There is no time frame discussed all the question states is that after examination it was fourn that the woman has a degree of cervical dystocia and what are the practical steps that the midwife can take to ease the discomfort of this condition.
Regards Dot -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nikki Macfarlane Sent: Monday, 8 August 2005 3:56 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Cervical dystocia The definitions you have found for cervical dystocia are interesting Dorothy. Cervical dystocia just means that the cervix has stopped dilating. The explanation of dystocia that you came across assumes that no period of waiting would make any difference. Dystocia is a pretty random assessment. Within what time frame does the midwife make the prognosis that cervix has stopped dilating? What if it stops for an hour? Or two hours? Or five hours? What if she just waits? I woudl say the most imprtant thing is to determine the well being of the mother and baby. If the mother is comfortable with a wait appraoch, and the baby is not showing any signs of distress, why does any action need to be taken? OIf the baby is rotating into a better position for delivery then slowing down of cervial progress is pretty common. If the mother is happy, and the baby is happy, then why not just sit it out? Why does the midwife need to intervene in any way whatsoever? Just because the chart says the motehr is not progressing to time, so what? I woudl say this is the time that the midwife begins asking what the mother wants and where and how she is most comfortable. Taking any action just because she is not progressing as per a chart is no different that any other form of obstetric active management. Nikki Macfarlane www.childbirthinternational.com ----- Original Message ----- From: "Dorothy Thomas" <[EMAIL PROTECTED]> To: "[EMAIL PROTECTED] Com. Au" <ozmidwifery@acegraphics.com.au> Sent: Monday, August 08, 2005 1:32 AM Subject: [ozmidwifery] Cervical dystocia >I have a queation as a student midwife, I have a case study that asks the > question if a woman has a degree of cervical dystocia in internal > examination what practical steps could the midwife take to ease the > discomfort from this, the definitions I found for cervical dystocia all > say > that normal delivery is not able to be achieved and this necesitates > ceasarian section. I can't seem to find any thing on comfort measures. I > would condider may be placing the women on her side to stop pressue on the > cx. But can't seem to think of anything else. Any suggestions would be > greatly appreciated. > > Regards > > > Dorothy Thomas > PO Box 1616 > Mount Isa Qld 4825 > Ph: 0747436750 (home) > Ph: 0403404538 (mobile) > E-mail: [EMAIL PROTECTED] > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
