Re: [ozmidwifery] umbilical cord

2005-07-02 Thread [EMAIL PROTECTED]
 as the hospital where i work practices active management of third stage of 
labour which is controlled cord traction and syntocion with the birth of the 
anterior shoulder.
 Lindsay  Yvette [EMAIL PROTECTED] wrote: 
 I wonder if it started off as a twin pregnancy.
 

 
Was there some reason the placenta could not be left to come out on it's 
 
own?
 

 
Yvette
 
(not a midwife, just pg with twins  mother of 3)
 

 

 
- Original Message - 
 
From: [EMAIL PROTECTED]
 
To: ozmidwifery@acegraphics.com.au
 
Sent: Friday, July 01, 2005 9:50 AM
 
Subject: [ozmidwifery] umbilical cord
 

 

 

 

 
 hello,
 
 i was with a birthing woman yesterday and wanted to share this with the 
 
 list and to get everyones feelings on the matter.after waiting for signs 
 
 of seperation of the placenta after the birth and following syntocinon iv 
 
 i commenced controlled cord traction. After a feeling a little resistance 
 
 i then stopped and waited a further few mins. When i re commenced 
 
 controlled cord traction the cord came off in my hand ( much to my horror) 
 
 this they did not teach in uni. as new graduate in a large hospital i 
 
 asked a senior midwife for help so she tried to manually removed the 
 
 placenta. The Registrar was then called and she managed to remove  the 
 
 placenta from the uterus.  im told this is quite common what baffles me is 
 
 when i examined the placenta there were two holes in it not one. the 
 
 senior midwife could not explain this to me at all and was baffled also.
 
 regards  sharon
 
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Re: [ozmidwifery] umbilical cord

2005-07-02 Thread Justine Caines
Yvette

As a guesstimate I would say this is the practice of 90-95% of births, most
women have no clue their is even an option.  It would seem the evidence re
active management of 3rd stage is dodgy as the loss is not measured outside
the birthing area and I believe that administering syntocinon on
presentation of the anterior shoulder asks for trouble (zealous yanking and
cords snapping not to mention the whole disturbance of natural oxytocin (the
love drug) and the mother love and bond), but hey welcome to modern
obstetrics!

JC



  as the hospital where i work practices active management of third stage of
 labour which is controlled cord traction and syntocion with the birth of the
 anterior shoulder.
  Lindsay  Yvette [EMAIL PROTECTED] wrote:
 I wonder if it started off as a twin pregnancy.
 
 
 
 Was there some reason the placenta could not be left to come out on it's
 
 own?
 
 
 
 Yvette
 
 (not a midwife, just pg with twins  mother of 3)
 


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Re: [ozmidwifery] umbilical cord

2005-07-02 Thread Pinky McKay
cord broke as my third baby was passed to me as she was born, midwife (in 
NZ) simply said - let her suck (at the breast) and we'll se what happens.


About half an hour or so later placenta came out with a contraction (I wasnt 
watching the clock so maybe my timing is off but it was a while -I was 
falling in love with my baby) - no stress, no force, no problems.


PLacenta was scarred with barely a mark where cord had been attached -I had 
bled quite a bit (up to 28 weeks) during this pregnancy but baby was a 
healthy 9 pounder.


Pinky
- Original Message - 
From: [EMAIL PROTECTED]

To: ozmidwifery@acegraphics.com.au
Sent: Saturday, July 02, 2005 7:24 PM
Subject: RE: [ozmidwifery] umbilical cord



thanks for that,
at the institution where i work you give synt at the birth of the anterior 
shoulder, as per protocol. and no i had never been entertained with the 
stories of cord snapping while being delivered. i now have first hand 
knowledge though.

ps lady is ok  and there were no mishaps.
 Ken WArd [EMAIL PROTECTED] wrote:
Second hole could have been caused by someone poking their finger in 
while trying to deliver it.. There is no need to rush the placenta out if 
the cord snaps. Provided there are no signs of haemorrhage i.e. bleeding, 
fundus rising, bp falling, pulse quickening.  The placenta will separate 
and the action of the uterus will move it down. The synto will delay this 
action as the uterus contracts and traps it. I never like to give synto 
before the birth of the placenta, if at all, usually only at the mother's 
request.


I am surprised you didn't learn about cords snapping, or at least been 
entertained with stories of this happening.   Maureen



-Original Message-



From: [EMAIL PROTECTED]



[mailto:[EMAIL PROTECTED] Behalf Of



[EMAIL PROTECTED]



Sent: Friday, 1 July 2005 9:51 AM



To: ozmidwifery@acegraphics.com.au



Subject: [ozmidwifery] umbilical cord



















hello,


i was with a birthing woman yesterday and wanted to share this with the 
list and to get everyones feelings on the matter.after waiting for signs 
of seperation of the placenta after the birth and following syntocinon iv 
i commenced controlled cord traction. After a feeling a little resistance 
i then stopped and waited a further few mins. When i re commenced 
controlled cord traction the cord came off in my hand ( much to my horror) 
this they did not teach in uni. as new graduate in a large hospital i 
asked a senior midwife for help so she tried to manually removed the 
placenta. The Registrar was then called and she managed to remove  the 
placenta from the uterus.  im told this is quite common what baffles me is 
when i examined the placenta there were two holes in it not one. the 
senior midwife could not explain this to me at all and was baffled also.



regards  sharon



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Visit http://www.acegraphics.com.au to subscribe or unsubscribe.











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Visit http://www.acegraphics.com.au to subscribe or unsubscribe. 


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