Emily,
This is quite common for lots of reasons but very often where the cervix is
at just hasn't caught up to where the body is at ie the woman looks & acts
fully but is only partly dilated, her behaviour & her cervical dilation
aren't congruent.
I'm not sure what the answer is but it's common enough. The birth is almost
always fast when the MW gets the picture & just soothes her through the
contractions.
There are multiple theories, I don't get them all, most involve the MW
instructing the lady to : move, change position, pant, breathe, don't pant,
blow,walk, sit, knee chest,lie left, lie right, stand
up......................you get the picture.
Attributed to: posterior pres'n, grandmultis, "low"heads, big pelvis, small
pelvis, big baby, small baby, breech baby................
Seen but not understood !!!!
BM
----- Original Message -----
From: "Emily" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Friday, August 26, 2005 11:08 AM
Subject: RE: [ozmidwifery] if mother wants to be directed for pushing
i have been wondering lately about the other side of
things. i was with a woman last week who was feeling
strong urges to push and was pushing involuntarily at
the peak of each contraction from about 4cm. she only
had two VEs - 4cm and 6cm. about half an hour after
the 6cm one everyone was still talking her through
breathing through the contractions and trying not to
push. she had been doing a lot of poo so i checked her
to clean her up again and there i see half a little
head sitting on her peri. the poor poor lady still
trying not to push through that.
i feel awful that she never got to go with her urges.
so what is the alternative? should women go with what
their body tells them to do if that means pushing way
before they're fully? she sustained quite a bad
posterior vaginal wall tear as well - would this be
related at all to pushing before full dilation?
love to hear your opinions because i really did feel
bad for this poor lady having to fight her urges. she
had so much faith in everyone..
((anyway after all that she was very satisfied with
her birth, had 8 of her family including her
grandfather with her and a lovely baby girl.))
love emily
--- jo <[EMAIL PROTECTED]> wrote:
Interesting....I work with our local homebirth
midwife as a doula and we had
a client a few weeks back who never had the urge to
push, baby was finally
born about 51/2 hours after full dilation. The urge
never came to her, she
actively pushed towards the end - not directed by
anyone...although not
naturally occurring pushes.
Jo Hunter
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Päivi
Sent: Thursday, 25 August 2005 7:31 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] if mother wants to be
directed for pushing
Hi again,
Like I told you earlier, I have just started a
childbirth education program.
One of my students just gave birth and had a quick
and straight forward
unmedicated 1st stage, but ended up pushing for
1.45minutes. She said she
had no idea, what she had to do and told very
clearly to the midwife to
direct her for pushing. I had promised to be her
doula if she felt she
needed me, but since it all went so quickly, she
never called me. I was just
wondering how I would have reacted to the situation
if I was there, since
during the training we emphasized spontanious
pushing, waiting for the urge
to push and following your own feelings. I noticed
there was discussion
about pushing here a week ago and I read the
wonderful artickle by Gloria
Lemay too. But what if the mom wants to be directed?
Do you ever direct a
woman in 2nd stage and if so, how?
The bag of waters was broken in the end of
transition and water was green.
She was also given syntocin 40 minutes after she
started pushing, because
the contractions were getting less powerful... She
said she never felt a
real urge to push. She was pushing on all-fours and
on the low "birthing
stool". The baby was average size. Do you find, that
not all women get the
powerful urge to push, or is it just a matter of
waiting enaugh?
In my own two births I never found the pushing very
painful, but was not
given syntocin either. Does the syntocin make the
2nd stage more painful?
Many questions again... would like to hear about
your experience.
Paivi
Childbirth educator
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