Hi All - the posting I put about 'those Asian Perineums' was an illustration
of something Vicki discussed with me some time ago - she may like to tell
this story on line, as it illustrates some very intersting points. I
personally have never heard of Indonesian women having a higher rate of
uterine inversions - on the other hand, uterine inversions I have seen and
heard about have been associated with pulling on the cord and 'fiddling
with the fundus', and, even stranger....they have all been associated with
the use of oxytocics. Fancy that....
----- Original Message -----
From: "Ken Ward" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Thursday, August 22, 2002 5:03 PM
Subject: RE: [ozmidwifery] inverted uterus
> I seem to have an opinion on everything. Oh well. I do work with several
Asian
> midwives. They are very 'active' managers of the birthing process, and
their
> women seem to end up with tears frequently. Also, during my midwifery
training
> we cared for a lot of Asian women. They tend to push before full
dilatation,
> often pushing their babies out at about 7cms; You would see the cervix at
the
> introitus. There is a language problem, and also a cultural basis.{like
not
> breast feeding before the milk comes in. They will then breast feed for
up to
> 2 years. Maureen.
>
> -----Original Message-----
> From: [EMAIL PROTECTED]
> [mailto:[EMAIL PROTECTED]]On Behalf Of Marilyn
> Kleidon
> Sent: Thursday, August 22, 2002 11:07 PM
> To: [EMAIL PROTECTED]
> Subject: Re: [ozmidwifery] inverted uterus
>
>
> I don't think uteruses or perineums pick the race either. However if by
some
> chance there really is a higher rate of uterine inversion and/or perineal
> tearing in Asian women, then I think we should ask why? Too easy (not to
> mention wrong) to blame it on race when it is most likely their
> obstetric/midwifery care. I would hazard a guess that if there is a higher
> rate then it may have something to do with language and communication with
> the women in 2nd and 3rd stage. As a midwifery student I was present at a
> few births where the mum did not speak or understand any english and the
dad
> very little either. We tried to mime gentle pushes to guide the mum but
> often (not always) she would get that overwhelming urge to push and quite
> literally blast her little baby out. She would consequently (I think) have
> at least a small 2nd degree. I think continuity of care throughout
pregnancy
> and labour would go a long way to avoiding such situations in labour, at
> least giving the midwife and mother time to access translation services
> before hand. Marilyn
> ----- Original Message -----
> From: "CHERYL JONES" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Tuesday, August 20, 2002 9:09 AM
> Subject: Re: [ozmidwifery] inverted uterus
>
>
> > I don't think inverted uteruses, pick the race. I don't think a uterus
> much
> > cares what race you are.
> > I had an experience of inverted uterus many years ago don't care for it
> > again. The mother (if memory serves me well ) was her first baby. I
think
> it
> > is due to the rush to have the placenta out more than anything else.
> > Many thanks
> > Cheryl.
> > ----- Original Message -----
> > From: "Vicki Chan" <[EMAIL PROTECTED]>
> > To: <[EMAIL PROTECTED]>
> > Sent: Wednesday, August 21, 2002 12:56 PM
> > Subject: RE: [ozmidwifery] inverted uterus
> >
> >
> > > Gee whizzikers...and I thought it was more common when pulling on the
> > > cord of a placenta that had not yet separated...silly me!
> > >
> > > -----Original Message-----
> > > From: [EMAIL PROTECTED]
> > > [mailto:[EMAIL PROTECTED]] On Behalf Of
> > > [EMAIL PROTECTED]
> > > Sent: Tuesday, August 20, 2002 1:53 AM
> > > To: [EMAIL PROTECTED]
> > > Subject: [ozmidwifery] inverted uterus
> > >
> > >
> > > Hi everyone,
> > >
> > > I am a B. Mid student, and have just had my first amazing experience
of
> > > observing the birth of a baby boy.
> > > The baby birthed beautifully (try saying that 3 times!), however the
> > > placenta
> > > was taking a long time to be delivered, and after pushing by the mum,
> > > and
> > > gentle pulling of the cord by the Dr (intern), the placenta began to
> > > come out.
> > > The MW noticed that something was wrong, called in the Dr, to confirm
an
> > >
> > > inverted uterus protruding out the vagina with the placenta. The Dr
> > > tried pushing it back up, and she (the mum) was rushed off to theatre.
> > > After a long wait, we were told that the mum was going to be fine,
they
> > > were
> > > able to push the uterus back up, and no major damage had been done.
> > >
> > > When consulting with the father, the intern explained what had
happened,
> > > and
> > > said that cases of inverted uterus' were more common in women who had
> > > birthed
> > > `many' babies (she had 4), and also in Indonesian women, which the mum
> > > was.
> > >
> > > I have since been trying to research similar cases, and were wondering
> > > if
> > > anyone had any experience or info on inverted uterus'. I was also
> > > wanting to
> > > confirm whether the race of the mother has any influence on the chance
> > > of this
> > > condition occurring.
> > >
> > >
> > > Thanks, I look forward to your replies
> > >
> > > Niki
> > >
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