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Me too - many times - it's pretty cool to watch
them spin round on the peri huh?
Sue
----- Original Message -----
Sent: Thursday, June 22, 2006 4:38
PM
Subject: RE: [ozmidwifery] Manual
rotation
I
have seen OP's rotate once on the peri and vaginal dilation present. It was
fascinating to see, the saggituial suture rotating 180
Hi Astra
I have used this in the past having been shown
it by (even) older midwives, but not for many years. I had mixed
success with it, there's no doubt that it can help on occasions, as with all
these "old skills" some situations require a bit extra and if a midwife is
alone she needs to use all the skills known to her (or him - sorry). I
have not had a situation in which to think of it for a very long time.
OP's mostly rotate after full dilation and when they begin to descend, so
trying to rotate them prior to that or when they are still high, seems
pointless now. It seems to me to be part of the old "you are fully now
so let's get you pushing" scenario which I no longer practice. Physiological
pushing when the woman feels the urge will accomplish rotation in most
instances. If a woman is pushing as directed by her own sensations and has a
baby in OP it will often take a long time to bring the baby into view
because she is pushing him around gently - I rarely see a persistent OP
these days, don't know when I last caught or saw a 'face to pubes'
bub.
=I witnessed a digital rotation, or manual
rotation of the baby of a woman in late first stage of labour, and a cascade
of issues followed.=
Did this incident cause some adverse
outcomes?
Regards, Sue
----- Original Message -----
Sent: Tuesday, June 20, 2006 6:31
PM
Subject: [ozmidwifery] Manual
rotation
Hi eveyone, I am a first year Bmid student
who has recently joined the list, and have been getting a lot out of
reading the posts on various subjects. Now I'm wanting to ask advice on an
issue that I have been trying to resolve since early on in my clinical
experience. Without going into the whole story, I witnessed a digital
rotation, or manual rotation of the baby of a woman in late first stage of
labour, and a cascade of issues followed. In debriefing with my lecturers
at uni, I was told this is not good or safe practice at any time. I then
witnessed the same midwife perform this procedure again a few weeks later.
Debriefing with a clinical educater, I was told it is an 'old skill', and
certain very experienced midwives still practice it. Then my clinical
supervisor refuted this and said it is dangerous and has no place in
midwifery practice.This is a very brief summary of these conversations,
but I hope you get the gist. Anyway, I was happy with this, until I read
in Mayes Midwifery the other day that this procedure can be used to help
turn a posterior baby!! I am completely confused! Safe, or not? Evidence
based, or not? I would really appreciate any light cast on this subject...
and just in case no one knows what I mean by digital rotation (if this is
not the common term for it) It is the midwife using her fingers internally
to sort of hook the baby's head (cervix fully dilated I guess, or close to
it) and turn it into a more optimal position, using her own strength and
accompanied by the woman actively pushing. I just want to also say that I
know this is not something that should be occuring in any normal
straightforward birth, but what other information or experience to you
have,
warm regards, Astra
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