Dear Helen
I was physically and verbally abused by staff in a NSW labour ward when a
baby was not born on the next contraction after the head.
It matter not what I said about there being no signs of shoulder dystocia
The woman was also physically abused in that she was turned over and had a
macRoberts manouvre done and the baby pulled out pink and Apgars 8,9.
No staff supported me nor would that discuss any thing else as valid but it
is a sign of Mild Shoulder Dystocia which is to be mark on the Birth
Noticifation forms.
It was the beginning of the end for me working hospital!!
Denise Hynd
"Let us support one another, not just in philosophy but in action, for the
sake of freedom for all women to choose exactly how and by whom, if by
anyone, our bodies will be handled."
- Linda Hes
----- Original Message -----
From: "Helen and Graham" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Sunday, July 17, 2005 4:42 PM
Subject: Re: [ozmidwifery] just a thought
This has reminded me of a very stressful incident I had a couple of years
ago. I was relieving in a busy horrible birth suite and had a woman in
2nd stage with mec. liquor. The head was born and then nothing - no
contractions for about 4 minutes. Finally a contraction came but the
woman's pushing wasn't making any progress with getting the shoulders out.
The "senior" midwife absolutely panicked me and said, hurry up and get
this baby out - you only have 5 minutes. She took over and yelled at the
woman to push as hard as she could anyway, despite the contraction
petering out. She managed to get the baby out with these efforts and
without waiting for another contraction. I was absolutely demoralised
and lost a lot of confidence in my own ability after that. I hadn't felt
like it was THAT long and can remember times in the past when it has taken
a couple of contractions after the head was born for the shoulders to come
out with no ill effects to the baby As long the foetal heart was OK - we
waited for the next contraction. There had been no other signs of foetal
distress i.e. heart beat was perfect throughout labour. (The baby
required some oxygen but was quick to recover). I also felt as though I
had failed the mother. We had built up a really good rapport throughout
the labour which was an achievement as when I first arrived she seemed
very anxious and defensive. By the time the baby was born she was a mental
wreck.
It might be worth researching this topic on the Cochrane Library website.
Also looking forward to hearing stories from the rest of the list.
Helen
----- Original Message -----
From: "Andrea Quanchi" <[EMAIL PROTECTED]>
To: "ozmidwifery" <ozmidwifery@acegraphics.com.au>
Sent: Sunday, July 17, 2005 5:26 PM
Subject: [ozmidwifery] just a thought
just recently I have been with several women at birth who have birthed
the head and then the contractions have gone walk about. Now I am a very
patient person at this time but have had one particular one where the
baby was that lovely shade of navy that they go that even made my
adrenalin levels rise (more than usual).
Last night the baby maintained a good colour but after waiting at
lesast five minutes for the next contraction it was not a very effective
one and the baby decided to do a little dance and squirm but not move
forward. The shoulders definately were not stuck I just dont think it got
the anterior shoulder onto the pubic bone to act as a fulcrom to pivot
on. I was a bit sceptical about how long it might be till the next
contraction but with encourgaement Mum was able to move a bit and use
enough effort to get her out. Of course she cried straight away but I
feel like I have another grey hair.
Question: how long is the longest people have had to wait for the next
contraction at this stage?
Andrea Q
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