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Expert Q&A:
Is it dangerous to take castor oil to help induce labor?

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Margaret Freda
Answered by Margaret Freda Ed.D., R.N., C.H.E.S., F.A.A.N.
"I've been a professional nurse working with pregnant women and parenting families since 1966," says Margaret Comerford Freda. "Pregnant women and parents need to know as much as possible about their own health and that of their children."

Margaret Comerford Freda, Ed.D., R.N., C.H.E.S., F.A.A.N., is a Professor in the Department of Obstetrics &; Gynecology and Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, and also serves as Director of Patient Education Programs for that department. Since 1993, Dr. Freda has been the Consultant for Nursing at the National March of Dimes Birth Defects Foundation and the Chair of the National March of Dimes Nurse Advisory Council. In addition, Dr. Freda serves as the editor of MCN, The American Journal of Maternal Child Nursing.

Dr. Freda received her Master's Degree in Nursing from New York University and her doctorate in Health Education from Columbia University. She has worked in women's health for her entire professional career. Dr. Freda has published 50 research articles in professional journals, and is a frequently invited speaker at nursing and medical conferences. She has written two books: Perinatal Patient Education, published by Lippincott Williams &; Wilkins, and Miscarriage After Infertility, published by Fairview Press, written with her daughter Carrie Semelsberger, who is also a nurse.

Dr. Freda has received several noteworthy awards, such as the Distinguished Professional Service Award and the First National Award for Excellence in Nursing Research from the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the Woman of Distinction Award and the Maternal Child Nurse of the Year Award from the March of Dimes, the Patient Care Award for Excellence in Patient Education from the American Academy of Family Physicians, the Research Recognition Award from Molloy College, and several Outstanding Research Paper awards at national conferences. She serves on the Scientific Advisory Council for the March of Dimes, and was selected to serve on the Select Panel of the Centers for Disease Control to advise on prenatal health. Dr. Freda has developed patient education booklets and videotapes that are now distributed nationally.

Dr. Freda has been married for four decades. She has two daughters, two sons-in-law, three grandsons, and a granddaughter.
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Question


Is it dangerous to take castor oil to help induce labor?

Answer


Ah, castor oil. Some women do take castor oil to help get begin labor, but if it was that easy to induce labor every woman would be doing it, wouldn't she? Castor oil acts as a laxative. If your body is ready to go into labor, or is already in early labor, some people believe that castor oil can tip you over the edge and get the labor going stronger, although none of this is proved by science. This is what it comes down to: Some people say Mexican food will put you into labor, some people say castor oil, and some people say going for a car ride on a bumpy road (among a million other myths). Although we know a lot about the science of childbirth, no one knows why labor begins. And no one knows how to start labor in a woman whose body is not ready to begin labor.

You asked about harmful effects of castor oil. Because castor oil induces intestinal cramps, you could be uncomfortable and could have diarrhea, but in healthy women there should be no real harmful effects. So my advice is this: If you want to take castor oil to induce labor, ask your doctor or midwife about this. If you have the okay from your health care provider, then decide whether to try it. Or, you could wait until your body is ready to go into labor on its own timetable. That would be my choice.

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