Sally wrote about women who have "persistent posterior cervix when examined after long spurious labours who have transferred to hospital. What do others do to help women in this situation??" As Sally & I work together at times, she will not be surprised to see me write "the best we can under the circumstances." Obviously other influences such as being 42 wks preg by sure dates, vomiting, dehydration, very hot weather fear (woman &/or partner, relatives) exhaustion etc. especially if they are all present in the one woman's circumstances, play a part in decision making. Coincidentally I am just reading the chapter on "Caring for Women during the Latent phase of Labour"pp88-89, in "Midwifery: Best Practice" ed. Sara Wickham. 2003. In it, Kate Walmsley writes " over the years we have come to realise that, to help women achieve an active natural birth, we have to spend the last months of pregnancy preparing them for the latent phase of labour. As midwives we have had to learn that using very basic midwifery skills -watching, supporting and caring for women patiently throughout this difficult period- is essential to a good outcome." Would love to hear others experiences. Cheers, MM
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