetus.  This evaluation should be documentation of the indication for a method of labour induction.  Induction of labour should only be considered when vaginal delivery is felt to be the appropriate route of delivery.

 

A.  CERVICAL RIPENING  (Comments:  Tell this to the Judge.  This is a man's point of view and the mother's and the child's hormones work as team that cannot be seen or understand by mere man).  

...American College of Obstetricians and Gynaecologists..."it there follows that woman with an unfavorable cervice require a longer induction to delivery period then those with a favourable cervix.  (Comments:  whose opinion of "unfavorable....favorable". Let's have the research...what does this mean?  Have the doctor explain to a Judge, if they can, and will).


1. Prostaglandins  (Comments:  Tell this to the Judge, too.  Think about this . . . any drug can assimilate into the mother's blood stream and cross over the placenta, and damage both mother and child, forever).

..."The use of PGE2 is associated with a significant risk for uterine hyperstimulation (five percent), which occurs shortly after PGE2 administration.  However, this is NOT associated with an increased incidence in Caeserean section, operative delivery, or poor neonatal outcome. 1,3,4,5


...If hyperstimulation leads to fetal distress: 1) attempt to remove any remaining PGE2 gel and 2) administer Ritodrine 6 mg IV;10 ml NS or Terbutaline 250 ug intravenously or subcutaneously.

 

B.  Labour Induction   ( Comments: "think about this . . . Tell it to the Judge . . .).


1.  Stripping of membranes  (Comments: Tell it to the Judge...Think about this it can encourage infections that can cross the placenta)


1) increases the chance of being in labour with 48 hours, 2) decreases the chance of not being delivered within one week, 3) decreases the chance of not being delivered by 42 weeks, and 4) does not increase the risk of choriamnionitis.  The author of the meta-analysis concludes that further evaluation of the merits and hazards of this simple procedure is warranted.


2.  Animotomy  (Comments: Tell it to the Judge . . .Think about this, can encourage infections that can cross the placenta).


   "It has been suggested that artificial rupture of the membranes is an effective method of labour induction, particularly when the cervix is favourable, 13

it has been reported that spontaneous labour is established in 60 percent and 80 percent of cases within six and 12 hours respectively, following rupture of membranes. 14

While amniotomy is a common method of labour induction, there is little evidence to support or refute its efficacy in reducing the rates of failed induction and instrumental deliveries.  Although it has been reported that amniotomy alone may be associated with a significant delay in the onset of labour, and thus delivery, this interval can be reduced by the concomitant use of oxytocin. 15

Finally, there has been concern that amniotomy can increase the chance of abnormal fetal heart rate patterns.  However, the meta-analysis by Fraser 16 concluded amniotomy in early labour was not associated with an increased risk of fetal heart rate abnormalities.

 

3. Oxytocin  (Comments: Tell this to the Judge... it is an abortion drug..it terminates a wanted baby, with high risk of internal damages to the baby.  Think about this, check out the harmful preservatives and ingredients in this drug, and it is an abortion drug.  Warnings are it can stop the mother's natural heart contractions, and may cause thyroid problems.  If the heavy and hard contractions injure the womb, might the mother have problems in carrying full term?)


"The goal of oxytocin administration is to effect uterine activity that is sufficient to produce cervical change and fetal descent while avoiding uterine hyperstimulation.13.

Many infusion protocols have been proposed to achieve this goal.  Recent evidence suggests that low-dose oxytocin with longer increments (30 to 60 minutes) may be as effective as higher dose and shorter increments (20 minutes or less).17, 18

....At present there is no clear evidence to suggest that most appropriate oxytocin infusion regimen. However, using the minimum dosage that achieves active labour seems prudent.  Therefore, it is recommended that the rate of oxytocin infusion be increased every 30 minutes.

   Finally, it should be noted that the induction of labour with only oxytocin infusion is associated with a significant proportion of women remaining undelivered after 24 hours."   (Comments, here it is suggested multi-drugs to be used and/or methods)  

 

4.  Prostaglandins  ( Comments: Think about this, are they also a form of abortion drugs that can get into the blood stream and cross the placenta?)  


"The successful use of vaginal PGE2 for labour induction in women with a favorable cervices has been reported. 20, 21.  (...Bishops score greater or equal to 6)...are more likely to go into labour and delivery following a single dose of PGE2, then those with an unfavorable cervic.21


However, there is currently insufficient evidence to support or refute the efficacy or safety of using PGE2 gel for labour induction with an unfavorable cervix.


Finally, the design of most studies evaluating PGE2 gel used oxytocin for those women not in labour following gel administration.  Therefore, it would appear that a combination of PGE2 gel followed by oxytocin infusion may be the most effective method of inducing labour.  Oxytocin infusion should not be started sooner then six hours after the last PG administration and should be used with caution with ongoing painful contractions if labour has already started.


Summary:  (Comments: Have you been told everything and possible endangering risks not necessary to be taken if one is patient with natural child birth, and accepts warm water births, rather then drugs? . . . your informed decision, of course.  Have a signed Birth Contract as the best plan of care to the mother and treatment to the child, during and after birth.


A.  Induction should be undertaken only after a full clinical evaluation. (Comments: The mother has a right to say "NO", she must be so advised or when in Doubt...Tell it to the Judge).

B.  The risks or benefits of induction in the given situation should be reviewed with the pregnant woman and her partner.

C.  In an uncomplicated pregnancy, there is no evidence to support elective induction or cervical ripening prior to 41 completed weeks.

D.  With an unfavorable cervice, in the absense of contraindications, time should be taken to achieve cervical ripening with PGE2 gel or a suitable alternative.  If PGE2 gel is used, the dose is dependent upon the route of administration:  endocervical, 0.5 mg or; endovaginal, 1 o4 2 mg.  With either regime, repeat doses may be administered every six to 12 hours for a maximum of three doses.

    ( Comments from Donna: These treatments cross over the placenta and may cause injury to the child, do you really want to risk it??)

E.  With a favorable cervic, artificial rupture of membranes with concomitant administration of oxytocin is the present method of choice.

    (Comments from Donna:  This is the mother's choice and right to refuse any care and treatment for natural birth).

F.  Ongoing audit of induction practises, including duration of labour, mode of delivery, neonatal outcome, and maternal satisfaction is encouraged.

    (Comments from Donna:  Babies and mothers are often injured internally by any of the above interventions and mothers to-be are not so informed.   The internal injury is a Time Bomb...latent in discovery.  Read The Magical Child...of Brain lesions to babies who were drugged and early clamped by "clinical standards of care" of which the medical persons and the drugs companies, whose drugs they used, walked away of all liability as to alibis of policies as above.

    Think about the wisdom of a Birth Contract.  If it is not signed, consider seriously to do as the grandmothers did before the 1920's. They birthed unassisted of licensed medical persons and just had their families present to help.  With education you can do the same and be truly emancipated and not controlled by medical clinical policies and standards they deem you should have...it is NOT their choice it is the mother's and that must be informed choice of all risks and safer options, including no clamping or cutting of the umbilical cord -- as what the pioneers' did - for blue ribbon babies, in natural normal births).

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A SIGNED BIRTH CONTRACT:


Note by Donna Young:  All mothers have a legal right to have a signed birth Contract of what the doctor or hospital staff cannot impose on her body or the baby's.  When in doubt what they intend to do you or the baby, seek a hearing before a Judge...plan ahead...get the facts of the intentions of your medical person, or the policies of entrance at your hospital or birth center.


 Do try to get the medical person to provide a reference of care and services to others.  You will want to ask specifically if this doctor rushes the third stage of labor by using drugs and doing early clamping.  Was the mother injected with oxyotcin?  Because the imposing of that drug on the pretense and myth it stops bleeding comes with it a price, the use of that dangerous synthetic drug that directs the baby be deprived of 20 to 50 percent total blood volume by early clamping if this drug is used.  That direction of hasty clamping, and without medical reference, was stated by the World Health Organization in the review of third state labor 1998.


There is no intent to "kill" your baby, but that could happen.  Your baby will be a weaker baby, after drugs and early clamping. And, although the child will have a physical appearance of normal, there is evidence of internally injured babies, in the millions now requiring on-going drugs, and care and special education.


If you see a warning in medical policies, have in your contract, that they cannot do that to your person or your baby and contract with the doctor and the hospital they cannot clamp or cut the cord.  You will do that at home, if at all.  


Lotus Birth is the renewed pioneer custom of doing nothing with the baby's lifeline.  This is because the cord is a biological reciprocal sealed unit with the child. The placenta and cord will fall off naturally in a day or two's time. The child will have no cord infections and no navel hernias and infections.  This short time of a day or two is better then 5 to 15 days of risk of an infected cord.  And the cut cord kills 400,000 to 500,000 babies, world wide by infections. Infections are in Western Societies cleanest of hospitals, too. The deaths of babies by cut cords is according to the World Health Organizations survey.  Why risk it?  


And please don't let any medical person(s) take your baby out of your sight, where they may syringe out the placenta, even if they leave it with your baby.  They are seeking stem cells.  They cannot do that to your baby.  Take it to the Judge if they violate your parental control and decision making powers as the legal guardian of the baby...the medical persons are not that authority...so take it to the Judge if they violate that God given right and duty to the patents.  It is the duty of all to be making the best interest possible for the well-being of the child...and that is nothing pricking into the baby's skin, or umbilical cord, risking virus infections, that can be slow or fast acting on your child.

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Search this www.lotusbirth.com web site for :  AAP policy, SOGC policy, ACOG policy; Placenta; Fetus to Neonate Circulation; 30-second clamping; World Health Organization and Dupont ; Circumcision ; Dr. Sarah Buckley's Declaration ; pH receptors ; References ; Canadian Criminal Codes and when a baby is a person; and any other subject you may be interested in child birth.  Search Lotusbirth


(Reference from Protect Babies http://www.123-baby-birth.com)   Search at Google this web site for the " No Policies " on equal protection to babies from the various government officials who appointed representatives to protect the public on medical policies and practices; also the "No policies" of the various medical associations, societies, and colleges did not live up to no form of discrimination to women or the child of any kind.  It is believed medical persons had a duty to have a policy of equal protection and security of person, regardless of:  age, mental or physical disadvantages ; race, color, social or marital status of the pregnant lady ; or belief or faith of the family, or genetic type of blood sought for by medical researchers, for stem cell matching, and use of white cells, mature red cells, platelets, enzymes, hormones, and plasma.

contact: dyoung@pris.ca

Home Page:   www.lotusbirth.com


A medical web site to visit:  

  www.cordclamping.com

A Petition to Protect Canadian Babies and Mothers, Too:

www.thepetitionsite.com/takeaction/102580814