yes she also can see the funny side of it now. She thought I was nuts
when I asked her where she wanted to have the baby because she was
convinced she had hours to go because of her previous experiences
The whole thing is so much fun sometimes
Andrea
On 07/10/2006, at 2:08 PM, Judy Chapman wrote:
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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