Hi Zoe,

I personally would not ARM at this point. I am not sure what kind of 'control over the head' you are referring to (as a hands off practitioner I don't actually 'do' anything). I find it very special when the baby is born in the caul (in membranes). The membranes usually break as the body is born, or you can peel them over the baby's head as it is born. The weirdest experience is a waterbirth when the baby is born in the caul. There is a moment when the baby's head is in a bag of water within water - hair swaying etc. It is lovely to just let it happen. You can tell the mother about how lucky it is meant to be to be born in the caul and how folklore says they will be protected from drowning. Midwives used to sell pieces of caul (from these lucky babies) to sailors a protection at sea. Adds another element to their 'birth story'. As a Geordie (from Newcastle in the UK), I tend to go with 'if in doubt - do nowt (nothing)'.

Rachel


From: "islips" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: [ozmidwifery] ARM at crowning
Date: Tue, 6 Jun 2006 13:43:58 +0800

Happened to see a beautiful delivery over the weekend. Womans 3rd baby came in spont labour and was the most amazingly in control person i have ever seen. very quick ( 50mins ) but no change in contractions ( 5minutely ) and no indication that birth was imminent. Managed to get knickers off - bulging membranes coming first. I was not conducting the birth and the midwife did an ARM. baby crowning at the same time . Just wondering what peoples thoughts are on leaving them intact or breaking them so you have more 'control' over the head ? As i work in private health it is not very often a woman gets this far without someone breaking them for her / or srom.
Thanks
Zoe

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