I did my postgrad training last year and throughout the whole year and up
till now i have only ever seen 1 'trial of forceps' once upstairs prepped
for theatre which ended up proceeding to caesarian anyway. I am at a large
teaching hospital and it is very rare to see them used, vacuums   are
extremely common unfortunately. A lot of our women just seem to give up and
refuse to push during second stage, even without an epidural, i think
sometimes this is exzasperated by many midwives 'encouraging' active
pushing. Even though i have read many books on natural birth and know the
theory behind instinctive birthing it is very hard to get the courage to go
against the flow, especially when you are still learning so much and
everyone thinks their way is the best. Refards, Liz.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Mary Murphy
Sent: Wednesday, 31 May 2006 7:31 PM
To: ozmidwifery@acegraphics.com.au
Subject: RE: [ozmidwifery] Keillands Deliveries


I recently was present where a ventouse was used to turn a baby from POP,
asynclitic position.  It was very difficult, with extreme force and a very
"generous" episiotomy. The baby was extremely shocked and had a head like a
bowl of port wine jelly.  It stayed 6 days under the Bili lights with high
levels of jaundice.I believe that this was the ideal situation to use a
Keillands for rotation and descent.  Wriggley's was usually used to "lift
out" the baby. This ventouse delivery has led to anguish and exhaustion for
the mother, breast feeding interruption and confusion, formula feeding and a
lack of connectedness with the baby.  I haven't seen anyone use a Keillands
or wriggly's for a long time. M
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