Thanks for this Gloria, It makes things a lot clearer. Cheers Judy --- G Lemay <[EMAIL PROTECTED]> wrote:
> > There ARE some important things with breech. This is where > your anatomy > and physiology of the newborn is very important. > Understanding the > circulatory system of the baby, the way the bones in the head > fold over > each other and the concept of creating an airway are some > important > considerations. The main rule is "HANDS OFF", however, that > is not all > there is to it. With breech births it's important to have a > period of 45 > mins from the time the woman feels like pushing till when she > actively > pushes, in order to prevent the head being caught on an > undilated > cervix. Once the baby is born to the umbilicus, you have 7 > mins to > complete the birth. You want to avoid rushed handling but you > also > don't want to sit there like a lump. The baby can be provoked > to draw > breath or shoot his/her arms above the head by meddlesome > handling. The > body hanging (and I especially like the all 4's position for > this) is > Nature's way of bringing the back hairline to the introitus of > the > vulva. Sometimes, even without stim. the arms will be up and > it's > important to turn the babe's hips using a cloth and not > touching the > delicate organs in the belly (you can rupture organs with your > pointy > little fingers when the baby's abdomen is engorged and your > adrenal is > running) so that the shoulders are antero-post diameter in the > pelvis, > then reaching in and gently sweeping them down. sometimes > this requires > a second demi rotation for the second arm. Once the babe's > hairline is > visible, then, it's important NOT to let the crown of the head > "POP". > Popping can result in a fatal tear to the cerebral > tentorum---a drumlike > membrane over the brain. So, at this point, you reach a > finger in, get > the baby's lower jaw and gently pull the mouth and nose into > sight. > Once there, the mother is told "Stop all pushing." Then she > can stay > like this for a very long time and all is well. You want her > to easy, > easy, easy get the top of the head born so there is no "pop" > and you > know you have an airway to that baby. > > One of the guidelines that Michel Odent stresses is to watch > the first > stage to tell you how the second stage will go with a breech. > If you > have a smooth, progressive first stage, the second stage will > follow > that way. If you're having a breech birth where the progress > gets hung > up or stuck and the butt doesn't come down to the vulva on its > own, you > want to consider cesarean as a safer option. > Gloria > > Vedrana Valèiæ wrote: > > > Thank you, Gloria. In this article, it is said again that > nothing must > > be done except flexing the head at the end and putting the > woman in > > hands and knees position (or any position she feels right, > I > > suppose?). Is there more to it than I'm getting. Because if > there > > isn't, it sounds really simple to me. Do not interfere, > just like in > > other kinds of births. > > > > > > > > Vedrana > > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or > unsubscribe. > Send instant messages to your online friends http://au.messenger.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
