great! thats what i was hoping. i would have hated to
find out that i needed to tell mums to ignore their
feelings. do you know if theres any evidence to back
this up b/c where im at at the moment they always do a
VE before 'allowing' mum to push haha how sad

love emily

--- Michelle Windsor <[EMAIL PROTECTED]>
wrote:

> 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 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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