Dear Ishbel
It was interesting to see the MT e-news, but I must express a level of
concern over the standard of info/advice given, particularly in relation to
the section on itching in pregnancy. Obstetric cholestsis is not a
condition to be left to the remedies of well-meaning but essentially
under-informed lay people. Having cared for a woman whose previous baby has
died as a result of this, and whose present child only made it by the skin
of his teeth, it seems that to dismiss the symptomatic itching as the
result of an overtaxed liver, which can be 'fixed' by means of herbal
remedies, is insufficient. 
It may well be that the condition can be cured with these remedies, but I'd
like to see a whole lot more research before I abandon my current advice
and practice.
Lesley

----------
> From: Ishbel Kargar <[log in to unmask]>
> To: *Ukmidwifery <[log in to unmask]>; *Professionalmidwife
<[log in to unmask]>; *Midwifery Research
<[log in to unmask]>
> Subject: [professionalmidwife] Fw: MT E-News 1:44, Oct. 29, 1999: Herbs
> Date: Saturday, October 30, 1999 10:27
> 
> From: "Ishbel Kargar" <[log in to unmask]>
> 
> To: UKmidwifery, Professionalmidwife, Midwifery Research Mailing lists.
> 
> For some time now I have been receiving the MT E-News, which contains
much
> interesting information.  I have not always forwarded it to the other
> mailing lists, as I thought they already received it.  I spoke to someone
> recently who said she hadn't seen it so I am forwarding it now.
> 
> Please let me know if you already receive it, then I don't need to
forward
> it again.
> 
> Thanks
> Ishbel
> 
> ----- Original Message -----
> From: Donna Dolezal Zelzer <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: 30 October 1999 04:31
> Subject: MT E-News 1:44, Oct. 29, 1999: Herbs
> 
> 
> > o=o=o=o=o=o=o
> > MIDWIFERY TODAY E-NEWS
> > a publication of Midwifery Today, Inc.
> > Volume 1 Issue 44 October 29, 1999
> > Herbs
> > Code 940
> > o=o=o=o=o=o=o
> >
> > Pass E-News on to your friends and colleagues--it's free!
> > o=o=o
> > Come Visit the New Midwifery Today Web Site!
> >
> > Midwifery Today's new site is open--join us at <A
> > HREF="http://www.midwiferytoday.com"> http://www.midwiferytoday.com
</A>
> to
> > see the new look; new organization; and new book reviews, articles and
> > other information. We know you'll benefit from and enjoy our much
expanded
> > site!
> >
> > Coming soon: The Birth Market, A Directory of Products and Services. If
> > you'd like to advertise your product or business in this searchable
> > database, contact Cynthia at [log in to unmask]
> > o=o=o
> >
> > Broaden your education in Jamaica and Philadelphia, Pennsylvania!
> > Make plans now to attend one or both these conferences:
> >
> > *Ocho Rios, Jamaica, December 2-6, 1999
> > Birth Without Borders--Weaving a Global Future
> > Get your program online at Midwifery Today's new website: <A
> > HREF="http://www.midwiferytoday.com"> http://www.midwiferytoday.com
</A>
> > Look for the link on the homepage.
> > Sponsored by:
> > -Mothering magazine: Mothering is in its 24th year of providing
> inspiration
> > for attachment parenting. Mothering guides, nurtures, and supports
while
> > providing the latest on controversial parenting topics.
> > <A HREF="http://www.mothering.com">http://www.mothering.com </A>
> > -Cascade Health Care: Cascade HealthCare Products, Inc. began business
in
> > 1979 with the primary goal to provide supplies and equipment for the
> > emerging profession of midwifery. We have developed a complete product
> line
> > that not only serves midwives, but nurse midwives, childbirth
educators,
> > lactation consultants, visiting nurses, birth centers, WIC programs,
nurse
> > practitioners, doulas, and professionals dealing with expectant
parents,
> > families and women's healthcare. <A HREF="http://www.1cascade.com">
> > http://www.1cascade.com </A>
> >
> > *Philadelphia, Pennsylvania, March 23-27, 2000
> > Mainstreaming the Midwifery Model
> > Program is now available.
> >
> > For your copy of the printed programs, send your full name and postal
> > address to <A HREF="mailto:[log in to unmask]"> [log in to unmask] </A>.
> > Please mention code 940.
> > o=o=o
> >
> > If you or your organization would like to sponsor four issues of
Midwifery
> > Today E-News, write to:
> > <A HREF="mailto:[log in to unmask]"> [log in to unmask] </A>
> > Don't miss our special introductory price!
> > o=o=o
> >
> > This issue of Midwifery Today E-News is sponsored by:
> >
> > -Waterbirth Website
> >
> > Look for their ad below!
> > o=o=o=o=o=o
> >
> > Send responses to newsletter items to <A
> > HREF="mailto:[log in to unmask]">
[log in to unmask]
> > </A>
> > o=o=o=o=o=o
> >
> > In This Week's Issue:
> >
> > 1) Quote of the Week
> > 2) The Art of Midwifery
> > 3) News Flashes
> > 4) Enriching Our Knowledge
> > 5) The Fullest Application of Herbal Remedies
> > 6) Question of the Week
> > 7) Question of the Week Responses
> > 8) Switchboard
> > 9) Why I Became a Birth Practitioner
> >
> > o=o=o=o=o=o
> >
> > 1) Quote of the Week: "Once your mind is stretched by a new idea, it
will
> > never again return to its original size."
> > -Oliver Wendall Holmes
> > o=o=o=o=o=o
> >
> > 2) The Art of Midwifery
> >
> > One of the most irritating nuisances of pregnancy is itching skin. In
> > general, this is caused by an overtaxed liver. My usual recommendation
is
> > to take dandelion root tincture (Taraxacum officinale) twice daily. As
the
> > liver is nurtured and strengthened, the itching will stop, or at least
> > lessen considerably. Yellow Dock (Rumex crispus) is also a good
treatment
> > for itching. Both these plants are mildly cathartic (help empty the
> bowels)
> > and diuretic, which is useful for removing toxins from the stressed
liver.
> > -Katy Polone, Midwifery Today Issue 26
> > ====
> >
> > Share your midwifery arts with E-News readers! Send your favorite
tricks
> to
> > <A HREF="mailto:[log in to unmask]">
> > [log in to unmask] </A>
> > ====
> >
> > Midwifery Care: Using Alternatives
> > Midwifery Today Philadelphia post-conference all day workshop
> > Monday, March 27, 2000
> > Instructor: Lisa Goldstein, midwife and herbalist
> >
> > A full day of information about the use of herbals and homeopathics in
> > pregnancy, birth and postpartum. An extensive reference book will be
given
> > to class participants. Slides will be shown for plant identification
and
> > there will be demos for making herbal tinctures, oils and salves and
> > homeopathic solutions from pellets. This class is for everyone!
> > For more information, call 1-800-743-0974. Please mention Code 940.
> > o=o=o=o=o=o
> >
> > 3) News Flashes
> >
> > False Hypertension Linked With Cesareans
> >
> > Many pregnant women may undergo unnecessary cesarean sections because
they
> > have "white-coat hypertension"--high blood pressure that happens only
when
> > they are around doctors, a study reported in the Journal of the
American
> > Medical Association suggests. Almost one-third of pregnant women have
such
> > false high blood pressure.
> > Believing it is real hypertension, doctors usually treat it with blood
> > pressure lowering drugs, which can compromise a woman's ability to have
> > normal contractions and in the study led to apparently unnecessary
> > cesareans, said research author Dr. Gianni Beliomo of Assisi Hospital
in
> > Italy.
> > Researchers studied 144 pregnant women who had high blood pressure
during
> > the final third of their pregnancies and found that 42 had white-coat
> > hypertension. The women's blood pressure was normal when it was not
being
> > measured by a health professional, as shown by portable monitors the
women
> > wore for 24 hours.
> > Nineteen of these 42 women ultimately underwent cesareans (45 percent),
a
> > rate similar to the 42 cesareans (41 percent) among the 102 women with
> true
> > hypertension. But only 13 cesarean deliveries (12 percent) were done
among
> > a comparison group of 103 women with normal blood pressure.
> > -AP wire service report, submitted by Rayner Garner
> > o=o=o=o=o=o
> >
> > 4) Enriching Our Knowledge
> >
> > To use herbal medicine requires a departure from the idea that the only
> > valid knowledge comes from scientific research. The scientific method
is a
> > powerful and useful paradigm, but we can enrich our knowledge by
allowing
> > the possibility of learning from perspectives outside the bio-medical
> > model. Just because an herb has not been studied does not mean it is
> > ineffective or unsafe. Tradition of use and knowledge of the plant
based
> on
> > observation and experience are valid as well. As noted by R. F. Weiss,
a
> > leading German physician, where there is a long tradition of use by a
> > population, [the herb's] action has to be considered established, even
> > without double blind trials." For example, there is general knowledge
> > regarding the use of prune juice for constipation. We know what prune
> juice
> > does, and that it is safe. It is not necessary to study its safety and
> > efficacy. [Similarly], when there has been widespread use of an herb
over
> > time for a particular effect, there is validity to that knowledge.
> > The World Health Organization recommends that in a rational approach to
> > evaluating the safety and efficacy of herbal products, historical and
> > cultural usage should be combined with modern scientific research.
> >
> > Herbal Preparations and Dosage Guidelines
> >
> > Storage: Store dried herbs away from light and heat.
> >
> > Quality: The freshness and quality of the herb, meaning the care with
> which
> > it was harvested, dried and processed, are the most important factors
in
> > the effectiveness of the herb.
> >
> > Water-Based Preparations: Water-based preparations must be made from
> dried,
> > not fresh plants. In the fresh plant the cell wall is still intact, so
> most
> > of the constituents cannot be extracted. Drying is necessary to rupture
> the
> > cell wall and allow release of the constituents. A larger quantity and
> > broader range of the nourishing properties of the plant are available
in
> > water than are in alcohol.
> >
> > Simple teas are appropriate for flowers and seeds which open and
release
> > their contents easily, or for herbs where the volatile oils are a major
> > constituent.
> >
> > Infusions are used to prepare the leafy portion of plants. Leaves have
> > tougher cell walls so it takes longer for the constituents to come out
of
> > the plant into solution.
> >
> > Cold infusions are used for a few plants which contain valuable
> > constituents that would be damaged by heat.
> >
> > Decoctions are used to extract the more dense parts of plants such as
> roots
> > or barks.
> >
> > External applications of herbs, such as poultices, compresses and
> > fomentations, are used to accelerate healing and prevent or draw out
> > infection.
> >
> > Essential oils are very strong and are almost never used internally.
> >
> > Infused oils: The fresh plant is simply packed into a jar, covered with
> > olive oil, and allowed to sit for two weeks. Salves can be made by
simply
> > adding beeswax.
> >
> > Tinctures are alcohol based preparation. Some herbs work better in
> tincture
> > form, since some plant constituents are more soluble in alcohol than in
> > water. Some plants are more effective medicinally if the fresh plant is
> > made into tincture; in other cases, dried plant is more beneficial, and
> > with some herbs it doesn't matter.
> >
> > Glycerites, the sweet fraction of oil (oil minus the fatty acids) does
not
> > have the same extractive properties of alcohol. Most herbs are not
> > effective in this preparation.
> >
> > Powdered, prepackaged herbs have been extensively exposed to air,
causing
> > oxidation and rapid loss of potency. Grinding and encapsulating the
herbs
> > oneself is the best way to maintain high quality if capsules are
> preferred.
> >
> > Standardized extracts are chemically manipulated to isolate, measure
and
> > concentrate specific compounds that are considered to have beneficial
> > activity. There is more potential for side effects with these extracts.
> And
> > the synergistic effects of the plant are diminished or lost.
> > -Cindy Belew, CNM, Herbalist, "Herbs and the Childbearing Woman, Vol.
1,"
> a
> > self-published book
> > ====
> >
> > 5) The Fullest Application of Herbal Remedies
> >
> > Using an herb only on the basis of getting rid of unpleasant diseases
> > without seeing the symptoms in the bigger picture (the family ecology)
is
> > an allopathic practice and an intervention. Herbs can be used this
way--to
> > fix something wrong--and/or herbs can promote the crisis of suffering
> > leading to healing which I consider of greater benefit.
> > Where I live in Utah, childbearing women have legs like the
Rand-McNally
> > Road Atlas. A fairly high elevation coupled with a diet heavy in meat
and
> > sugar cause varicosities in the legs and vulva. Add to this picture
grand
> > multiparity-it is common for women to have a dozen children, most close
in
> > age.
> > Using astringent herbs to relieve the symptoms without honoring the way
> > this condition presently serves is a disservice. What good does it do
to
> > shrink veins if the way the mother handles the pressure within isn't
> > corrected itself? Stress is what each of us makes of life--using herbs
> > without seeing how each life handles stress implies the need for more
> herbs
> > to be used when the disease shows itself again. And again it
will--disease
> > is the soul's way of calling to attention unbalanced living.
> > What I am emphasizing is the intention. How is the herb given and
taken?
> > Herbs as topical band-aid, or herbs as healing agents, and/or herbs to
> > relieve and heal at the same time?
> > -Jeannine Parvati Baker, "Midwifery and Herbs," Midwifery Today Issue
26
> > o=o=o=o=o=o
> >
> > For information on Midwifery Today conference auidotapes on herbs and
> > alternative practice, go to <A
> > HREF="http://www.midwiferytoday.com/mt/product/audioherb.html">
> > http://www.midwiferytoday.com/mt/product/audioherb.html </A>
> > o=o=o=o=o=o
> >
> >
> > 6) Question of the Week: If you have any new insights or information
about
> > gestational diabetes, please share it with E-News readers.
> >
> > Send your responses to <A HREF="mailto:[log in to unmask]">
> > [log in to unmask] </A>
> >
> >
> > =PLEASE SUPPORT OUR SPONSORS!=
> >
> > Visit the multiple award-winning WATERBIRTH WEBSITE for the most
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> > waterbirth information available on the net!
> > <A HREF="http://www.wenet.net/~karil"> http://www.wenet.net/~karil </A>
> > Includes a Photo Gallery, over 50 firsthand waterbirth stories from
moms,
> > dads and waterbirth practitioners, a tutorial, information on great
> > products you can order, and lots more.
> > Special Offer to E-News readers: Enjoy a 10% discount on your purchase
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> > the "WATER BABY" video. Regular price is $59.95 + $7.50 p/h. Your
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> > price is just $53.95 + p/h. Full ordering details are at <A
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> > http://www.well.com/user/karil/materials.html </A>
> >
> > =THANK YOU!=
> >
> >
> > 7) Question of the Week Responses
> >
> > Q: What is one of your favorite herbal remedies or preventatives? Be
> > specific about amount, frequency and application. Think outside the
usual!
> >
> > I don't suppose my favorite is at all "outside the usual." Nonetheless,
> > nettles is my favorite preventative herb!!
> > I encourage *all* my clients to drink 16-32 oz. of nettles tea every
day!
> > For women who just cannot drink this tea or in that quantity, I suggest
> > taking the herb in capsule form (2 caps, 3 x day).
> > Nettles tea is a superior natural thirst quencher, high in vitamin K,
iron
> > and important anti-oxidants. Mixed with other woman-friendly herbs such
as
> > oat straw, red raspberry leaf and red clover, these herbs support the
> > expanding blood volume and tone the uterus. It is a wonderful and
> > refreshing beverage hot or cold. Taken during labor, it provides all
> > important, blood clotting vitamin K for mother and baby. After the baby
> > comes, it continues to refresh the mother, and helps increase milk
> > production.
> > -Kim Mosny, CPM
> > Memphis, TN
> > ====
> >
> > I am an aspiring midwifery student in Germany. The midwives and doctors
> > here use tea tree oil on the suture wound. A few days after a woman has
> had
> > an episiotomy or has torn, she is given a syringe with the needle still
> > attached, filled with tea tree oil. She is then shown how to use a
mirror
> > to see her wound and to drop a few drops of this wonderfully cool oil
> > directly on it. If she is not comfortable doing this, the postpartum
> > midwife will apply the oil. Putting the oil in the syringe with needle
> > allows accurate application. This is standard practice here and from
> > personal experience, I can attest that it really works well.
> > -Kiersten Figurski
> > ====
> >
> > To increase milk when mine gets low, I have found that Mother's Milk
tea,
> > made by Traditional Medicinals, works well. If I drink one cup in the
> > morning and another cup around noon, I am nearly dripping by afternoon.
> > Even one cup in a day makes a significant difference. It contains
fennel
> > seed, anise seed, coriander seed, spearmint leaf, lemongrass, lemon
> verbena
> > leaf, althea root, blessed thistle leaf, and fenugreek seed, a good
> tasting
> > combination. This tea is available at some health food stores and is
also
> > available from Cascade Healthcare Products or Blooming Prairie Coop.
> > The other "herbal" remedy (broadly speaking) I have found effective for
> > increasing milk is oats. When my milk has gotten low, I eat a generous
> > serving of oatmeal for breakfast. Later in the day I can see a
difference
> > in the quantity of my milk. I continue to eat this for a few days until
my
> > milk is reestablished at a sufficient level.
> > Of course, these remedies should be combined with the common sense
> > solutions of plenty of liquids for mom and enough rest. Making milk is
> hard
> > work for a mom's body.
> > -K.
> > ====
> >
> > I am a student midwife and work with herbs. Two herbs helpful for
diabetes
> > and safe during pregnancy are buchu and uva ursi. The dosage would be:
as
> a
> > tea, boil a heaping teaspoon of uva ursi in a pint of boiling water for
> > thirty minutes (low boil to prevent evaporation). Remove from heat and
add
> > an ounce of buchu leaves. Steep. Do not boil buchu leaves. Buchu is
> > originally from Africa. If you have trouble finding the ingredients, I
can
> > help you.
> > Louise Hay states a probable cause for diabetes is "longing for what
might
> > have been; great need to control; deep sorrow; no sweetness left." The
> > affirmation she recommends is, "This moment is filled with joy. I now
> > choose to experience the sweetness of today." I have seen metaphysical
> work
> > effect healing.
> > As a fitness trainer, I was taught how exercise and nutrition help
> > diabetes. Exercise promotes the entry of glucose into the cells and so
can
> > lower a diabetic's glucose levels. Too much exercise can bring on an
> > episode of hypoglycemia. A safe recommendation, with your care
provider's
> > approval, would be: walking, plenty of hydration and the Bradley or
Brewer
> > diet (which can be accommodated to vegetarians). One key to stabilizing
> > blood sugar is the required 75-100 grams of protein daily, eaten in six
> > meals throughout the day. Pasta should be cooked al dente. White
> > flour/sugar products should be replaced with whole grains.
Carbohydrates
> > break down into sugar, so limit portions.
> > -Beth
> > Reply to: [log in to unmask]
> > o=o=o=o=o=o
> >
> > 8) Switchboard
> >
> > In response to the topic of miscarriage [Issue 43]: the emotional
effect
> is
> > an important part of the experience for caregivers to consider. Women
and
> > their partners each respond, sometimes with grief, and it is a passage
to
> > acknowledge.
> > -Anon.
> > ====
> >
> > I am a fabric artist, aspiring midwife and mother of three. My three
> > daughters were born at home into the hands of my mother (also a
midwife)
> > and me. The joy of their births has been exquisite.
> > Three months before becoming pregnant with my third daughter, I had a
> > miscarriage at about 5 weeks. I was devastated. I bled and bled, but
had
> no
> > actual baby to look at, bury, mourn. I made what I now call an "Unborne
> > Grieving Bag." I dyed fabric to look like a placenta, and on it I
quilted
> a
> > tiny fetus I made from soft fabric. I made a small bag, also hand dyed
to
> > look like a uterus, and I put a blotchy red and blue dyed drawstring at
> the
> > top to look like an umbilical cord. Inside the bag I put healing herbs
and
> > ceder chips, and my little quilt baby. I carried the baby around in my
bra
> > for about a week, taking it out and kissing it, talking to it, and
> shedding
> > tears over it, carrying it against the warm place I would have nurtured
> it,
> > fed it and cuddled it. I named my baby, and placed special objects I
found
> > inside the bag with it to remember and honor it.
> > The grieving bag helped me tremendously in working through my grief.
Since
> > then I have made many of these bags for others who have lost children
and
> > have also used them to do a healing workshop in my home.
> > I now make the bags available, for US$20, to whomever might need one.
> > Working through my grief, I have found a way to make an income for my
> > family, enabling me to continue to stay home with my children and also
> > fulfill my art. I can be contacted for orders by phone or email.
> > -Allie Alden
> > [log in to unmask]
> > (850) 936-8887
> > ====
> >
> > In reference to Jennifer Landels' response to Valerie El Halta's
> > recommendations for avoiding premature and low birthweight twins (Issue
43
> > & 42): it is important to know the difference between a single
anecdotal
> > experience and the study of large numbers of like events. [Jennifer] is
a
> > well nourished, intelligent and educated woman who is aware of her body
> and
> > its functions. Compare that with the deprived uneducated woman and
you'll
> > see large differences in outcomes. The problem may be sociological of
> > course but that's what the "medical" safety net should be there to
catch.
> > -Phil Watters
> > ====
> >
> > I am interested in knowing the differences between a doula, a
traditional
> > midwife and a nurse midwife. Please explain.
> > -Ginger
> > ====
> >
> > What are midwives' experiences with babies in whom hypospadia was
treated
> > and those who were not?
> > -J.M.
> > ====
> >
> > Does anyone know how toxemia may affect the next pregnancy? I became
> > pregnant when my baby was one year old, and my midwife says the liver
> > profile doesn't look good. My liver was apparently damaged when I had
> > toxemia the last time. I'm wondering what to expect this time around.
> > -Paula
> > ====
> >
> > Share your responses to Switchboard letters with E-News readers! Send
them
> > to <A HREF="mailto:[log in to unmask]">
> > [log in to unmask] </A> If an email address is included with
> the
> > letter, feel free to respond directly.
> > o=o=o=o=o=o
> >
> > 9) Why I Became a Birth Practitioner
> >
> > I am a 21 year old student, preparing to study midwifery formally. I
> > traveled for almost 3 years before beginning my college education (I am
> > taking anatomy) and saw so many young mothers smoking around their
babies
> > or even during pregnancy. I met very nice young women who treated their
> > pregnancies awfully.
> >
> > I wondered and worried and decided that people must not realize how
sacred
> > it is to bring life into this world. I have never had children but I
know
> > it is so special and must be treated as such. When a mother is
pregnant,
> > everything possible should be done to give this baby a healthy start to
> > life and the mother, a wonderful experience. So I decided I wanted to
help
> > this happen by becoming a midwife. I plan to work with poor families
> > wherever my help is needed, foreign or domestic. I would love to
> correspond
> > with others who feel the same.
> > -Kelsey Fries
> > Reply to: [log in to unmask]
> > ====
> >
> > Why did you become a birth practitioner--or why do you aspire to become
> > one? Send your responses to <A
> HREF="mailto:[log in to unmask]">
> > [log in to unmask]</A>
> > o=o=o=o=o=o
> >
> > 8) Coming E-News Themes
> >
> > Coming issues of Midwifery Today E-News will carry the following
themes.
> > You are enthusiastically invited to write articles, make comments, tell
> > stories, send techniques, ask questions, write letters or news items
> > related to these themes:
> >
> > -Waterbirth (Nov. 5)
> > -Omnium Gatherum (Nov. 12)
> > -Gestational Diabetes (Nov. 19)
> >
> > We look forward to hearing from you very soon! Send your submissions to
<A
> > HREF="mailto:[log in to unmask]">
[log in to unmask]
> > </A>. Some themes will be duplicated over time, so your submission may
be
> > filed for later use.
> > o=o=o
> >
> > Midwifery Today E-News is published electronically every Friday. We
invite
> > your questions, comments and submissions. We'd love to hear from you!
> Write
> > to us at:
> > <A HREF="mailto:[log in to unmask]">
> > [log in to unmask] </A>
> > Please send submissions in the body of your message and not as
> attachments.
> >
> > You are welcome to republish parts or all of Midwifery Today E-News in
> > other publications, but we ask that you credit E-News as the source
with
> > these words:
> > Reprinted from Midwifery Today E-News (Issue No. & Date)
> > To subscribe to the E-News write: [log in to unmask]
> > For all other matters contact Midwifery Today:
> > PO Box 2672-940, Eugene OR 97402
> > 541-344-7438, [log in to unmask], http://www.midwiferytoday.com
> > o=o=o
> >
> > Remember to share this newsletter. You may forward it to as many
friends
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