Re: [ozmidwifery] broken collar bone subsequent birth
thanks for the information regarding the gaskin manouvere i agree that is what we do i didnt realize it had a name. regards sharon. Ceri Katrina [EMAIL PROTECTED] wrote: The Gaskin is a 'midwifery' manoevure, and was pioneered by Ina May Gaskin, so not talked about (at least where I work) in conjunction with the McRoberts and Rubins etc. It is where you get the woman to go over on all fours. We have one midwife that actually believes it is the movement, rather than the all fours, she finds if the woman is semi-recumbent, then all fours is good. And if the woman is already on all fours then she gets her to flip back to semi recumbent which in most cases is all that is needed. Hope that helps. I think (?) a lot of midwives probably do this manoevure, but just did not know it had a name. Katrina On 25/06/2005, at 10:11 AM, [EMAIL PROTECTED] wrote: hi can some one enlighten me about the gaskin manoeuvre i have been taught the rubiks and the woods screw but havnt heard of the gaskin manovure. thanks sharon Janet Fraser [EMAIL PROTECTED] wrote: Can I ask, is the bone breaking manoeuvre being employed AFTER the Gaskin Manoeuvre has been unsuccessful? Thanks. J - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 25, 2005 3:52 AM Subject: RE: [ozmidwifery] broken collar bone subsequent birth Jennifer wrote: A # clavicle is not a big issue in a neonate and doesn't necessarily mean excessive force was used. The neonates bones are pliable and the # is usually a 'greenstick' or partial break or Well, I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery, even in big babies where some force has been used. MM -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: broken collar bone subsequent birth
One of the pitfalls in the birth of a large infant is urging the mother to push a little more for the chin to be birthed. I'm talking about those faces that creep over the perineum and stop with the upper lip of the baby out of the perineum and the lower lip still inside. There's something tidy about getting that face completely born BUT this is where you will get the turtlenecking effect and, it's here that the shoulders get impacted. If you wait for the next contraction and just be patient and let that chin stay inside, you'll avoid the shoulder dystocia because on the next big sensation, there will still be room above the woman's pelvis for that baby's shoulders to turn. The chin and the shoulders will roll out together. I find that, while waiting for that next push, giving the mother a big slurp of water helps to hydrate her and ,like a plant, she'll perk up for that final great heave-ho push to get the baby out. Getting the father to do some nipple stim helps, too. We always have to wonder if any manouevres actually get the baby out or whether it's just that time is passing and the fundus has some time to thicken, rally and piston down on the baby's bum while everyone is flinging the mother about. Gloria Lemay, Vancouver, BC Canada Janet Fraser wrote: http://midwiferytoday.com/enews/enews0416.asp#main Shoulder Dystocia The explanation for the success of the all-fours [Gaskin] maneuver probably lies in movement at the sacroiliac joints at term, which can result in a l-cm to 2-cm increase in the sagittal diameter of the pelvic outlet. The -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
[ozmidwifery] Re: broken collar bone subsequent birth
I think it's erroneous to describe breaking the clavicle as a "technique". It's always an accident when it happens and no one is trying to break a clavicle. Those babies are slippery, pudgy and when they're jammed in tight you have absolutely no room to flex them. I think of it like trying to break a chicken bone that is embedded in the centre of a pound of butter. When people say "Then I broke the clavicle" it sounds like it was intentional but it wasn't. I've never had one in my work either but am almost afraid to say that out loud because the karmic gods will get me within the month, if I do. Gloria Mary Murphy wrote: Jennifer wrote: A # clavicle is not a big issue in a neonate and doesn't necessarily mean excessive force was used. The neonates bones are pliable and the # is usually a 'greenstick' or partial break or Well, I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery, even in big babies where some force has been used. MM
RE: [ozmidwifery] post LUSCS analgesia
Spinal morph can result in the awful itchies and nausea. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Andrea Quanchi Sent: Saturday, 25 June 2005 10:04 AM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] post LUSCS analgesia Get your anaesthetists to look into the spinal morph becauses it does make a huge difference and seems to have no effect on the babies at all. I would say that it has no effect but dont actually know that for sure whether it crosses the barrier whereas oral oxycontin would cross into the breast milk. . Our guys put 1 mg into the spinal after the local, Andrea On 24/06/2005, at 7:20 PM, Nicole Carver wrote: I forgot to say that the oxycontin 5mg 2-4hrly is prn. There is a wide variation amongst our patients, as to how much of the prn oxycontin is given. Some manage without any at all, but most have several doses on the first day, and a couple on the second. However, reading the other responses, it does sound like a lot. Perhaps depends what was used in the spinal in theatre. We don't use morphine in theatre, so that may be the difference. We used to use Prolodone supps which we found very effective, but they were replaced by the new regime. Nicole. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Ken WArd Sent: Friday, June 24, 2005 7:02 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia seems like a lot. Coming from a unit where im analgesic was heavily used, I was greatly impressed with the voltaren/panadol regime. The women are up and about so much quicker, more alert and caring for their babies sooner. Maureen -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Nicole Carver Sent: Thursday, 23 June 2005 10:23 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] post LUSCS analgesia Hi Sally, We use Oxycontin 10mg-20mg sustained release BD, Oxycontin 5mg-10mg 2-4 hrly, Diclofenac 50mg 8 hrly and Paracetamol 6hrly. After fourty eight hours we cease the oxycontin and commence Panadeine Forte in place of the Paracetamol. However, we have to watch out for constipation. Otherwise it seems to be a good regime. Nicole Carver. -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of sally williams Sent: Wednesday, June 22, 2005 5:52 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] post LUSCS analgesia Was wondering what other units use as a pain relief regime for women that have had LUSCS. There is much angst in our unit at present, with midwives coming from lots of different hospitals used to different regimes. I am in the process of initiating a pathway for this so that we can adopt a regime that everyone is comfortable with and then putting it to the docs, references and all. Thanks in advance Sally -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] Re: broken collar bone subsequent birth
G Lemay wrote: One of the pitfalls in the birth of a large infant is urging the mother to push a little more for the chin to be birthed. I'm talking about those faces that creep over the perineum and stop with the upper lip of the baby out of the perineum and the lower lip still inside. There's something tidy about getting that face completely born BUT this is where you will get the turtlenecking effect and, it's here that the shoulders get impacted. If you wait for the next contraction and just be patient and let that chin stay inside, you'll avoid the shoulder dystocia because on the next big sensation, there will still be room above the woman's pelvis for that baby's shoulders to turn. The chin and the shoulders will roll out together. I find that, while waiting for that next push, giving the mother a big slurp of water helps to hydrate her and ,like a plant, she'll perk up for that final great heave-ho push to get the baby out. Getting the father to do some nipple stim helps, too. We always have to wonder if any manouevres actually get the baby out or whether it's just that time is passing and the fundus has some time to thicken, rally and piston down on the baby's bum while everyone is flinging the mother about. Gloria Lemay, Vancouver, BC Canada That makes so much sense, Gloria! Jo (RM) -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] broken collar bone subsequent birth
Mary I have seen several, notalways from shoulder dystocia, sometimes from that though, sometimes just a 'difficult' birth, one not so long ago was from a straight forward birth with no apparent reason. I agree that it is not a hugely serious situation and that the bubs do not suffer long-term damage, although obviously not the best! Sue "The only thing necessary for the triumph of evil is for good men to do nothing"Edmund Burke - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Saturday, June 25, 2005 1:52 AM Subject: RE: [ozmidwifery] broken collar bone subsequent birth Jennifer wrote: A # clavicle is not a big issue in a neonate and doesn't necessarily mean excessive force was used. The neonates bones are pliable and the # is usually a 'greenstick' or partial break or Well, I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery, even in big babies where some force has been used. MM No virus found in this incoming message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.8.1/28 - Release Date: 24/06/2005
RE: [ozmidwifery] broken collar bone subsequent birth
What is going on here do you think? Could position have anything to do with it? Eg. bed dystocia? Sue wrote: I have seen several, notalways from shoulder dystocia, sometimes from that though, sometimes just a 'difficult' birth, one not so long ago was from a straight forward birth with no apparent reason. I agree that it is not a hugely serious situation and that the bubs do not suffer long-term damage, although obviously not the best! Gloria wrote: . I've never had one in my work either Mary wrote: I have NEVER seen a #clavicle in 26 yrs of both hospital home midwifery,
