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Thank you Sue &
Andrea Q.
----- Original Message -----
Sent: Monday, November 28, 2005 11:14
AM
Subject: Re: [ozmidwifery] POP
statistics
As a part of some research I was doing ( and still haven't
written up) I think I have every article ever written on OP. Very little
research has ever been done on the subject and what has been done is on very
small numbers until Kariminia, Chamberlain, Keogh and Shea (2004) whose study
was of 2547 women. This article quotes 10-25% of all babies in early labour
are OP and 10-15% in active labour, and 6% persistant POP in second
stage.
Most of the research done has been to see whether getting the
mothers to adopt hands and knees positions daily for eg 10 minutes twice a day
reduces the incidence of OP at the onset of labour and the answer is no. The
difference in what Sutton and Scott (1996) suggest is that they encourage a
life style change and encourages the woman to adopt knees lower than
hips/pelvis tilted forward positions all the time in their daily activities.
I agree with Sue that I rarely see OP in woman who understand and
adopt this practice. I have a couple of ergonomic stools ( similar to the
rocker recommended by Sutton & Scott but without the rockers) that I lend
to women in the last weeks of pregnancy and find that with these they are so
comfy they use them all the time in preference over other seating and dont
have a problem. A lot of other midwives I know recommend to women that they
sit on balls but I find that unless the balls are big enough / inflated enough
the women are rocking away on them with their pelvis tilted back to balance
themselves. I use my balls alot in labour but use the stools
antenatally.
My pilot study was not big enough to show results and thus
I acknowledge that all recommendations to women are based on anecdotal
evidence and not research.
Andrea Quanchi
On 28/11/2005, at
9:42 AM, Janet Fraser wrote:
I'm fascinated to hear
you don't see any, Sue, because there seems to be an epidemic in the hospy
system and it's rapidly becoming an excuse to c-sec like breech. Great work
you're doing!
: )
J
----- Original
Message -----
From:
Sue Cookson
To:
ozmidwifery@acegraphics.com.au
Sent:
Sunday, November 27, 2005 10:53 PM
Subject:
Re: [ozmidwifery] POP statistics
Hi
Brenda,
Just been taught that 5% stay OP of the 10-15% that present as
OP.
NO research to support that, only texts.
Other stats suggest
that up to 20% births begin as OP - Jean Sutton's optimum positioning
info.
Hope this helps,
I haven't seen an OP in 23 years of
homebirths - pretty careful with positions in pregnancy and info to help
mums to rotate their babies prior to labour.
Sue
Information seeking...... please
ozmidders............
Does anyone have stats (or know where
to access them) on the percentage of posterior babies who rotate
during labour or whilst birthing ? Esp relevant to Mg
with SVDs previously ?
How many babies actually remain OP &
do ore don't obstruct & how many rotate & birth
spontaneously ?
Any help greatly
appreciated.
With kind regards
Brenda Manning
www.themidwife.com.au
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- Re: [ozmidwifery] POP statistics brendamanning
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