SORRY !!
No doubt.

----- Original Message ----- From: "Emily" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Friday, August 26, 2005 12:12 PM
Subject: Re: [ozmidwifery] if mother wants to be directed for pushing


yeh i realise that :)
i just thought it might have been because of the
pelvic floor being tensed up and hence tearing more
easily once the head did reach there
surely if youre fighting your intuition, youll be more
tense and tissues less flexible
?

Emily,

I don't think you could get a post vag wall lac
prior to being fully because
the head ( which does the tearing) is not on the
pelvic floor before the Cx
is fully.

Must be another explanation.

BM

----- Original Message ----- From: "Emily" <[EMAIL PROTECTED]>
To: <[email protected]>
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: [email protected]
>> 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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>
>
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