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WHEN YOU TEACH A WOMAN YOU TEACH A NATION For Naturally Empowered Childbirth By L'dia Men-Na'a Muhammad CYTOTEC:


In my early years of Doula and midwifery apprenticeship under a nurse midwife who also did homebirths, I decided to inform my clients about medications along with natural therapies. My Nurse Midwife instructor thought that was a bad idea because it gave the mother too much to have to think about. I disagreed, and continued to provide my clients/students with information during childbirth education classes. I felt it was easier to support a mother in labor who understood the risk factors involved with the drugs they so easily push in the hospitals. So in addition to techniques taught for giving birth, mothers would also benefit by being informed about prevention of "high risk" situations and the types of therapies used thousands of years from understanding some of their causes. And designing for the mother a program that included the wisdom of traditions from various indigenous cultures, during pregnancy and for labor and their side effects.

I also taught about the current and "new" medical drugs that are known to be offered and their possible side effects:

  • [_] Nutritional support
  • [_] Herbs
  • [_] Aromatherapy
  • [_] Homeopathy
  • [_] Medications offered in hospitals

Including this discussion in one or two of the childbirth education sessions will help the mother be more confident during labor about making an informed decision and not feel like the Doula or Midwife who she hired to support her is overreacting, overstepping, being overly concerned, or irrational when the medical establishment goes on the attack. We all have had experience with this when in the field, it happens, we know they do, in most cases to take power away from their patient and her support system, they have to create distrust. This educating of the client will also help the Doula know that she did everything in her power to support the laboring women with knowledge.

So when the staff tries to discredit the Doula, she can ask her client to excuse the staff from the room so that mother and Doula can have a moment to talk, and get clear again by reviewing her birth plan, her goals, and the pros and cons of what is being offered. And talk about how strong she is and to rely on her abilities to make the appropriate decisions.


As Childbirth Educators/Doulas or Midwives, Ive learned that when the "Birthworkers" were confident that our efforts were to the best of our abilities and within the scope of our practice, we can emotionally stabilize ourselves, because in the end, it's the clients decision and the Destiny of herself and the baby's incoming soul. And for us it's another life lesson.

What 2 things worked?

What will we do differently next time?


CYTOTEC Misoprostol

  • [_] stimulates uterine contractions
  • [_] reduce excessive bleeding after childbirth



Do not use this medicine if you are pregnant or planning to become pregnant. This medicine can cause miscarriage if taken during pregnancy. WARNINGS: Using this medicine while you are pregnant can harm your unborn. Make sure your doctor knows if you are breastfeeding,



Advance distribution of misoprostol for preventing and treating excessive blood loss after birth. Excessive blood loss after birth remains an important cause of severe ill health and death of mothers. Misoprostol helps the womb to contract strongly after birth, has an advantage over oxytocin and ergometrine because it is almost as effective, can be given by mouth.



There are concerns that misoprostol may cause harm to the mother and her baby. The review found that no randomised trials had been conducted. There is therefore insufficient evidence to support a system of distributing misoprostol ahead of labour and childbirth within the community for preventing or treating excessive blood loss after birth.



Misoprostol increased possible risk factors:

  • [_] hyperstimulation of the uterus.
  • [_] rupture of the uterus
  • [_] gastrointestinal disturbance (nausea, vomiting, diarrhoea).
  • [_] death for women
  • [_] death for babies.
  • [_] raised body temperature (pyrexia)
  • [_] shivering.



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