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Sounds to me like what should have been a lovely birth was fast
turned into a delivery!
Isn't that why the ARM was done so 'they' could deliver and go
home.
Regards
Rhonda.
-------Original Message-------
Date: Saturday,
November 02, 2002 16:22:29
Subject: [ozmidwifery]
ARM
Hi all... only 4 more shifts to go in birth suite...
then I am in Post natal ward before moving to Perth!
Just a quick question... is there ever any indication
for ARM aside from induction of labour?
Why would my primip in labour over night have needed one
at 9cm dilated, 4 hours after being 5-6cm dilated? She was clearly
progressing well... all by herself! And why didn't I ask for further
explanation as to why it was done without consulting me or the
woman? All I got was, "oh, she neeeeded one!" Of
course FHR dropped after the ARM, and then a FSE had to be applied, then a
consultant was called, and a 3rd VE was performed within 5 minutes!
The baby was posterior, and the woman, after the ARM was pronounced 8cm
dilated. She was given 2 hours 'to deliver'. If not, a forceps
would be used and why the hell hasn't she got an epidural in? (why
WOULD she have an epidural in if all she had required was gas for pain
management, even then, not all the time). Of course then the woman
started to get scared, and feel much more pain, and began doubting whether
she could do it! I was really angry.
It all worked out in the end though. She was fully
dilated when the anaesthetist arrived and pushing amazingly well, so he
just hung around outside until the birth... the baby turned and came out
anterior after I had to cut an episiotomy (ACK!) because it looked to me
like she would button hole at any minute, and FHR wasn't the best.
Of course the epis extended, but still only 2nd degree.
The would have to have been a textbook example for
'cascade of interventions', especially if she had an epidural - IDC -
forceps, etc.
Thanks for listening! :)
Jo
--
Babies are Born... Pizzas are Delivered.
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