3rd Trimester Haemorrhaging

[Guest guest]

Dear all,

I have a new patient who has suffered three bleeds at wks 24, 26 and 32 in

her pregnancy. All involved hospitalisations. She has not been prescribed

any medication, but is now at home on bed-rest (coming up to wk34). Scans

all ok, the usual minor pregnancy problems (mild pruritus, constipation,

reflux), but otherwise ok. She desperately wants to avoid further bleeding

(and the likelihood of a Caesarian).

I'm proposing a tea of Rubus, Urtica fol and Calendula, plus a tincture of

Chamomilla (30ml) ,Plantago (30), Alchemilla vulg (30) and Tarax rad 1:1

(10). I presume Achillea and Capsella are out because of their

oxytocic/emanagogic actions, but there is some debate over this. I'd really

appreciate hearing from anyone who has experience of treating someone in

this situation. I see her tomorrow.

Many thanks,

Choudhury MNIMH

claire.choudhury.01@...

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[Guest guest]

Hi

Sorry I have no suggestions re your pregnant lady. The tea sounds like just

the sort of thing I would have given myself.

Just one point. I am currently treating a lady who is four months pregnant

and was surprised to find that Calendula was on the list of herbs

contra-indicated in pregnancy according to Anne Mac Intyres Womens Herbal. I

assume this is due to ? emmenagogue actions? I am surprised to learn that

this lovely benign herb could be contra-indicated for anything!! Is this

just a belt & braces approach??

I would be interested to hear any opinions from learned colleagues.

Best wishes

[Guest guest]

Many thanks for your input, .

I'd never heard of Calendula being contraindicated in pregnancy either.

Could it be because it is mildly oestrogenic ?

It seems contraindications are very contradictory ! Alchemilla vulg in

pregnancy for e.g. is contraindicated by Ruth Tricky, actively encouraged by

Margaret Gladstar, and not contraindicated in either the Br Pharmacopoea or

Hoffman's A Holistic Herbal. On the basis of this (plus phone call to my

mentor) I kept the Alchemilla vulg. in my mix. But, it's difficult when

patients look on the Net and stumble upon conflicting information. It's

doubly scary when you're dealing with the welfare of a foetus and mother.

Perhaps other listees have some thoughts on this.

all tbe best

Choudhury MNIMH

claire.choudhury.01@...

> Re: 3rd Trimester Haemorrhaging

>

> Hi

>

> Sorry I have no suggestions re your pregnant lady. The tea sounds like

> just

> the sort of thing I would have given myself.

> Just one point. I am currently treating a lady who is four months pregnant

> and was surprised to find that Calendula was on the list of herbs

> contra-indicated in pregnancy according to Anne Mac Intyres Womens Herbal.

> I

> assume this is due to ? emmenagogue actions? I am surprised to learn that

> this lovely benign herb could be contra-indicated for anything!! Is this

> just a belt & braces approach??

> I would be interested to hear any opinions from learned colleagues.

> Best wishes

>

>

>

>

>

>

>

> List Owner

>

>

>

> Graham White, MNIMH

>

>

[Guest guest]

Tassell wrote:

>

> Hi

>

> Sorry I have no suggestions re your pregnant lady. The tea sounds like just

> the sort of thing I would have given myself.

> Just one point. I am currently treating a lady who is four months pregnant

> and was surprised to find that Calendula was on the list of herbs

> contra-indicated in pregnancy according to Anne Mac Intyres Womens Herbal. I

> assume this is due to ? emmenagogue actions? I am surprised to learn that

> this lovely benign herb could be contra-indicated for anything!! Is this

> just a belt & braces approach??

Yet another contraindication based on Farnsworth et al (1975) Potential value

of plants as sources of new antifertility agents I J Pharm Sci 64:535-598;

the same article used to propose Matricaria and Urtica as PO in Italy. In

fact many data in the article refer to secondary sources and are based only on

empirical evaluations. A bit feeble as an argument (that needs however to be

aknowledged IMO)

> I would be interested to hear any opinions from learned colleagues.

> Best wishes

>

--

Marco Valussi BSc (Hons.) Herbal Medicine

Medical Herbalist

Vicolo Santa Cecilia 7

37121 Verona

Italy