That's right Barb...it's sometimes tempting to lock the bloody door! I too love the old 'cut an episiotomy' order as they are standing at the end of the bed (whilst directing the woman to push so much more effectively than you a mere midwife could)...serious dirty look often works with this one...or coming down with sudden onset of complete and total deafness! And this is what I mean...terrible midwife making woman suffer when the reg could have come in and dragged babe into the world with ventouse hours before...disgusting That's one good thing about nights as hopefully the said reg is somewhere sleeping like they should be and leaving the normal to us!
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of B & G Sent: Friday, 6 October 2006 4:14 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] No Contractions Why only hanging around the door. I have had them come in and push me out to then tell the mother how to push and ''look I ''saved'' them! Barb -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Lisa Gierke Sent: Friday, 6 October 2006 3:57 PM To: ozmidwifery@acegraphics.com.au Subject: RE: [ozmidwifery] No Contractions In defence of Di...she obviously works in a hospital with registrar potentially hanging around the door..Sometimes 'best practice' may need to be modified to prevent the women from ending up with an instrumental birth......or synto...or an epidural ..or even a CS!!!! The lesser of two evils. The docs are not going to tolerate a 'rest & be thankful' stage going on for hours espeically with decels in the fh!! (Yep even hospital midwives know about rest & be thankful)So lets give her a break ...and walk in her shoes for abit heh! Does anyone think the contrations may have dropped of simply because she had a big baby and she was tired? Sounds like a more likely scenario to me than theories about overloading. Lisa Hi Di, Just a point on fluids in labour - if a woman is overloaded with fluid (via a drip) her system, vasopressin (antidiuretic hormone) will kick in to stop her body being flooded with fluid. This hormone is produced from the same source as oxytocin (posterior putuitary glad). Perhaps this was why the contractions dropped off. Why not let the woman herself dictate what she was drinking? As a rough guide, about 1 cup of fluid per hour is often suggested. The ketones in her urine (unless they are alarmingly high) are a sign that her body is working well and mobilising her fat stores to give her energy etc for labour. I agree that the "rest and be thankful" stage is often misunderstood - if a woman is lucky enough to get a break, especially in a strong labour, then she should not be robbed of it! I deliberately put this stage on the new Birth Day panels that I developed for teaching about second stage, because it is often glossed over in classes and women don't know about it. It is fantastic that you are seeking answers to these questions - that's the best way to learn - from experience! Warm regards, Andrea -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
