Jo,
I am actually on holiday and travelling so have no references with me but there is a lot of info out there on physiological pushing as well as proper upright positioning etc. Chase up the work of Constance Benyon who wrote about physiological pushing vs the valsalver manouver in 1952.
Cheers
Judy
----- Original Message -----
From: JoFromOz To: [EMAIL PROTECTED] Sent: Wednesday, June 11, 2003 12:55 AM Subject: Re: [ozmidwifery] Episiotomy - when to cut? Hi Nikki. As most women are where I work, she was semi-sitting; she was "chin on your chest, big breath, PUSH, quick breath and push again!" style pushing; and she was not following her own urges - that would have taken too long! 3 big long pushes per contraction. Anyone pushing more than 1 hour needs intervention... Jo ----- Original Message ----- From: Nikki Macfarlane To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 8:29 PM Subject: Re: [ozmidwifery] Episiotomy - when to cut? Jo, What a frustrating situation for you, her other caregivers and of course the woman herself. Can I ask what position she was in when she was pushing. Also, how she was pushing - following her own urge with everyone following her pace or with counting, held breath and purple pushing? Nikki Macfarlane Childbirth International www.childbirthinternational.com [EMAIL PROTECTED] Distance training for the world's childbirth educators and doulas ----- Original Message ----- From: JoFromOz To: [EMAIL PROTECTED] Sent: Tuesday, June 10, 2003 7:59 PM Subject: [ozmidwifery] Episiotomy - when to cut? Hi all fellow midwives and students and all :) Looking after a woman last night who was a primigravida, term, induction for SROM, not in labour. RMO needed birth experience, so he did the catching. He did not cut an episiotomy, and nor would I have, but this woman ended up with horrible tears, in all directions, almost to the clitoris on both sides. We were 'scolded' by the consultant for not doing an episiotomy.Get mobile Hotmail. Click here -- This mailing list is sponsored by ACE Graphics. Visit
