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Homeopathic Midwifery

 

In cases where everything appears ready, but the ewe will just not “get down to business,” alternate Cimicifuga and Caullophyllum (6C) every hour until labor starts.
Pituitary or Posterior Pituitary sarcode (6C) can be considered in an overdue pregnancy when “nothing is happening.”

Labor Ceases After Beginning; Irregular Labor

Cimicifuga – contractions stop in uterus and move to the large muscles of the legs and back.
Pulsatilla – absence of contractions. Labor is slow, inactive and feeble; no expulsive energy. Keynote: labor is constantly changing, contractions being too weak one moment and too strong the next, restless.
Gelsemium – when labor is progressing as expected but fright, strong emotions or traumatic shock event causes labor to stop due to spasmodic paralysis of muscles. Keynote: picture of extreme weakness: dull, drowsy, dizzy, droopy.
Secale – indicated for older ewes who are worn-out and debilitated by repeated lambing.

Difficult Labor or Ineffectual, Weak Labor

Caulophyllum – my first choice for weak, non-progressive labor, or strong, hard contractions where the cervix won’t dilate and labor won’t pro-gress. Weak, feeble contractions after long exhausting labor. Post partum hemorrhage is a slow, passive, trickling flow. Most useful at the beginning to produce nice contractions. Follow with Cimicifuga once contractions are established. Be careful with frequent repetitions of high potencies. I caused a vaginal prolapse when given prematurely and in excess.
Gelsemium – extreme weakness, dull, drowsy, sleepy. Use when Caulophyllum doesn’t work.
Arnica – traumatic labor due to large lamb; prolonged and difficult labor. Give for several days after to heal pelvic tissues and prevent post partum problems.
Sepia – older ewes worn out from too many lambs who should have an easier delivery. Tendency to prolapse. Will have a strong bearing down sensa-tion. This remedy will also help a ewe who is so exhausted from delivering the lamb that there is no energy for contractions to expel the placenta, or who acts indifferent or rejects the newborn lamb.

Post Partum Complications – Retained Placenta

In addition to the above remedies,
Belladonna – bright red gushing blood between after pains with concurrent delirious mental state. Blood often has a bad odor. Keynote: fever, sensitiv-ity to touch, noise and any sudden jarring movement.
Ipecac – bright red, profuse bleeding Secale – septic placenta; continuous severe bearing-down pains; great weakness and collapse; dark lochia with putrid, watery discharge without clots. Thin, feeble, scrawny, cachectic. Use with discretion for bleeding which does not cease.
Pyrogen – a nosode considered unsurpassed in its ability to prevent or even reverse post-partum infections. At first signs of threatening infection, a single dose of 200C (or 2-3 doses 30C) will halt septicemia if other remedies have not acted. Many a dying ewe has been saved with this Rx

Hemorrhage and Trauma

Arnica – use prophylactically, esp. when lacerations to tissues or prolapse. Use at beginning of labor and repeat PRN during and after labor (if no other remedy is indicated.) Consider Bellis or Hamamelis if Arnica is not effective. Aconite can also be given if mental shock (fright or fear) is associated with the trauma.
Bellis – much trauma to deep pelvic organs or lacerations of cervix, control of hemorrhage due to laceration.
Calendula – heals all tissues and prevents infection (use potentised and topical tincture); sterile gauze soaked in Calendula-Saline solution and inserted in vagina, held in place with a vaginal ‘spoon’ will stop the bleeding and serve as an antiseptic.
Belladonna – hot, red, inflamed with high fever.
Hamamelis – flow can be dark, steady, slow and passive or active, red and profuse. A keynote is “hemorrhages with tranquil mind”; no anxiety or alarm exhib-ited; no uterine pains.
Sabina – prolonged bleeding (days and weeks) of bright red blood and dark clots, esp. when associated with retention of placenta or miscarriage.
Phosphorus – used at first sign often acts preventatively to stop bleeding; anxious, restless, afraid to be alone. Extreme thirst.
China – for the ewe exhausted from labor with an excessive loss of blood, leaving her weak, faint, shivering.

Infection

Arnica and Calendula for prophylaxis
Hepar sulph – inflammation, abcess, pus. Very sensitive to touch.
Pyrogen – often resulting from retained placenta, foul smelling discharge. Often a single dose of 200c or 1M will stop the development of sepsis.
Belladonna – sudden onset with high fever, delirious and very sensitive to least jarring movement.
Arsenicum – weak and prostrate but restless and agitated, frequent sips of water. Serious septic cases such as endotoxic shock.

Mastitis

Apis – swelling with udder edema. Worse heat, better cold.
Belladonna – hot, tense, swollen. Sudden onset, delirious.
Lachesis – septic mastitis or metritis with dark blood and purplish tissues.
Phytolacca – chronic, hard and painful with lumpy knots or nodules.
Hepar sulph – abcess stage, “homeopathic antibiotic”. Very painful udder, irritable ewe.
Silica – cracks in nipples; chronic, hard swellings or scarring of the udder.
Pyrogen – don›t forget to use this nosode as an intercurrent if other prescribed remedies have not prevented septicemia.

Rejection of Lamb or Inability to Nurse

Sepia – exhausted ewe, indifferent to lamb and doesn’t want to nurse. This remedy is also very effective for ewes who refuse to breed (rejection of ram). Will re-store the maternal instinct.
Urtica – in high potency (200c) will stimulate milk production and in low potency (6c or 12c) will help to dry off the milk.

Newborn Lamb Care

If there is any doubt that the lamb will not receive the colostrum within the first 14 hours, I will milk the mother and stomach tube the lamb at least once with ap-proximately 2-4 ounces of colostrum.
Do not remove the lamb from the mother for any length of time. A lamb kept warm in front of the fireplace overnight will be a rejected lamb, and require bottle feeding for 2 months.
Aconite – hypothermia or lack of oxygen (blue baby); a keynote is sudden onset of symptoms, often associated with a fright or abrupt change in weather.
Arnica – traumatic labor, lamb bruised or swollen. first remedy I use for any newborn lamb problems on the assumption of a traumatic birth. Use in high po-tency (1M)
Helleborus – due to head injury during labor. Quiet, passive lamb with slow reaction, muscle tone will appear unusually weak and flaccid. I have had excel-lent success with large well-formed single lambs from small or yearling ewes that acted as if they had “brain damage”.
Antimonium tart – rattling of mucous in throat or lungs.
Carbo veg – lamb cold, lifeless, blue with faint, rapid heart sounds. “Corpse reviver.” I have brought back apparently dead lambs and drowned chickens with this remedy (soak the cold lamb in a tub of hot water in addition to the remedy).
Belladonna – neurologic trauma. Red, hot face with cold extremities, eyeballs turned to one side or wide open eyes with dilated pupils with a wild expres-sion. Twitching of muscles.
Camphora – collapse states with coldness and depleted vitality, “the pulse is barely perceptible.” Shock from injury, infection or exposure. Cold, cyanotic, lifeless. I have successfully used this remedy when Carbo veg. failed to act. However, do not dose and then leave the patient unattended, as Camphora is a universal antidote to homeopathic remedies and may undo the action of the previous remedy.
Arsenicum – tonic spasms or convulsions due to infection from umbilical cord. Lamb appears lifeless and breathless but is warm. This remedy is often life-saving when other remedies fail and the lamb is unresponsive with feeble respiration.

Best Remedies to Increase or Dry Up Milk

Pulsatilla – first remedy to consider in increasing, restoring or helping to dry up the udder. Useful in restoring milk flow after mastitis or other systemic infec-tion. Udder is swollen and painful with weak, variable and changeable flow.
Lac caninum – milk flow may diminish from first one side then the other of the udder. first remedy to try if Puls doesn’t work.
Aconite – milk flow stops due to acute fear or fright.
Lactuca virosa – this is a very specific remedy to increase milk flow if no other remedy is indicated.
Urtica urens – use this remedy when there is no development of udder or no let down of milk for no apparent reason, and with no symptoms indicating another remedy
Ricinus communis – potentised castor oil is another specific for increasing the quantity of milk. It is supposed to work wonders in developing milk if applied externally to the breast as castor oil.