With regard to Mary's comment. We had a primi birth in water a couple of days ago, 4375 gm and peri intact, just a messy labial tear I tacked together. No direction for the pushing or not pushing at all, just moving as she wished (actually, I did tell her to keep her bum IN the water, not go in and out) Cheers Judh
--- Mary Murphy <[EMAIL PROTECTED]> wrote: > Not so clear cut. On the whole it means not directed, as many > of the women > I care for are on their knees in a water tub and I cant see > their perineum. > I talk about this during their pregnancy and try to remind > them to go > gently. I find that women who are free to move their body as > they choose > (water is great for this) are able to be in touch with what > they need to do. > Does this mean hundreds of intact perineums? No. It means > that sometimes > there is a tear and sometimes not. A hard question to get the > right answer. > MM > > > > _____ > > A little off-topic when you dont do directed pushing you do > not tell a > woman when to push, but do you tell her when not to push? Or > another way to > put it does directed pushing only include telling a woman > when to push, or > telling her when not to push as well? > > > > Vedrana > > > > _____ > > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of > Mary Murphy > Sent: Monday, October 02, 2006 4:59 AM > To: ozmidwifery@acegraphics.com.au > Subject: RE: [ozmidwifery] intact peri > > > > Hi Paivi, I cannot give you statistics of homebirth as I do > not have > immediate access to them. I will see if we have any stats on > our service > that I can access. Just in general, the main way to protect > the perineum is > not to tell the woman to push, but to allow her to use her > natural open > glottis pushing, an keep hands off. At home we do not do > directed pushing. > I cannot speak for birth centres, but their philosophy is much > the same. > Each midwife does different things, but it is not usual to use > compresses or > perineal massage during birth. Is that what you have found > Jan? I wouldnt > put too much weight on the Bastian research as not all of us > completed her > surveys. I personally have done 3 episiotomies in 24 yrs, but > would do one > if I thought necessary. Hospital midwives will have to answer > the one about > epidurals. MM > > > > _____ > > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of > Päivi > Sent: Monday, 2 October 2006 4:54 AM > To: ozmidwifery@acegraphics.com.au > Subject: [ozmidwifery] intact peri > > > > Hi all, > > > > I am writing an article on episiotomy. I need to know what is > the % of > intact perineum among homemidwifes or birth centres? This is > when the mother > is having a natural birth. > > > > Does this change if the mother has an epidural and is having > the baby in a > hospital? What I mean is that how much can the hospital > midwife do to save > the perineum if the mother has opted for epidural? Is it still > mainly to do > with the skills of the midwife? Or is it a harder job with a > medicated mom? > > > > Do you all practise hot compresses, perineal massage with oil > (during birth) > / perineal support? > > > > What is the % of intact peri in a waterbirth? > > > > Many questions... Thank you for any ideas or comments. > > > > Päivi > > ____________________________________________________ On Yahoo!7 New Idea: Catch up on all the latest celebrity gossip http://www.newidea.com.au -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
