I thought I'd better add that the women reflexively try to swat our hands
away, it stings very much - and their response is very automatic and
understandable. When we were learning we all practiced on each other so we
know what it feels like! We talk to the women about how it will feel. We
ask the women's partners to hold them as we do the injections, sometimes the
partners get taken by surprise by the response, even when we explain what is
likely to happen!
BTW, I'm grateful to have so many colleagues write and show interest in the
protocols, I'm overwhelmed by the response. Isn't it just wonderful that so
many midwives are out there making a difference and exploring different
ideas to help women and give women choice! What a great group of people you
are.
warmly, Carolyn
----- Original Message -----
From: "Heartlogic" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Thursday, November 23, 2006 8:53 PM
Subject: Re: [ozmidwifery] Intradermal sacral sterile water injections
Hello Andrea, thanks for your kind words.
As for the sacral water injections, we have only used them for late first
stage and second stage. So repeats haven't been an issue for us. Yes, it
does sting, but all the women, bar one, found the injections wonderful.
One of the women I saw for her three week postnatal visit and she
voluntarily told me all about the injections with great wonder. I didn't
know she had them, and when I asked her all about her experience with our
service and the birth of her baby etc, she waxed lyrical about the change
in sensation with the injections. Very interesting.
And yes, because it stings so much, two midwives give the injection at the
same time, the women would not let you do it again immediately after, they
swat your hands away - or try to. :-) I appreciate the logic with giving
them both at the same time.
The midwives at JHH have been using them in the birth centre as well. They
reckon the injections are great too. I haven't heard any feedback about
the refusal for long labours, I'll check that out and get back to you.
I'll send you the protocol from work, it's on my work computer,
warmly, Carolyn
----- Original Message -----
From: "Andrea Robertson" <[EMAIL PROTECTED]>
To: <ozmidwifery@acegraphics.com.au>
Sent: Thursday, November 23, 2006 7:06 AM
Subject: Re: [ozmidwifery] Intradermal sacral sterile water injections
Hi Carolyn,
It is so good to hear that Belmont is doing well - what a great standard
bearer for midwifery and women!
Can I ask you something about the sterile water injections? When I was
in the Colac area earlier this year doing a workshop, I was told that
although this method was brilliant at relieving the pain, especially with
posterior labours, women were often reluctant to have the injections a
second time, when the effects of the first round had worn off (it was
suggested the effect would last for 2 -3 hours). I found this
interesting, and speculated that the pain of the injections must have
been bad, for women to think that a short lived sting would be worse than
long painful contractions that often come with an OP labour.
What has been your experience with doing follow up injections, especially
during a long labour?
I was also told that it was a good idea to have two midwives do the
injections simultaneously - that way the pain was shorter (but presumably
more intense with two injections being done at the same time). Can you
shed any light on this aspect as well?
Many thanks,
Andrea
PS I would love a copy of your protocol as well, if you email it me.
At 02:00 AM 18/11/2006, you wrote:
Whilst I'm on the soapbox, I was thinking that you may be interested in
the intradermal water injections and their efficacy.
We had Janice Deocampo come to Belmont and give a seminar on the use of
this technique for women with excruciating back pain. Midwives came from
Gosford, Maitland, John Hunter and Taree. Janice presented her
information and we all practised on each other (OUCH). It feels like a
wasp sting. One of the midwives had back pain which was cured for six
hours with the injection she received that day!
It took us MONTHS to get the procedure through clinical governance.
However, it is through.
We have used the injections for about eight women since only one was not
completely successful. We have even found them fantastic for late first
stage when the backache has stopped the woman from progessing and even
second stage when women wouldn't push because the backache was too bad.
After the injections, voila - baby!
John Hunter midwives are also now using this technique too with great
success. Janice Deo Campo did a research project and the results are in
the Birth Issues Journal from CAPERS.
It is a wonderful, effective tool which may just help someone avoid an
epidural or even make birth much more manageable for those women with
excrutiating backache.
If anyone wants the protocol and information sheet, please email me at
work
<mailto:[EMAIL PROTECTED]>[EMAIL PROTECTED]
and I will send it to you.
warmly, Carolyn
Heartlogic
<http://www.heartlogic.biz>www.heartlogic.biz
Phone: +61 2 43893919
PO Box 5405 Chittaway Bay, NSW 2261
"As a single footstep will not make a path in the earth, so a single
thought will not make a pathway in the mind. To make a deep physical
path, we walk again and again. To make a deep mental path, we must think
over and over again the kind of thoughts we wish to dominate our lives"
Henry David Thoreau
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