Hi Brenda
I wish those nights would happen a little more frequently!. Havent had night
like that for a very long time....
Regards
Mel
Antenatal Services Midwife
Mildura
----- Original Message -----
From: "brendamanning" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Tuesday, October 25, 2005 3:47 PM
Subject: Re: [ozmidwifery] Re: Midwifery Educators
Just an experience:
Saturday night we were with a birthing woman,Pg, spontaneous & unmedicated
labour, her baby born at 0100hrs, no oxytocic given, baby to breast,
sucking strongly, us just being' present in the moment ' of a
warm,private, safe, quiet environment (not in the bath, which is unusual
for us).
30 minutes later the cord was still pulsating strongly & rhythmically !!
But as soon as Mum reached down & put her fingers gently on it to feel for
herself it stopped, almost instantly. The tone went instantly from full,
turgid & "alive" to soft & flatly limp with her touch. Amazing! It was as
if the process was complete now that the mother was displaying she was out
of 'labour land' & back in 'function mode' to protect her infant. The
placenta spontaneously birthed 5mins later & we could cut the cord
sometime later at the parents leisure (that is out usual modis operandi) .
We just couldn't get over for how long the cord pulsated strongly post
birth, untouched, baby skin to skin with Mum, apgars 9 & 9, it's not like
he was flat & her body was giving him the extra O2 he needed ( not that we
could discern anyway ). He isn't jaundiced by 48 hours old either. Mother
RH Neg.
It may happen more often than I realise because I don't usually touch the
maternal/baby unit after birth & don't make moves to cut cords till the
placenta is out ( just because that seems right to me, it's so intrusive
to be messing with scissors & clamps or ties at that time) but I was
surprised by this continued force & vigour.
Maybe it was just my night for "open your eyes & see what's happening
right now". Those nights happen every so often don't they?
With kind regards
Brenda Manning
www.themidwife.com.au
----- Original Message -----
From: "Judy Chapman" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Tuesday, October 25, 2005 12:37 PM
Subject: Re: [ozmidwifery] Re: Midwifery Educators
They can't be too busy if they have nothing better to do than
nitpick on cord cutting like that. It has been more years than I
can remember that I have put the plastic clamp on first and only
one metal and had dad cut. Of course in emergency you do what is
best at the time, but a Policy or guideline for that?????
Cheers
Judy
--- Barbara Stokes <[EMAIL PROTECTED]> wrote:
Dear Midwives,
I have just returned from our small hospital "midwives and
doctors
breakfast meeting". This is to encourage communication. We
have 4
GP/Obs and 9 midwivies.
On discussion was a new policy for epidural-top ups: both
pethidine only
and marcain/fenytal .
Policy is now insistent on bp obs 5minutely for 30 minutes for
both
top-ups.
Other hospitals have had the pethidine only top-ups: prior
giving
top-up bp, in 5 minutes and then in 15 minutes.
Does anyone have an email address for me to contact?
Also does anyone have policy or guidelines re allowing dads to
cut cord?
This meeting has decided that no cord clamps (plastic) will be
put on
set up so the forceps are used, Dad can do a token cutting
later (?how
later) when cord clamp (plastic) is to be put on.
I was hailed down when I suggested that a well baby could be
put onto
mum and continue with the cord clamp/ dad cutting cord when
ready. If
the baby needed active resuscitation then quick transfer to
resus.
trolley would be normal procedure.
As you will have noticed our GP's only do active 3rd stage,
mothers have
never heard of physiological 3rd stage even though same
discussed at
ante-natal classes.
Thanks from a disappointed midwife,
Barbara
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