Hi Emily,
I don't think there is much evidence to support not doing VE's
in labour at the moment. But I guess as most midwives will tell you that
with experience you can learn to judge where the woman is at without invasive
VE's all the time (of course there are always a few surprises!!) I
You are probably right Michelle. Not a good idea to do a VE just to confirm full dilation. If they push well for ages with no progress that may be an indication but so often you see either the head or other positive signs of progressin a reasonable time so why make her uncomfortable?
Cheers
Hi Judy, I have been away for a couple of days but
would love a copy of the breast feeding video if it is still
available
Cheers Glenys
[EMAIL PROTECTED]
InterestingI work with our local homebirth midwife as a doula and we had
a client a few weeks back who never had the urge to push, baby was finally
born about 51/2 hours after full dilation. The urge never came to her, she
actively pushed towards the end - not directed by anyone...although not
i have been wondering lately about the other side of
things. i was with a woman last week who was feeling
strong urges to push and was pushing involuntarily at
the peak of each contraction from about 4cm. she only
had two VEs - 4cm and 6cm. about half an hour after
the 6cm one everyone was still
Emily,
This is quite common for lots of reasons but very often where the cervix is
at just hasn't caught up to where the body is at ie the woman looks acts
fully but is only partly dilated, her behaviour her cervical dilation
aren't congruent.
I'm not sure what the answer is but it's
Emily,
I don't think you could get a post vag wall lac prior to being fully because
the head ( which does the tearing) is not on the pelvic floor before the Cx
is fully.
Must be another explanation.
BM
- Original Message -
From: Emily [EMAIL PROTECTED]
To:
yeh i realise that :)
i just thought it might have been because of the
pelvic floor being tensed up and hence tearing more
easily once the head did reach there
surely if youre fighting your intuition, youll be more
tense and tissues less flexible
?
Emily,
I don't think you could get a post
SORRY !!
No doubt.
- Original Message -
From: Emily [EMAIL PROTECTED]
To: ozmidwifery@acegraphics.com.au
Sent: Friday, August 26, 2005 12:12 PM
Subject: Re: [ozmidwifery] if mother wants to be directed for pushing
yeh i realise that :)
i just thought it might have been because of
I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear. About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully
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