Re: [ozmidwifery] face presentation

2005-06-07 Thread Nikki Macfarlane



Perhaps mechanical delivery is not possible, but 
certainly a mother birthing a baby herself is possible even when the baby is 
presenting face first. There was an excellent photo diary on the web last year 
but was removed after a few weeks. I had printed off the photos and they are 
just beautiful. I guess when a person calls a birth a mechanical delivery they 
are not going to see many things that happen as nature intended, or is that just 
my bias?

Nikki Macfarlane
www.childbirthinternational.com 



Re: [ozmidwifery] face presentation

2005-06-07 Thread Janet Fraser



I don't know what mechanically 
delivered means unless they mean using instruments. However the radmid site has 
great links to stories and pics of face presentations.
J



RE: [ozmidwifery] face presentation

2005-06-07 Thread Nicole Carver



Hi 
Emily,
I 
believe mento anterior or chin facing mum's pubic bone can birth vaginally. 
Mento posterior the babe can't come around the curve of the pelvis. 
Theoretically, at least!
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of 
  EmilySent: Tuesday, June 07, 2005 3:31 PMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] face 
  presentation
  
  
hi
im really sorry that i think this has been discussed not to long ago but 
i had a frustrating incident with a collegue today who told me very 
confidently that 'face presentations cannot mechanically be 
delivered.' i told her i was quite sure it wasnt impossible as i had 
seen one but she said something like 'no they cant. you might like to think 
they can but they cant.' 
i have sent her a photo diary of one little chubby face presenting and 
birthing without a problem but would like some references or comments from 
others especially if someone has seen one.
thanks so much
emily
  
  
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Re: [ozmidwifery] face presentation

2005-06-07 Thread Emily
what she meant by mechanically was that she thought the babes actually couldnt be born vaginally ie mechanically impossible to fit out ! not referring to instrumental delivery
she thought categorically that face presentation was an absolute indication for caesar/forceps. 

yes it seems people who talk of delivering women and babies really do seem to do that. i wonder how much difference it would take if this language was changed? just simple things like people often say 'im going to deliver a baby' rather than 'im going to help a woman birth/deliver her baby.' simplewords that would presumably make women feel much more incontrol and important inthe whole process, rather than a bystander who is 'delivered'

here is that photo diary 
http://www.birthdiaries.com/diary/face.htm
Janet Fraser [EMAIL PROTECTED] wrote:




I don't know what mechanically delivered means unless they mean using instruments. However the radmid site has great links to stories and pics of face presentations.
J

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RE: [ozmidwifery] face presentation

2005-06-07 Thread Mary Murphy








Hi Emily, I have a client who, back home
in Wales
3 years ago, delivered a 3.8kg face presentation on the bed while everyone was
running around organizing a C/S. Scared the life out of her husband who wasnt
expecting a bruised, swollen faced baby to appear. The baby had no problems
other than being unable to attach on the breast for a few days due to his
swollen lips. Cheers, MM











From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Emily
Sent: Tuesday, 7 June 2005 2:37 PM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery] face
presentation







what she meant by mechanically was that she thought the babes actually
couldnt be born vaginally ie mechanically impossible to fit out ! not referring
to instrumental delivery





she thought categorically that face presentation was an absolute
indication for caesar/forceps. 











yes it seems people who talk of delivering women and babies really do
seem to do that. i wonder how much difference it would take if this language
was changed? just simple things like people often say 'im going to deliver a
baby' rather than 'im going to help a woman birth/deliver her baby.'
simplewords that would presumably make women feel much more
incontrol and important inthe whole process, rather than a
bystander who is 'delivered'











here is that photo diary 





http://www.birthdiaries.com/diary/face.htm







Janet Fraser
[EMAIL PROTECTED] wrote:







I don't know
what mechanically delivered means unless they mean using instruments. However
the radmid site has great links to stories and pics of face presentations.





J

















Discover Yahoo!
Have fun online with music videos, cool games, IM  more. Check
it out!








RE: [ozmidwifery] face presentation

2005-06-07 Thread swilliams14
This reminds me of a beautiful baby who presented face first at home after 
lying in an oblique position antenatally. Took me by surprise but it was one of 
the easiest births I have seen. Definately had a bruised and swollen face but 
it disappeared in a matter of hours, with only residula bruising around the 
mouth.

Sally

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Re: [ozmidwifery] face presentation

2005-06-07 Thread Sue Cookson

Hi,
I helped a woman give birth some time ago to a baby born face first. I 
remember flipping though the 'textbook in my brain' until I came to chin 
to pubes. By then of course baby had presented exactly that way and born 
normally. 2nd degree tear as head flexed through the peri, but apart 
from that, no problems.
I have been taught that if the face presents the other way, ie face to 
anus, then the head can't flex under the pubis.

Hope this helps,
Sue


hi

im really sorry that i think this has been discussed not to long
ago but i had a frustrating incident with a collegue today who
told me very confidently that 'face presentations cannot
mechanically be delivered.'  i told her i was quite sure it wasnt
impossible as i had seen one but she said something like 'no they
cant. you might like to think they can but they cant.'

i have sent her a photo diary of one little chubby face presenting
and birthing without a problem but would like some references or
comments from others especially if someone has seen one.

thanks so much

emily


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Re: [ozmidwifery] face presentation

2005-06-07 Thread Susan Cudlipp



Seen several, delivered a few, the last one was a 
primip with an OP position which converted to a face in 2nd stage (I remember 
the long ago tutorials on mechanisms of labour and conversion to face is one 
possible outcome of persistent OP) This primip delivered well with just a small 
vaginal graze. If mento-anterior, they can deliver vaginally, 
mento-posterior will not go around the curve. So tell your colleague she needs 
to revise her mechanisms!
We had a face presentation at work yesterday (I was 
not there) but the baby was 4770kg and it still came out!
Sue
"The only thing necessary for the triumph of evil is for good men to do 
nothing"Edmund Burke

  - Original Message - 
  From: 
  Emily 
  
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, June 07, 2005 1:30 
PM
  Subject: [ozmidwifery] face 
  presentation
  
  
  
hi
im really sorry that i think this has been discussed not to long ago but 
i had a frustrating incident with a collegue today who told me very 
confidently that 'face presentations cannot mechanically be 
delivered.' i told her i was quite sure it wasnt impossible as i had 
seen one but she said something like 'no they cant. you might like to think 
they can but they cant.' 
i have sent her a photo diary of one little chubby face presenting and 
birthing without a problem but would like some references or comments from 
others especially if someone has seen one.
thanks so much
emily
  
  
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Re: [ozmidwifery] face presentation

2005-06-07 Thread Marilyn Kleidon



a face presentation cannotbirth when the 
mentum or chin is posterior, unless of course the baby rotates so that the 
mentum is anterior then depending on the sacrum of the woman, the baby can birth 
vaginally. It just depends how firmly the baby is in a mentum posterior 
position.

marilyn

  - Original Message - 
  From: 
  Nikki 
  Macfarlane 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Monday, June 06, 2005 11:03 
PM
  Subject: Re: [ozmidwifery] face 
  presentation
  
  Perhaps mechanical delivery is not possible, but 
  certainly a mother birthing a baby herself is possible even when the baby is 
  presenting face first. There was an excellent photo diary on the web last year 
  but was removed after a few weeks. I had printed off the photos and they are 
  just beautiful. I guess when a person calls a birth a mechanical delivery they 
  are not going to see many things that happen as nature intended, or is that 
  just my bias?
  
  Nikki Macfarlane
  www.childbirthinternational.com 
  


Re: [ozmidwifery] face presentation

2005-06-07 Thread Susan Cudlipp



Having just read the other posts on this - after my 
reply - I think somepeople are confusing 'mechanical delivery' 
(presumably meaning instrumental) with 'mechanisms of labour'. Mechanisms refer 
to the nature of the passage of the baby through the pelvis, and were taught 
extensively in my student days. They do help one to understand just what 
is happening with regard to descent, rotation, and advancement of the baby and 
are different with each type of presentation, OA, OP, breech, face, brow 
etc.
We were taught that mento-posterior absolutely 
cannot deliver vaginally, but I'm sure a few have managed to get through, small 
baby in a generous sized pelvis. It would be a difficult vaginal birth 
though and few would attempt it given a choice. Mento-anterior though is 
really no harder than OA, but the dimension of the head as it flexes upwards and 
sweeps the perineum, would be larger than 'normal' and we were taught it was an 
absolute indication for an episiotomy - that was a while ago and I know better 
now.
The birth I refered to was quite delightful, and as 
the baby had only extended her head to a face presentation at the last minute, 
she was not excessively bruised. some I have seen have very severe facial 
swelling/bruising due to 'forwards' moulding of the face.
Actually, I did not know this girl, having just 
taken over her care when she suddenly started to push - when I saw two little 
lips appearing, for a moment I thought it was an undiagnosed breech (labia). 
When I saw the little nose I was much relieved!
Regards, Sue
PS
just home from late shift and had a lovely birth of 
baby complete in membranes!
"The only thing necessary for the triumph of evil is for good men to do 
nothing"Edmund Burke

  - Original Message - 
  From: 
  Emily 
  
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, June 07, 2005 2:36 
PM
  Subject: Re: [ozmidwifery] face 
  presentation
  
  what she meant by mechanically was that she thought the babes actually 
  couldnt be born vaginally ie mechanically impossible to fit out ! not 
  referring to instrumental delivery
  she thought categorically that face presentation was an absolute 
  indication for caesar/forceps. 
  
  yes it seems people who talk of delivering women and babies really do 
  seem to do that. i wonder how much difference it would take if this language 
  was changed? just simple things like people often say 'im going to deliver a 
  baby' rather than 'im going to help a woman birth/deliver her baby.' 
  simplewords that would presumably make women feel much more 
  incontrol and important inthe whole process, rather than a 
  bystander who is 'delivered'
  
  here is that photo diary 
  http://www.birthdiaries.com/diary/face.htm
  Janet Fraser [EMAIL PROTECTED] 
  wrote:
  



I don't know what 
mechanically delivered means unless they mean using instruments. However the 
radmid site has great links to stories and pics of face 
presentations.
J

  
  
  Discover Yahoo!Have fun online with music videos, cool games, IM  
  more. Check 
  it out!
  
  

  No virus found in this incoming message.Checked by AVG 
  Anti-Virus.Version: 7.0.323 / Virus Database: 267.6.4 - Release Date: 
  6/06/2005


[ozmidwifery] face presentation

2005-06-06 Thread Emily


hi
im really sorry that i think this has been discussed not to long ago but i had a frustrating incident with a collegue today who told me very confidently that 'face presentations cannot mechanically be delivered.' i told her i was quite sure it wasnt impossible as i had seen one but she said something like 'no they cant. you might like to think they can but they cant.' 
i have sent her a photo diary of one little chubby face presenting and birthing without a problem but would like some references or comments from others especially if someone has seen one.
thanks so much
emily
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[ozmidwifery] face presentation

2003-12-13 Thread Kirsten Blacker



If anatomical anomalies in mother and baby are 
excluded, what are the chances of face presentation re-occurring in a second, 
full term pregnancy?

Kirsten Blacker



Re: [ozmidwifery] face presentation

2003-12-13 Thread Lynne Staff



Pretty remote, I would have to say, as face 
presentation is a rare occurrence anyway, and this woman does not have an 
anatomical reason for it and neither does the babe. However, Mother Nature 
surprises us sometimes! 

  - Original Message - 
  From: 
  Kirsten Blacker 
  To: ozmid 
  Sent: Saturday, December 13, 2003 9:06 
  PM
  Subject: [ozmidwifery] face 
  presentation
  
  If anatomical anomalies in mother and baby are 
  excluded, what are the chances of face presentation re-occurring in a second, 
  full term pregnancy?
  
  Kirsten Blacker
  


Re: [ozmidwifery] face presentation

2003-12-13 Thread Marilyn Kleidon



I have heard of it happening twice to a woman who 
was in CA for the first baby and Oregon for the second. While no abnormality was 
diagnosed in the woman, the first baby has some neuromuscular 
disorder/impairment ( though no intellectual impairment). There was some thought 
that a prolonged second stage which ended in a c/s, was responsible for this 
condition but when the second baby settled into a face presentation quite early 
in the third trimester (dx by u/s)this has been reconsidered. The last plans I 
heard were some eighteem months ago and the mother was planning an elective c/s. 
Don't know the final outcome. All other face presentations I have been aware of 
have been one off situations.

marilyn

  - Original Message - 
  From: 
  Kirsten Blacker 
  To: ozmid 
  Sent: Saturday, December 13, 2003 3:06 
  AM
  Subject: [ozmidwifery] face 
  presentation
  
  If anatomical anomalies in mother and baby are 
  excluded, what are the chances of face presentation re-occurring in a second, 
  full term pregnancy?
  
  Kirsten Blacker