I remember two labours which stand out in particular - both primigravidas. One given 2mg prostins at 36/40 for PIH - hard contractions began immediately - one on top of the other (cervix on insertion posterior long and closed). Dr went off not expecting anything to happen, and often when women have PIH, they labour fast, as if they know that the babe (placenta) needs to be born to keep them (all) safe. I took her to the birthing room within 15 mins of prostins being inserted - into bath and within 2 hrs she was feeling the babe move down and gave birth in the next 1/2 hr - remember this was her first labour.
The other woman was term - IOL for large babe, but this woman is also tall - gorgeous and statuesque. Same situation - 2 mg prostin, cx long, posterior, firm and closed. 3 1/2 hrs later I literally 'caught' a 12 lb 3 oz baby boy, as she stood up. Huge PPH afterwards. Not a wonderful beginning to motherhood and life on the outside for this little (not-so-little) one. These women did NOT want a short labour and rapid birth the next time! Imagine what this medication offering shorter labour would have meant for these women and their infants - I shudder to think! Totally awful labour and birth  - so fast that they literally did not know what was happening, or perhaps an inverted uterus? Ruptured uterus?
 
Bizarre how these (new drugs) are seen as advances, and it never ceases to amaze me at how persistent the efforts are to improve on something which is already pretty amazing and works just fine (or else the world would not be so populated, and we would have died out as a race long ago). What IS it about labour and birth that scientists just have to keep on trying to change it! Smacks of the Maleus Maleficarium (sorry, don't know the spelling, but that book that the witchburners used to classify who were witches and why, and then they meted out punishment to those they saw as interfering with God's will), only the boots seem to be on different feet and the ones hanging or burning just might be the women this time..... 
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Robin Moon
Sent: Sunday, 17 November 2002 10:08 AM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Fw: [MCNSW] more interventions for labour!

it's about 3 hours I notice. They dont like it shorter than 3 hours. somehow they feel robbed of the experience, like it was over before they had a chance to really get into it.
----- Original Message -----
Sent: Sunday, November 17, 2002 9:44 AM
Subject: RE: [ozmidwifery] Fw: [MCNSW] more interventions for labour!

I have seen many women who have experienced short labours (including protin labours) who are completely overwhelmed both physically and emotionally from the expereince, and I am not talking about the overwhelming experience of birth either....they shake and are in a stse of shock. It is often difficult for them to integrate what has happened and later, many of them ask for a longer labour and gentler birth next time.  It's like their minds and bodies can't catch up with the other.
[Lynne Staff]  -----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]On Behalf Of Rhonda
Sent: Saturday, 16 November 2002 4:40 PM
To: [EMAIL PROTECTED]
Subject: Re: [ozmidwifery] Fw: [MCNSW] more interventions for labour!

 
 "speeded up with prostaglandin gels or synthetic hormones"  Hmm- OR synthetic - which supports the pig semen theory.  (sorry!)
 
And my concern in what about moulding?  Doesn't a lot of moulding happen as far as the mothers body, hips and pelvis etc.
 
I know a girl who had a really short labour but then went into shock.
 
Rhonda
 
 
 
-------Original Message-------
 
Date: Saturday, November 16, 2002 13:27:41
Subject: [ozmidwifery] Fw: [MCNSW] more interventions for labour!
 
 
----- Original Message -----
Sent: Friday, November 15, 2002 8:08 AM
Subject: [MCNSW] more interventions for labour!

a proposed drug to reduce the time of first labour to 2-3 hours by softening the collagen in the cervix! The scientists reckon it doesn't hurt more, (but then again they might have been blokes :-)).
Website listed below.

Love Kate

PS What about all those women who were already going to have quick births??


 http://www.ivenus.com/family/news/LC-notebook1-wk40.asp

less labour?
If only childbirth weren't such hard work. it may soon get easier, thanks to a new drug.

The move is on to shorten childbirth via a new drug that is due to be tested later this year, according to a report in the New Scientist.

The theory is that a shorter labour should be less painful and require less intervention on the part of doctors. The average time that most first-time mums spend in labour is around 18 hours, and while this can be speeded up with prostaglandin gels or synthetic hormones, these drugs can make labour unbearably painful and may make women feel the urge to push before the cervix is fully opened. This in itself can lead to complications.

The new drug, developed and patented by Britain's Medical Research Council, may cut the average labour down to only two or three hours. Most of the long, painful hours of labour are spent as the cervix slowly opens from tightly closed to 10 centimetres.

Many women feel they have been in labour forever and rush into the hospital expecting to deliver instantly only to be told they are just two or three centimetres dilated! For most women (although there are those who have quick births), dilation of the cervix is a slow process. The new drug, however, is designed to speed up this process by softening the collagen in the cervix. It is likely to be administered either through gel, cream, microcapsules or injection, although as yet it is not known what form it will take. So far it has only been tested on monkeys. In these cases, the Scottish firm Ardana Bioscience, which has the licence for the new drug, reports it worked very effectively.

By Marianne Hartigan


Maternity Coalition NSW
www.maternitycoalition.org.au

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