Main remedies:
SULPHUR
Thirst.
Heat.
Intolerance of heat.
Excessive heat production.
APIS
Oliguria.
Thriftlessness.
Intolerance of heat.
Other remedies:
NATRIUM MURIATICUM
Preeclampsia with convulsions.
Hypertension causes by suppressed anger.
In patients with desire for salty food.
TEREBINTHINAE OLEUM
Violent, burning, drawing pain in the kidney.
Dysuria strangury with great loss of blood.
Urine scanty, smoky, bloody albuminous or profuse and black.
Distension of abdomen, with much flatus.
RIGID OS–FAILURE TO DILATE–PROBLEMS OF EXPULSION, PRETERM LABOR, “FALSE” LABOR
Main remedies:
CAULOPHYLLUM
Contractions sharp, spasmodic, at the lower part of the pelvis.
Changeable pains located at bladder, groin, thighs.
Generalized weakness exhaustion.
Soft uterus even at the peak of the contraction.
Trembling, shaking may be present.
Neuralgias, rheumatic pains.
Irritating profuse vaginitis.
Can be used in failure to dilate but also in premature and “false” labor.
CIMICIFUGA
Presentiment of failure about pregnancy, labor or parenting, “I can’t do it”.
Contractions like Caulophyllum in the lower part of the uterus.
Abnormal contractions from side to side or down into hips and thighs.
Nervous excitation, trembling, convulsions, choreiform movements.
Occipital headache can be present extending down the neck.
Chilly patients, < from cold, damp weather.
Alternating symptoms.
GELSEMIUM
Failure to dilate with generalized exhaustion.
Trembling, shivering.
When Caulophyllum seems to be indicated but fails to act.
Other remedies:
ACONITUM
Heat and dryness of vagina and os.
Patient restless, fearful and anxious.
LACHESIS
In women near menopause.
Contracted os with throat and heart symptoms.
PULSATILLA
> cool fresh air.
Desires affection.
Usually indicated in early labor but used also for problems with expulsion, bleeding or retained placenta.
BELLADONNA
Headache or other pains of sudden onset < from slight jar.
Dilated pupils or wild expression.
CHAMOMILLA
Extreme sensitivity or intolerance of pain.
Loose stools, or flatulence.
NUX VOMICA
Labor is obstructed by a full bladder or rectum.
Painful and ineffectual urge to urinate or defecate due to contraction of muscles of perineum or pelvic floor.
KALI CARBONICUM
Posterior presentation of baby.
RETAINED PLACENTA
Main remedies:
PULSATILLA
In the absence of other indications, first remedy to consider for retained placenta.
Need for affection, attention, reassurance.
> open air.
If contractions are weak or non-existent.
SEPIA
When there are no guiding symptoms to suggest other remedies, the second remedy to consider after Pulsatilla.
Bearing down sensation in genitals.
May have sharp, shooting pains in the cervix.
Chilly, cold hands and feet, sensitive to cold, but flushes of heat.
Wants to be covered.
CAULOPHYLLUM
After pains in lower pelvis or bearing down sensation.
Exhaustion after long labor.
Uterus doesn’t stay contracted.
Hypotonic uterine bleeding.
CIMICIFUGA
Retained placenta with dysfunctional uterine contractions, severe pains, or no contractions.
Labor like pains cease with the hemorrhage.
Irrational fears, anxiety, nervous agitation, shivering, trembling.
Alternating symptoms.
She seems fine, then becomes hysterical with the pains.
Other remedies:
BELLADONNA
Profuse flow of blood that coagulates quickly.
Face is red and hot, vagina.
Distressed, tends to moan.
CANTHARIS
Accompanied with constant desire to urinate but a few drops are passed.
Burning, cutting pains.
GOSSYPIUM
For placenta accreta, where the placenta is firmly attached to the walls of the uterus and will not detach.
SABINA
Bright red bleeding, partly fluid, partly clotted, < with motion.
Severe after pains.
Pain from the sacrum to the pubis when trying to expel clots.
< from music.
< warm room.
> cold open air.
SECALE
Continuous hemorrhage, with dark, thin unclotted blood.
Bleeding < with least motion (dd. Sabina).
Constant bearing down sensation (dd. Sepia).
No contractions, hourglass contractions so the placenta does not descend.
Cold limbs and body but feel hot, > fanned, > cold open air.
POSTPARTUM BLEEDING
Most of the remedies and indications for postpartum bleeding are the same for retained placenta.
Main remedies:
CAULOPHYLLUM
After pains in lower pelvis or bearing down sensation.
Exhaustion after long labor.
Uterus doesn’t stay contracted.
Hypotonic uterine bleeding.
CIMICIFUGA
Retained placenta with dysfunctional uterine contractions, severe pains, or no contractions.
Labor like pains cease with the hemorrhage.
Irrational fears, anxiety, nervous agitation, shivering, trembling.
Alternating symptoms.
She seems fine, then becomes hysterical with the pains.
PULSATILLA
In the absence of other indications, first remedy to consider for retained placenta.
Need for affection, attention, reassurance.
> open air.
If contractions are weak or non-existent.
SEPIA
When there are no guiding symptoms to suggest other remedies, the second remedy to consider after Pulsatilla.
Bearing down sensation in genitals.
May have sharp, shooting pains in the cervix.
Chilly, cold hands and feet, sensitive to cold, but flushes of heat.
Wants to be covered.
SABINA
Bright red bleeding, partly fluid, partly clotted, < with motion.
Severe after pains.
Pain from the sacrum to the pubis when trying to expel clots.
< from music.
< warm room.
> cold open air.
Other remedies:
ARNICA
Excessive bleeding following an excessively rapid or traumatic labor, prolonged or difficult.
BELLADONNA
Acute forceful bleeding.
Blood feels hot when it gushes out.
Hot red face.
Dilated pupils
Wild-eyed expression.
PHOSPHORUS
In patients with underlying bleeding disorder.
Fear of being alone
Thirst for cold drinks.
SECALE
Continuous hemorrhage, with dark, thin unclotted blood.
Bleeding < with least motion (dd. Sabina).
Constant bearing down sensation (dd. Sepia).
No contractions, hourglass contractions so the placenta does not descend.
Cold limbs and body but feel hot, > fanned, > cold open air
NEWBORN RESUSCITATION
Main remedies
ARNICA
After traumatic birth, if bruising or cephalhematoma are present.
Stunned autonomic reflexes, diminished response.
CARBO VEGETABILIS
Inadequate oxygenation.
Baby cyanotic, slow to respond but still breathes unassisted.
ARSENICUM ALBUM
Severely depressed babies with no activity and no respiration effort.
OPIUM
Similar to Arsenicum when the baby is pale and unresponsive.
Respiratory pauses during sleep.
In premature newborns.
ANTIMONIUM TARTARICUM
Respiratory distress with fluid accumulation and rattling in the lungs.
Meconium aspiration.
Immaturity.
Surfactant deficiency disorder.
Other remedies
BELLADONNA
Neurological symptoms.
Eyes wide open and staring.
Pupils dilated.
Head and body hot.
Limbs motionless with twitching.
CAMPHORA
Severe cyanosis.
Coldness of body and limbs.
DIGITALIS
Respiratory failure in newborns with severe congenital heart disease.
