The collarbone could have been broken by the dr pulling too hard on the baby
before the shoulder had rotated.  Rushing a birth and using excessive force
can do this.  However, I wasn't present, so it is hard to guess.  That is a
question the dr should answer for you. MM

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser
Sent: Friday, 24 June 2005 7:31 AM
To: [email protected]
Subject: Re: [ozmidwifery] broken collar bone & subsequent birth

Yes to what everyone else said :D It's still not entirely clear how the
collar bone was broken, or am I missing something?

I would add in -

* practising optimal foetal positioning for the last weeks and in labour
through upright positions thereby helping bubs into a great anterior possie.
* getting hold of the Pink Kit - I can lend by post if required as Joyous
Birth has one - so that the best possible positions for birth are apparent
and the little extras like the sit bones or hip lift manoeuvres are known by
the mama and her support people.
* bear in mind that babies will only grow as big as your body allows so
Gloria Lemay's "Pelvises I've known and loved" will be very helpful in
dispelling the Big Baby myth propogated by obstetric practices.
Incidentally, baby #1 wasn't early but right on time. Babies know their own
birthdays ;-)
* if still planning to go to hospital, don't forget that going as late as
possible reduces the number of possibly interventions, Henci Goer's article,
"Go later and avoid interventions" has great information on this.
* have support people clued in about the vital importance of upright
positions in labour, and start practicing them now. If you're lying down,
your coccyx can't pop out of the way and let a baby slide past almost
regardless of the size of the baby. Upright and open positions will give
that bubby at least 10% more room so imagine how roomy her pelvis must be to
get that beautifully sized baby through in a squashed position!
* remember that major surgery is almost never preferable to a vaginal birth
for either mothers or babies. You can't guarantee what will occur in a
caesarean that won't lead to major complications and a much longer recovery
time than anticipated. Not to mention the normal issues of grief, possible
PTSD, longterm bf problems, bonding issues, depression, the costs of formula
and counselling, you name it. And the risks to a healthy baby of a caesarean
are far greater than those of a wellsupported vaginal birth.

On a side note, I'm always intrigued that consumers will often trust a
surgeon to cut their baby out but not trust that surgeon to catch their baby
safely in a vaginal birth. Perhaps there's a logic in there I don't
understand?

I'm happy to offer specific suggestions for birth plans or any of that
stuff.
HTH,
Janet
Joyous Birth
Home Birth Forum - a world first!
http://www.joyousbirth.info/forums/

Accessing Artemis
Birth Trauma Recovery
http://health.groups.yahoo.com/group/accessingartemis
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