If anyone has been to captain cooks cottage in Melbourne which was
his childhood home that was transported from england you will note
that the ceilings and doors are very low. The average height of men
then was less than 5 feet. As a species humans are getting taller
with each generation. We accept that animals gestation period gets
longer as the animals get larger so why do we expect that humans
gestation period is stagnant. Naegele was right in 1838 for women in
1838 but is not relevent for women in 2006 who are on average a foot
taller than
Andrea Q
On 02/02/2006, at 1:16 AM, Vedrana Valčić wrote:
And this one:
The current due-date predictor -- Naegele's Rule -- was devised in
1838 by Franz Carl Naegele and has been used by obstetricians
around the world for more than 150 years. Naegele's Rule is based
on the belief that human gestation is 10 lunar cycles (nine months
plus seven days), not on empirical data.
http://chronicle.uchicago.edu/961107/pregnancy.shtml
Vedrana
-----Original Message-----
From: Vedrana Valčić
Sent: Wednesday, February 01, 2006 3:13 PM
To: '[email protected]'
Subject: RE: [ozmidwifery] Resounding failure of "active labour
management"
My favourite is this one:
The length of uncomplicated human gestation.
Mittendorf R, Williams MA, Berkey CS, Cotter PF.
Department of Epidemiology, Harvard School of Public Health,
Boston, Massachusetts.
By retrospective exclusion of gestations with known obstetric
complications, maternal diseases, or unreliable menstrual
histories, we found that uncomplicated, spontaneous-labor pregnancy
in private-care white mothers is longer than Naegele's rule
predicts. For primiparas, the median duration of gestation from
assumed ovulation to delivery was 274 days, significantly longer
than the predicted 266 days (P = .0003). For multiparas, the median
duration of pregnancy was 269 days, also significantly longer than
the prediction (P = .019). Moreover, the median length of pregnancy
in primiparas proved to be significantly longer than that for
multiparas (P = .0032). Thus, this study suggests that when
estimating a due date for private-care white patients, one should
count back 3 months from the first day of the last menses, then add
15 days for primiparas or 10 days for multiparas, instead of using
the common algorithm for Naegele's rule.
Vedrana
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:owner-
[EMAIL PROTECTED] On Behalf Of wump fish
Sent: Wednesday, February 01, 2006 12:55 PM
To: [email protected]
Subject: Re: [ozmidwifery] Resounding failure of "active labour
management"
Perhaps we need to get away from due dates altogether. Instead of
giving
women an edd, maybe saying that if your baby has not arrived by x
date we
can discuss various options. I agree, that when we give women a
particular
date they fix on it. As do their family and friends = lots of
pressure as
the date comes and goes. Doesn't matter how much we tell them the
38-42wk
thing - they are aiming for that 40wk due date.
From: "Janet Fraser" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: Re: [ozmidwifery] Resounding failure of "active labour
management"
Date: Wed, 1 Feb 2006 22:03:16 +1100
It really does and the overwhelming focus on the 40 week mark
means that
women are freaking out by 40+3 convinced they'll never go into
labour and
really upset and angry. There's no point saying "term is 38-42,
you're
quite ok" because they have the fear of god in them about the
mythical
40+10 which means induction.
Bloody terrible! It was so different planning a home birth and just
floating about high on endorphins knowing no one was going to
hassle me.
Too many women, ie the majority, really miss out on this.
We need that ridiculous compulsory induction before 42 weeks to
just end.
I'm so tired of giving postdates info to women at 39 weeks who are
already
being pressured by their hospital because "If you don't go into
labour by x
date we will induce you!"
Who can labour with that hanging over them?
J
----- Original Message -----
From: "Dean & Jo" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Wednesday, February 01, 2006 7:49 PM
Subject: RE: [ozmidwifery] Resounding failure of "active labour
management"
The issue faced by women when they go post dates has a huge
impact on
things. I wonder if women were to celebrate and cherish the last
few
days of being pregnant instead of feeling 'fed up' - if women did
not
hear from anyone (and usually everyone) the comment of "are you
still
here love?" or the best one:" You still here, my gawd you are
huge!" If
women were told they look beautiful, if women were given social
'approval' to be pampered; to internalize; to value the last few
days
then perhaps more women would go into labour without that
desperate fed
up notion that makes induction more appealing.
The last few weeks of a pregnancy I think are the most
challenging for
many women. We as a society need to allow them and encourage
them to
value the last few days of holding their child close. Birth
blessings,
women circles (where a group of females get together and
celebrate the
birthing women or even do something helpful like a cooking afternoon
with meals for the freezer, or housework bee to do all those
jobs that
bother expectant mums); massages; pedicures; hair appointments
WHATEVER!
Anything that says to the woman 'take your time, feel comfortable
within
yourself think positive and baby will come.'
*sigh* but instead women are fed phrases that enforce they
should be
doing something to get baby out.
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