Re: [ozmidwifery] How long before synto is used?

[diane]

Hi Kelly, I think most places differentiate between spontaneous release of the waters or artificial rupture, in regards to potential for infection and other issues. Our area policy is after SROM they can do home management after initial confirmation of SROM by speculum exam and amnicator and ferning test of the fluid (when it drys on a microscope slide, it creates a ferning pattern), they have a CTG and if head is not high they can go home for 24 hrs, return for another CTG, then home again for another 24 if they choose.   I work in a low risk unit that doesnt induce, so Im not really up on the practice at our referral hospy, but, I belive they dont really wait to put up  Synto, nor do they reduce the Synto once woman is contracting well (which is what I was taught should happen!). Maybe because ARM is an intervention, where they not only risk starting off the cascade, but they have done VE which (theoretically)increases risk of infection (any more so than a speculum???). OR maybe it is because THEY are misogynist, control freaks????   Diane. ----- Original Message ----- From: Kelly @ BellyBelly To: ozmidwifery@acegraphics.com.au Sent: Wednesday, June 14, 2006 10:48 PM Subject: [ozmidwifery] How long before synto is used? For those who work in maternity units, I am just wondering what the policy is in your unit in regards to how long a woman can continue after her waters have broken before having synto put up? There seems to be such pressure to put it up fairly quickly (after you ask to at least wait at all!), with an average of about 1 hour before the woman gets the pressure to speed things up. Best Regards, Kelly Zantey Creator, BellyBelly.com.au Gentle Solutions From Conception to Parenthood BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support