A little off-topic – when you don’t
do directed pushing you do not tell a woman when to push, but do you tell her
when not to push? Or another way to
put it – does directed pushing only include telling a woman when to push,
or telling her when not to push as well? Vedrana From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Mary Murphy Hi Paivi, I cannot give you statistics of
homebirth as I do not have immediate access to them. I will see if we have any
stats on our service that I can access. Just in general, the main way to
protect the perineum is not to tell the woman to push, but to allow her to use
her natural open glottis pushing, an keep hands off. At home we do not do
directed pushing. I cannot speak for birth centres, but their philosophy
is much the same. Each midwife does different things, but it is not usual
to use compresses or perineal massage during birth. Is that what you have
found Jan? I wouldn’t put too much weight on the Bastian research
as not all of us completed her surveys. I personally have done 3 episiotomies
in 24 yrs, but would do one if I thought necessary. Hospital midwives
will have to answer the one about epidurals. MM From: Hi all, I am writing an article on episiotomy. I need to know what
is the % of intact perineum among homemidwifes or birth centres? This is when
the mother is having a natural birth. Does this change if the mother has an epidural and is having
the baby in a hospital? What I mean is that how much can the hospital midwife
do to save the perineum if the mother has opted for epidural? Is it still
mainly to do with the skills of the midwife? Or is it a harder job with a
medicated mom? Do you all practise hot compresses, perineal massage with
oil (during birth) / perineal support? What is the % of intact peri in a waterbirth? Many questions... Thank you for any ideas or comments. Päivi |
- [ozmidwifery] intact peri Päivi
- Re: [ozmidwifery] intact peri Jan Robinson
- RE: [ozmidwifery] intact peri Mary Murphy
- Re: [ozmidwifery] intact peri Jan Robinson
- Re: [ozmidwifery] intact peri suzi and brett
- RE: [ozmidwifery] intact peri Vedrana Valčić
- RE: [ozmidwifery] intact peri Mary Murphy
- RE: [ozmidwifery] intact peri Cheryl LHK
- RE: [ozmidwifery] intact peri Judy Chapman
- Re: [ozmidwifery] intact peri Michelle Windsor