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Hi Lisa,
The birth center
was run by Americans and bulb suctioning was I must admit a bit of a thing with
them, don't know why. (they also put Erythromycin into all the babies eyes
within one hour of birth to guard against gonorrheal conjunctivitis, apparently
this is required by law in all 50 USA states!) I only suction now if there
is mec or at resus. I did bring back a little suction pot like the one your
talking about and its in my kit so I know what you mean, looks like its meant to
be disposable, has a non return valve two tubes and holds 20 mls. The brand is
argyle, I've looked but I cant find a picture link. They must be lots
cheaper than a twin o vac.
Julie:)
----- Original Message -----
Sent: Wednesday, June 07, 2006 6:27
AM
Subject: Re: [ozmidwifery] ARM at
crowning
A twin o vac new costs around $900 and then there is the annual
cost of hiring the O2 cylinder which is relatively inexpensive.
Andrea Quanchi
On 06/06/2006, at 11:41 PM, Lisa Barrett wrote:
Hi, Julie,
I am an independent midwife and
I use bi manual suction. I have a suction tube with a little pot and
none returnable valve, I suck on end and the other goes into the baby's
mouth. I'm from Wales and this was common practice at home in the
community and in theatre where there was no wall suction. That's quite
a recent addition to some establishments. Do you know how expensive a
twinivac is!!!!!
Saying all that I hardly ever
use it. It has no foundation to be of any benefit. Born in
the Caul though I could see it may help a lot.
Lisa
----- Original Message
-----
Sent:
Tuesday, June 06, 2006 7:39 PM
Subject:
[ozmidwifery] ARM at crowning
Hi all,
I worked at a birth center in the Philippines last year where there was no
intervention in labour including ARM, most women had a srom shortly before
the birth of the head and others who had a srom early in labour often had
less than perfect fetal positioning associated with this. There was
often a rather exiting time where you hold a towel as the head is
crowning with bulging membranes at the
introitus awaiting an almighty
splash with the next contraction. We used a a bulb syringe
on these babies as they were a bit "wet" and gurgley when they came out.
The traditional birth attendants told me that they suction with their own
mouths! A few babies, maybe five percent were born in the caul,
they looked like little bank robbers with stockings over their heads.
I particularly remember one who drew the membranes into his
mouth gasping as I was frantically trying to break them with my hands. Not
surprisingly these babys seemed to have particually tough
membranes. As far as controlling the head went, I cant remember it being a
problem as hands were poised most of the time and we had fairly good
perineal outcomes.
Hope this helps,
Julie:)
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