Castor oil, bath and/or enema for cervical priming and induction of labour

Kelly, Anthony; Kavanagh, Jennifer; Thomas, James

doi:10.1002/14651858.cd003099.pub2

Cited by 34 publications

(24 citation statements)

References 31 publications

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“…28 'Mechanical methods,' such as the introduction of laminaria tents or catheters into the cervix, have much the same result, in terms of stimulating labour, as the use of prostaglandins. 29 Other 'natural' means of inducing labour such as castor oil, 27,30 , acupuncture 27,31 intercourse, or hypnotherapy 27 have not been shown to be successful.…”

Section: Induction Of Labourmentioning

confidence: 99%

Intervention or interference? The need for expectant care throughout normal labour

Begley

2014

Sexual & Reproductive Healthcare

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Intervention or interference? The need for expectant care throughout normal labour IntroductionAlthough healthcare professionals talk about the "stages" of labour, this is a medical label, not a definition that women recognise. To them, and in physiology, labour is a continuum, a state of being that changes, develops and transforms women into mothers, both physically and emotionally. One cannot, therefore, focus on intervening or modifying care in any part of pregnancy and labour without looking at its effects on all other aspects. Any action we take has consequences far beyond the intended effect on that particular 'stage' of labour, so any intervention we introduce (either medico-technical or more 'natural') must be for a good reason, based on sound research evidence and resulting in more good than harm, otherwise it is just interference.The objective of this paper is to describe and evaluate some common medicotechnical interventions in normal pregnancy or labour and critique their usefulness in terms of overall effects on women and neonates. There are many interventions used in modern maternity care, but three are chosen for special focus: induction of labour, episiotomy and active management of the third stage of labour (including early clamping of the cord). These three have been chosen for particular discussion as they are the most invasive of procedures conducted in the first (or pre-labour), second and third stages of labour, respectively. Method 3A comprehensive review of the literature was undertaken to seek evidence of the benefits and adverse effects of three routine interventions. PubMed and the Cochrane databases were searched using the three interventions as search terms.Reviews and randomised trial results were given priority. The findings are presented firstly as background information on each intervention, and then as focused information on how to avoid using the intervention as interference.

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Section: Induction Of Labourmentioning

confidence: 99%

Intervention or interference? The need for expectant care throughout normal labour

Begley

2014

Sexual & Reproductive Healthcare

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“…Nonpharmacologic methods for cervical ripening and induction of labor have included herbal compounds, castor oil, sexual intercourse, hot baths, enemas, breast stimulation, acupuncture, and other mechanical and surgical agents [4]. Of these nonpharmacologic methods, only the mechanical (hygroscopic and balloon dilators) and surgical (membranes stripping and amniotomy) methods have established efficiency for cervical ripening or labor induction.…”

Section: Introductionmentioning

confidence: 99%

Double balloon silicon catheter versus misoprostol vaginal insert for preinduction cervical ripening

Harara¹,

Ibrahim²,

nour³

et al. 2015

Evidence Based Womenʼs Health Journal

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ObjectivesThe aim of the study was to compare the efficacy and safety of two methods, a double balloon device and a vaginal prostaglandin E1 analog, for preinduction cervical ripening in term pregnancy. Study designThis prospective, randomized, controlled clinical trial was conducted at Ain-Shams Maternity Hospital during the period from January 2010 to January 2012. The included women were aged 18-40 years and were recruited from among women planned for elective induction of labor at term because of medical disorders or crossing of their due dates. The included women were randomized into two groups: group 1 (the study group) and group 2 (the control group). Group 1 included women who were subjected to cervical ripening using a cook double balloon device. The control group (group 2) included women who were subjected to cervical ripening using the prostaglandin E1 analog misoprostol. Randomization was done by the use of sealed, opaque envelopes at 1 : 3 ratio. The main outcome measures were induction to delivery interval, cesarean section rate, occurrence of complications, and oxytocin requirement. ResultsThere was no statistically significant difference between the two groups with regard to cesarean delivery rates (17.5% in group 1 vs. 27.5% in group 2; P = 0.292). Induction to delivery interval was significantly longer in group 1 than in group 2 (median 23.5 h, 95% confidence interval 16.8-25.5, versus median 19.3 h, 95% confidence interval 11.8-25, respectively). Intrapartum fetal distress was significantly higher among women of group 2 when compared with those of group 1 (9.2 vs. 0%; P = 0.047). There was a significantly higher rate of need for oxytocin infusion for augmentation of labor among women of group 1 when compared with those of group 2 (92.5 vs. 64.9%, respectively; P = 0.001). ConclusionBoth methods showed comparable results regarding safety and mode of delivery. While the double balloon catheter was associated with longer induction to delivery interval among primiparous women, it was associated with a lower rate of intrapartum fetal distress. However, there was no difference between the two groups regarding 5-min Apgar scores. Thus, because of its high cost, it is difficult to adopt the double balloon catheter for preinduction cervical ripening at our institution.

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“…Other popular herbs used for pregnancy symptom relief include raspberry leaf for preparing the uterus for birth, chamomile for relaxation and sleep, cranberry for urinary tract infection prevention, and peppermint for indigestion/morning sickness . Past studies also have indicated that castor oil, green tea, evening primrose, and ginseng are frequently used by pregnant women . Women use herbs based on recommendations by family members, friends, and their health care providers …”

Section: Introductionmentioning

confidence: 99%

“…17,18 Past studies also have indicated that castor oil, green tea, evening primrose, and ginseng are frequently used by pregnant women. 17,19 Women use herbs based on recommendations by family members, friends, and their health care providers. 20 The Joint Commission notes that all clinicians should ask and document discussion on herbs and other dietary supplements in the medical record.…”

Section: Introductionmentioning

confidence: 99%

Herb Use, Vitamin Use, and Diet in Low‐Income, Postpartum Women

Gardiner

Jarrett²,

Filippelli³

et al. 2013

J Midwife Womens Health

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Introduction Little is known about herb use among underserved postpartum women and their patterns of communication about herb use with prenatal providers. Methods We interviewed women from the postpartum unit at an urban hospital about herb use during pregnancy, socioeconomic factors, prenatal vitamin use, and diet. We asked women if they discussed use of herbs and vitamins with their prenatal care provider, and their satisfaction with these discussions. We reviewed inpatient chart medication lists for herb use. Results Of 160 women surveyed, 39% reported using herbs during pregnancy. Sixty five percent of subjects took a prenatal vitamin. Fifty-seven percent of herb users (n=40) reported taking prenatal vitamins. Herb users were significantly more likely to report making any dietary change during their pregnancy than non-herb users (P=0.03). Only 38% of herb users discussed it with their prenatal provider and 82% were satisfied with the conversation. Of all 160 subjects, 125 had prenatal vitamin use documented and no women had herbal medicine use documented in the medical record during their delivery hospitalization. Discussion We report a higher frequency of herb use during pregnancy than other studies. The fact that women of all backgrounds and economic status report using herbs during pregnancy makes it even more important for all women to be asked about their use of herbs.

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Castor oil, bath and/or enema for cervical priming and induction of labour

Abstract: Analysis 3.4. Comparison 3 Castor oil versus no treatment (all women, intact membranes, unfavourable cervix), Outcome 4

Cited by 34 publications

References 31 publications

Intervention or interference? The need for expectant care throughout normal labour

Intervention or interference? The need for expectant care throughout normal labour

Double balloon silicon catheter versus misoprostol vaginal insert for preinduction cervical ripening

Herb Use, Vitamin Use, and Diet in Low‐Income, Postpartum Women

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