I found a good review article: http://www.ncbi.nlm.nih.gov/pubmed/22032440
I'm tired of people telling me things I need to do. I've heard it all before - no really - for 2 weeks with anna and now more with Opal (if rich allows that to be her name).
This is a chart from the article, I bolded the ones most people recommend to me. I wish they would have put the cooky ones like elevators, bumpy car rides and trampoline jumping but I bet they fit in homeopathic methods........
method quality of evidence/harm vs benefit grade of recc. |
---|
Vaginal PGE2 | Moderate | Trade-offs | Strong |
Cervical PGE2 | Moderate | Net benefits | Strong |
Intravenous oxytocin | Moderate | Trade-offs | Strong |
Amniotomy | Moderate | Uncertain trade-offs | Weak |
Intravenous oxytocin plus Amniotomy | Moderate | Trade-offs | Strong |
Vaginal misoprostol | Moderate | Trade-offs | Strong |
Oral misoprostol | Moderate | Trade-offs | Strong |
Mechanical methods | Moderate | Trade-offs | Weak |
Membrane sweeping | Moderate | Net benefits | Strong |
Extra-amniotic prostaglandins | Moderate | No net benefit | Strong (against) |
Intravenous prostaglandins | Moderate | Net harms | Strong (against) |
Oral prostaglandins | Moderate | Net harms | Strong (against) |
Mifepristone | Moderate | Net harms | Weak |
Oestrogens | Very Low | Uncertain trade-offs | Weak |
Corticosteroids | Very Low | Uncertain trade-offs | Weak |
Relaxin | Moderate | Uncertain trade-offs | Weak |
Hyaluronidase | Very low | Uncertain trade-offs | Weak |
Castor oil | Very Low | Net harms | Strong (against) |
Acupuncture | Moderate | No net benefit | Weak |
Breast stimulation | Moderate | Uncertain trade-offs | Weak |
Sexual intercourse | Very low | Uncertain trade-offs | Weak |
Homeopathic Methods | Very low | Uncertain trade-offs | Weak |
Isosorbide mononitrate | Moderate | Uncertain trade-offs | Weak |
Buccal or sublingual misoprostol | Moderate | Trade-offs | Strong |
Hypnosis | Very low | No net benefit | Weak |
2 comments:
Oh the fun. I hope you find a way to bring on this labor the way you want. If your body is ready to go the moderate methods should push you over the edge. That is what happened with me last time. Totally more preferable to being stuck in a bed with the dreaded needle (yeah that might just be me). Yeah for Baby Opal!!!
So which one have you decided to use? :) Lucky for me you are doing all this research... I might be needing all this in 2 weeks. :)
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