I seem to have an opinion on everything. Oh well. I do work with several Asian
midwives. They are very 'active' managers of the birthing process, and their
women seem to end up with tears frequently. Also, during my midwifery training
we cared for a lot of Asian women. They tend to push before full dilatation,
often pushing their babies out at about 7cms; You would see the cervix at the
introitus. There is a language problem, and also a cultural basis.{like not
breast feeding before the milk comes in. They will then breast feed for up to
2 years. Maureen.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Marilyn
Kleidon
Sent: Thursday, August 22, 2002 11:07 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] inverted uterus
I don't think uteruses or perineums pick the race either. However if by some
chance there really is a higher rate of uterine inversion and/or perineal
tearing in Asian women, then I think we should ask why? Too easy (not to
mention wrong) to blame it on race when it is most likely their
obstetric/midwifery care. I would hazard a guess that if there is a higher
rate then it may have something to do with language and communication with
the women in 2nd and 3rd stage. As a midwifery student I was present at a
few births where the mum did not speak or understand any english and the dad
very little either. We tried to mime gentle pushes to guide the mum but
often (not always) she would get that overwhelming urge to push and quite
literally blast her little baby out. She would consequently (I think) have
at least a small 2nd degree. I think continuity of care throughout pregnancy
and labour would go a long way to avoiding such situations in labour, at
least giving the midwife and mother time to access translation services
before hand. Marilyn
----- Original Message -----
From: "CHERYL JONES" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, August 20, 2002 9:09 AM
Subject: Re: [ozmidwifery] inverted uterus
> I don't think inverted uteruses, pick the race. I don't think a uterus
much
> cares what race you are.
> I had an experience of inverted uterus many years ago don't care for it
> again. The mother (if memory serves me well ) was her first baby. I think
it
> is due to the rush to have the placenta out more than anything else.
> Many thanks
> Cheryl.
> ----- Original Message -----
> From: "Vicki Chan" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Wednesday, August 21, 2002 12:56 PM
> Subject: RE: [ozmidwifery] inverted uterus
>
>
> > Gee whizzikers...and I thought it was more common when pulling on the
> > cord of a placenta that had not yet separated...silly me!
> >
> > -----Original Message-----
> > From: [EMAIL PROTECTED]
> > [mailto:[EMAIL PROTECTED]] On Behalf Of
> > [EMAIL PROTECTED]
> > Sent: Tuesday, August 20, 2002 1:53 AM
> > To: [EMAIL PROTECTED]
> > Subject: [ozmidwifery] inverted uterus
> >
> >
> > Hi everyone,
> >
> > I am a B. Mid student, and have just had my first amazing experience of
> > observing the birth of a baby boy.
> > The baby birthed beautifully (try saying that 3 times!), however the
> > placenta
> > was taking a long time to be delivered, and after pushing by the mum,
> > and
> > gentle pulling of the cord by the Dr (intern), the placenta began to
> > come out.
> > The MW noticed that something was wrong, called in the Dr, to confirm an
> >
> > inverted uterus protruding out the vagina with the placenta. The Dr
> > tried pushing it back up, and she (the mum) was rushed off to theatre.
> > After a long wait, we were told that the mum was going to be fine, they
> > were
> > able to push the uterus back up, and no major damage had been done.
> >
> > When consulting with the father, the intern explained what had happened,
> > and
> > said that cases of inverted uterus' were more common in women who had
> > birthed
> > `many' babies (she had 4), and also in Indonesian women, which the mum
> > was.
> >
> > I have since been trying to research similar cases, and were wondering
> > if
> > anyone had any experience or info on inverted uterus'. I was also
> > wanting to
> > confirm whether the race of the mother has any influence on the chance
> > of this
> > condition occurring.
> >
> >
> > Thanks, I look forward to your replies
> >
> > Niki
> >
> > --
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