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.
"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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