RE: [ozmidwifery] if mother wants to be directed for pushing

[Michelle Windsor]

I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear.  About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully dilated).  I've never seen a problem with multi's who involuntarily push before being fully dilated.  My sister had an ARM at 4 cm (induced) and began pushing almost straight after and 15 mins later had a baby!  Where I work we rarely do VE's so I'm sure that lots of our mums are pushing prior to being fully and so far we haven't had any problems.

 

Cheers

Michelle

Emily <[EMAIL PROTECTED]> wrote:

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
> Beha! lf 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 painfu! l?
> Many questions again... would like to hear about
> your experience.
>
> Paivi
> Childbirth educator
>
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