Re: [ozmidwifery] labour without vaginal examens

[Helen and Graham]

I think it is important to also add that the risks of repeated vaginal examinations are increased in the presence of ruptured membranes(for obvious reasons).   Helen ----- Original Message ----- From: Janet Fraser To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 11:36 AM Subject: Re: [ozmidwifery] labour without vaginal examens http://www.radmid.demon.co.uk/Evidence.htm Quote: . Vaginal Examinations Practice Recommendations • Many women find vaginal examinations painful and sometimes traumatic (Menage 1996); sensitivity to this issue, privacy and continuity of midwife will make them less so. • Vaginal examinations measure of the progress of labour imprecisely when performed by different examiners (Clement 1994). Where possible therefore, they should be carried out by the same midwife. • Examinations should not be routine or prescriptive but carried out only where there is clinical necessity and after discussion with the woman. • Midwives should give weight to their other skills in determining the progress of labour (McKay and Roberts 1990). • "Repeated vaginal examinations are an invasive intervention of as yet unproven value" (Enkin 1992). ----- Original Message ----- From: Lieve Huybrechts To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 11:32 AM Subject: RE: [ozmidwifery] labour without vaginal examens I would be glad to have them, thank you very much Lieve   Lieve Huybrechts vroedvrouw 0477740853   -----Oorspronkelijk bericht----- Van: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Namens Janet Fraser Verzonden: woensdag 1 maart 2006 0:47 Aan: ozmidwifery@acegraphics.com.au Onderwerp: Re: [ozmidwifery] labour without vaginal examens   Hi Lieve, I don't know if this will help but there are a number of studies into why VEs are not helpful. Would you like those? : ) Janet ----- Original Message ----- From: Lieve Huybrechts To: ozmidwifery@acegraphics.com.au Sent: Wednesday, March 01, 2006 9:23 AM Subject: [ozmidwifery] labour without vaginal examens   Dear friends,    A Flemish collegue asked for referenties to follow labour and birth without vaginal exams. Is there some literature about it? I am curieus for your answers   Warm greetings Lieve   Lieve Huybrechts vroedvrouw 0477740853   __________ NOD32 1.1421 (20060228) Information __________ This message was checked by NOD32 antivirus system. http://www.eset.com