Fantastic story Andrea. As I am just starting in home birth I
love hearing these variations from hospital stuff.
Cheers
Judy
PS, bet she was pleased after the fact that you had not
immediately jumped to ring an ambulance.
--- Andrea Quanchi <[EMAIL PROTECTED]> wrote:
> Sometimes at home the women get just as despondent but the
> difference
> is that no one is going to walk through the door and under
> mine me
> and 'save' her.
> Last week I was with a women who was birthing at home after
> three
> very different and for a variety of reasons not so great
> labours..
> She had done a hypno birthing course and used the tools
> beautifully
> and was so relaxed that I was not convinced that she was
> labouring
> despite her telling me that the contractions were getting
> stronger
> they were irregular and short.. She asked me to do a VE which
> showed
> her Cx to be 75% effaced but 2 cm and quite tight. This really
>
> annoyed her and when I suggested she rest she was opposed to
> this and
> so I suggested the alternative was to get up and get active
> and send
> her uterus the message that she wanted it to get into gear
> rather
> than the message that it was obviously getting from all her
> relaxation tapes, breathing etc.
> Almost immediately she started rocking and rotating her hips
> quite
> dramatically during contractions, she was in the kitchen with
> the
> lights on as opposed to being in the bedroom in the dark where
> she
> had been before. The response was dramatic and the
> contractions
> became co ordinated and strong and within 10 min she asked her
>
> partner to run the bath. She got in there and then became
> passive
> again lying on her back and struggling with quite strong
> contractions. It was quite funny actually as after about half
> an
> hour she opened one eye and told me I needed to call an
> ambulance as
> she couldn't do this any more and needed to go to the
> hospital. ( For
> those of you who haven;t been at a home birth women at home
> often ask
> to go to the hospital in exactly the same way as women in
> hospital
> often ask to go home). She made no move to get out of the
> bath and
> so at first I just ignored her but she became more insistent
> with
> each contraction so eventually I pointed out to her that she
> couldn't
> go anywhere while she remained lying in the bath and that if
> she
> wanted to go to the hospital she needed to get out of the bath
> and
> into the car as ambulances were for emergencies and this was
> not an
> emergency. She did stand up then and get out of the bath,
> leaned
> against me for two contractions as I helped her dry herself
> and then
> I asked her did she want to have the baby in the bedroom or in
> front
> of the fire in the lounge. She just looked at me and said the
> lounge.
> So we moved there, she leaned over the ball and had the baby.
> All
> this on 90 min since the VE.
>
> Andrea Quanchi
>
> On 07/10/2006, at 12:02 AM, Lisa Barrett wrote:
>
> > Hi Sue,
> >
> > Thanks for sharing the information. Your right it is almost
>
> > impossible to avoid active intervention when birthing in the
> system
> > even with great midwives like yourself supporting. Part of
> the
> > problem appears to be the lack of belief that waiting and
> doing
> > nothing is going to work. Some multips don't have full on
> labour
> > until transition. It is possible that when the head sits
> firmly on
> > the cervix the contractions will pick up. I have not ever
> had to
> > wait 12/15 mins from birth of a head to birth of a body.
> > Physiology tells us that the uterus clamps down immediately
> after
> > birth. I don't think you'd wait another 12/15 mins for the
> uterus
> > to contract after the birth and that's if you don't do an
> active
> > third stage.
> >
> > It is not so hard to do other things when sytno drip isn't
> an
> > option and you have no-one but yourself and the woman to
> trust in
> > ( no idiot specialist in complications when your the
> specialist in
> > the normal I mean).
> > I think I have the easy job when it comes to midwifery
> because I
> > know I'm the specialist in normal and I don't answer to
> anyone on
> > that score. Politics with birthing as far out of the system
> as I
> > do is another thing altogether but in the birth space with
> women it
> > isn't an issue. I chose to work like this because it's less
>
> > waring than having to say F**k off to drs all the time.
> >
> > Lisa Barrett
> >
> >
> >
> >
>
>
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