----- Original Message -----
Sent: Saturday, May 01, 2004 11:32
PM
Subject: Re: [ozmidwifery] Severe Back
Pain
Megan, did you administer sterile saline or
sterile water? It has to be the water and this really does sting since it
is hypotonic, the saline will have no effect. And you do give
(usually) 4 injections, 2 points either side of the sacrum as indicated on a
diagram that was posted a week or so ago. I have no idea what the effect of 2
injections would be. This method is not 100% effective, so just wont help some
women.
regards
marilyn
----- Original Message -----
Sent: Friday, April 30, 2004 4:56
AM
Subject: [ozmidwifery] Severe Back
Pain
Hello wise women,
Today I saw a primip term woman in spontaneous
labour, who presented around midnight last night contracting, she was
assessed to be in early labour and choose to return home. She returned
around 10.30 and quickly became increasingly distressed by severe back pain.
She said the contractions had increased slightly but was very distressed by
the back pain. After she was assessed by her midwife to be 1 cm dilated, I
attempted by first administration of Saline Papules, with little relief. She
went home again for a while and returned this pm, still experiencing severe
back pain that was unable to be relieved. She was again found to be
1cm.
So my questions are:
Are brow or face presentations associated
with severe back pain, as none of the op methods made any difference and her
level of pain was more akin to a late stage POP labour but with a LOL/LOA
palp.
Is there a best time to do the SWP (was 1cm to
early?), how long does the effect last? Could the poor relief following the
SWP be because of poor administration technique or not in the exact/right
position? Or was it because I only gave two injections?
Megan
