oh, arent protocols cruel???? everything is wrong
for her there, Jo. As Nikki says, pushing at her own pace and in a
position that allowed gravity to help all help.IN the position you describe,
she's actually pushing uphill, with the coccyx being sat on which reduces
available space and her body and lungs are all compressed. I guess the
protocols also dictated that she must start pushing from the minute 2nd stage
begins? So she's dead exhausted when the head finally hits the peri? And has no
energy to actually slow the head down during it's exit?
I have found that slowing the head down even just
by a contraction or two helps enormously. It allows the surrounding tissues to
accomodate this sudden insult. Let the head spend more time stretching the
perineum, and let the head be just breathed out, rather than pushed
will go a long way to achieving a gentle exit. If we're exercising we
dont achieve maximum stretch the first time we try the splits. We get better
with each little effort. In a compact way this is the same with the peri. If the
women are told ( both during labour and very gently and encouragingly at the
time) they understand that it will be beneficial to them afterwards and usually
are very keen to help themselves. Heat applied to the peri and birthing in water
also help this scenario.
The stranded beetle position you describe Jo, will
be ingrained on you forever as you learn first hand the horrible effects
it has on women. I cant think of one good thing about it.
Robin
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- [ozmidwifery] Episiotomy - when to cut? JoFromOz
- Re: [ozmidwifery] Episiotomy - when to cut? Nikki Macfarlane
- Re: [ozmidwifery] Episiotomy - when to cut? JoFromOz
- Re: [ozmidwifery] Episiotomy - when to cut? Robin Moon
- Re: [ozmidwifery] Episiotomy - when to c... Denise Hynd
- Re: [ozmidwifery] Episiotomy - when to cut? Dierdre Bowman
- Re: [ozmidwifery] Episiotomy - when to cut? Judy Chapman