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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Is EPO safe?

7 replies

Ilovebean · 19/05/2014 13:51

Hi everyone.

I was wondering if anyone can shed some light on Evening Primrose Oil? I just bought some to take alongside my RRL tablets, but I have just found this information. Does anyone agree with this?

Midwife and lecturer.

Its probably best not to take evening primrose oil in pregnancy, as we can't be sure its safe.

There arent any proven safety issues with evening primrose oil. However, the British National Formulary, which advises healthcare professionals about medicines, says evening primrose oil should be used with caution in pregnancy.

You may have heard that taking evening primrose oil during pregnancy can reduce the risk of developing pre-eclampsia. Studies have shown that this is not case. And if youre thinking of taking evening primrose oil later in pregnancy to bring on labour, theres no evidence that this works either.

Evening primrose oil is a plant extract that has been used for centuries as a complementary medicine. Its believed to ease a host of problems, from breast pain to premenstrual symptoms to skin disorders. However, evening primrose oil is not a licensed medicinal product, because theres not enough evidence that it works.

If youve been taking evening primrose oil for a health problem, its best to find an alternative treatment, just to be on the safe side. You can continue taking evening primrose oil after your babys born.

Evening primrose oil is also popular as a dietary supplement. Its rich in linoleic acid, an essential fatty acid. Essential fatty acids are substances that our bodies need, but cannot make, so we have to get them from food. Evening primrose oil is also rich in gamma linolenic acid. This is used in the body to make hormone-like chemicals, such as prostaglandins, which are important for many body functions.

During pregnancy, try to get essential fatty acids from foods such as seeds and oily fish, rather than from an evening primrose oil supplement. You can safely eat two portions of oily fish, such as tuna, a week.

If you decide to take evening primrose oil, bear in mind that it can cause diarrhoea, nausea and bloating. When buying it as a food supplement, remember that each product will contain different doses, as well as other ingredients.

ReferencesThis article was written using the following sources:

Bayles B, Usatine R. 2009. Evening primrose oil. American Family Physician 80(12):1405-8

Dove D and Johnson P. 1999. Oral evening primrose oil: its effect on length of pregnancy and selected intrapartum outcomes in low-risk nulliparous women. J Nurse Midwifery. 44:320-4.

Makrides M, Duley L and Olsen SF. (2006). Marine oil, and other prostaglandin precursor, supplementation for pregnancy uncomplicated by pre-eclampsia or intrauterine growth restriction. Cochrane Database Syst Rev, 3. Article no: CD003402. onlinelibrary.wiley.com [Accessed May 2013]

NICE. 2008. Antenatal care - routine care for the healthy pregnant woman. National Institute for Health and Clinical Excellence. www.nice.org.uk [pdf file, accessed May 2013]

NICE. 2012. Is it safe to take herbal medicines during pregnancy? NICE Evidence Search. www.evidence.nhs. [Accessed May 2013]

NHS. 2011. Pre-eclampsia: Preventing pre-eclampsia. NHS Choices, Health A-Z. www.nhs.uk [Accessed May 2013]

www.babycentre.co.uk/x557909/is-it-safe-to-take-evening-primrose-oil-in-pregnancy#ixzz32AJS9BSB

OP posts:
Are your children’s vaccines up to date?
ChicaMomma · 19/05/2014 13:59

I'm taking it, i'm 35 weeks though, started last week, 1 a day. A girl i know said she's piercing them and inserting them into her Vajajay at nite- 1x 1000mg- apparently it softens the cervix.. hmmmm.. dont know about that! although if you're 41 weeks i'm sure you'd try anything!!

Ilovebean · 19/05/2014 14:16

Thanks, yeah at 41+1 weeks I think I'd try anything also. I'm 33 weeks and was going to start on one 500mg a day and increase to 2 tablets next week. I'm taking 3 RRL tablets as well. I'll continue as planned :-)

OP posts:
ChicaMomma · 19/05/2014 14:22

Do continue- 500mg is a low dose so a happy medium really.

Darksideofthemoon88 · 19/05/2014 16:05

I mentioned it to my midwife and she pulled a bit of a face and said there was absolutely no evidence to suggest it works for bringing on labour (and recommended red raspberry leaf and sex instead), but didn't mention any dangers.

ChicaMomma · 19/05/2014 16:27

sex.. god, is it just me or can any of you actually face it? it takes me so long to move around the bed, sex the last time we tried it was a disaster. Disaster! sorry, OT.

SicknSpan · 19/05/2014 16:48

chica I'm with you, just the idea of sex at the moment is a massive no-no. I am so gicantically uncomfortable and cumbersome anyway that I'm not sure how dh would manage to aim it correctly at the right spot without me getting unbelievably cross!

Darksideofthemoon88 · 19/05/2014 17:59

I've never been off sex, but my sex drive has increased massively over the last few days/week - I was wondering if my hormones are changing in preparation for the birth or something?!

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