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View Diary: Sunday Talk - "Fake 'Da Nation" (185 comments)

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  •  Child Labor and Drugs: This may save your Life (4.00)


    NON-approved drugs are being administered during Child Labor, and you guess right, it's being done to increase profit margins, but it's killing women in the process. A CBS special investigation.
     

    Click the Photo


    •  Be wary of media playing epidemiologists (4.00)
      We may be getting hoodwinked on this

      Just because the FDA did not study cytotec for labor induction doesn't mean its use for this purpose hasn't been studied.  A 2001 article in the New Enlgand Journal of Medicine concludes (NOTE: misoprostol = cytotec):

      There is also strong and consistent evidence to support the use of misoprostol for cervical ripening before surgical abortion in the first trimester and for induction of labor in the second and third trimesters.

      This does NOT mean its continued use shouldn't be scrutinized. The paper I quote also states:

      There were no differences in the rates of cesarean delivery, serious neonatal or maternal morbidity, or neonatal or maternal mortality between women who received misoprostol and those who received oxytocin or prostaglandin E2 [the then-current standard of care for labor induction]. However, because there were so few serious adverse effects, the relative risk of rare adverse outcomes with the use of misoprostol for induction of labor remains unknown.

      So attention should (continue to) be paid.

      However, also note that cytotec is being used off-label in medical abortions from the first trimester on.  My bigger concern is that these personal tragedies are being used by those looking for any and all excuses to tie the hands of abortion providers.  Making off-label use of drugs during pregnancy illegal could be one such strategy.
       

      America began begins with freedom from King George's empire.

      by bribri on Sat Feb 11, 2006 at 10:52:25 PM PST

      [ Parent ]

      •  The company itself did this (4.00)
        Cytotec's makers won't take responsibility for any labor or abortive use, simply because they don't want it used for abortions.  So I was told by an Ob/Gyn attending last year.
      •  It's been known (4.00)
        for years that Cytotec has been rupturing uteri in labor induction.  But it goes beyond cytotec--is this some kind of sneaky gouge at abortion?

        I've also known plenty of women with c-section scars who were induced for a VBAC . . . also a rupture risk.  That's ignoring standard of care.

      •  Regarding off label use (none)
        as unrelated as it seems, misoprostol has also been shown in several small studies to ease the pain of trigeminal neuralgia when it is caused by multiple sclerosis.
        How a drug that prevents ulcers, causes cervical ripening and so on also quiets the pain in a facial nerve is beyond me. Why they ever studied it for trigeminal neuralgia I don't know. Maybe it was an incidental finding.
      •  Joy, rhbarb, PT, Bri.. (none)
        bribri, Ptolemy, rhubarb, joynow, I really appreciated all the points you've added.
    •  Where are the Child Labor laws? (4.00)

      -6.88/-5.64 * You know what's happening. Fight it.

      by John West on Sun Feb 12, 2006 at 03:48:43 AM PST

      [ Parent ]

    •  Al, God knows I love you... (4.00)
      but the term is labor and delivery, or plain ol' childbirth. We don't have child labor in America. Right?

      I'm going to put on my midwife advocacy hat. Doctors too often use drugs to speed up a birth that is slow for completely natural reasons, or to compensate for pain relieving drugs (epidurals most often) that sometimes slow or stop labor.

      The video tells a tragic story.

      In the practice of tolerance, one's enemy is the best teacher. Dalai Lama

      by leolabeth on Sun Feb 12, 2006 at 05:35:42 AM PST

      [ Parent ]

    •  Don't know if this is the same stuff, but... (none)
      Back in 1991, when I was pregnant with Thing 2, I developed toxemia (just as I had with Thing 1) and my OB induced my labor at 35 weeks, right after doing an amniocentesis to make sure that the baby's lungs were developed enough for him to breathe on his own.

      I was admitted to the hospital and the OB told me that he was going to use some sort of gel to induce labor - then handed me (a third year law student at the time) a lengthy waiver to sign.  He said that the stuff was not approved for inducing labor in the US, but that it was approved in Europe and Japan, and that he had used the stuff for several years.  I trusted him, signed the waiver, got the stuff and a light sleeping pill...then dozed off and woke up 6 hours later dilated enough to get my epidural.  

      It was probably the most pleasant and pain-free childbirth on record.  I played poker and munched ice chips through three hours of labor, then got this sensation that the baby was about to "fall out" and buzzed the doctor.  No problems, healthy 6lb 15 oz baby.

      The labor for Thing 1 was awful.  Walter Reed Army Hospital...8 hrs of screaming, vomiting, pain...an epidural that must have been a placebo...and 10 lbs 13oz baby.

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