Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX !
I have used ice on the cervix but only a couple of time. first time it helped reduce swelling but there was cpd and LSCS was eventually performed. Second time anterior lip that wasnt seeming to go down with hands and knees Mum very frustrated The ice was placed inside my glove middle finger, so the midwife gets a very cold digit for sure but the effect was amazing it was as if the swollen part of the cervix just shrank under my fingertips. Having the ice inside your gloves means you get the sensation of very cold too so this is a sensitivity thing I guess. Not common in Oz but Imet Canadian midwives and British Midwives who do this. Of course any intervention is best avoided but can be a useful tool at times, make sure you explain to woman what it is you are going to try and get her OK for it. Doesnt take long maybe a count to 60 if that. Cheers all Marijke SA Adelaide Hills
Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX !
Dear All, From what I have seen - this situation is one of the beauties/advantages of labouring in a large tub - the buoyancy and ease to be able to lessen gravity effects - appears to lessen and help with premature pushing. Though I also remember a discussion about ice on swallen Cx on Midwifery Today so there should be at least that in the archives Denise - Original Message - From: Marilyn Kleidon To: [EMAIL PROTECTED] Sent: Wednesday, March 26, 2003 4:27 PM Subject: Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! Just some info on ice: most women are not temperature sensitive in the vagina and cervix: we just don't have those particular sensory nerves there. So, all of those "sexy" movies with people putting ice in their vaginas: for most of us just hype. I always say "most" as for sure someone will feel it Then, an anterior lip is not that big just one small piece of ice held by a sensitive midwife would be sufficient with mum in hands and knees. But not too long as remember the mum will not feel ice on her cervix and so the midwife would have to be the judge. That being said, I have not done it. Personally, I don't like manipulating cervixes. Ifthe swollen cervixresolves it does so with the woman in hands and knees position resisting pushing and it is spontaneous: suddenly the baby is on view. Just a little more time is all. But, if you have had/seen success with manipulating cervixes then, I suppose you feel comfortable doing it. marilyn - Original Message - From: Laraine Hood To: [EMAIL PROTECTED] Sent: Tuesday, March 25, 2003 4:20 PM Subject: Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! I have been told about it, never actually seen it done although I was asked for ice once by another midwife for this reason, but it was not applied. My concerns were, the effect on the vaginal tissues of the ice (big enough to grasp but not too big or sharp corners as to damage vagina), the manoeuvring required to actually apply the ice ( ie fingers or fist in the vagina) to the correct area and maintain it there long enough to have any effect, the effect upon the temperature of foetalscalp fontanelle that surely must be pushing against the lip of cervix, potential for infection as with any VE to say nothing of the effect upon the mother. You'd have to make sure she knew exactly what you were doing and why and be coherent which can be tricky around transition! Maybe if a brave research oriented mw could try it on herself first and report Sorry I'm a bit busy for research at the moment. Cheers (or should it be chills ?) Laraine - Original Message - From: Robyn Borgas To: [EMAIL PROTECTED] Sent: Wednesday, March 26, 2003 5:17 AM Subject: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! Has anyone tried applying 'ice on a swollen cervix' with a LABOURING WOMAN ? Does this really work ?
Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX !
I have been told about it, never actually seen it done although I was asked for ice once by another midwife for this reason, but it was not applied. My concerns were, the effect on the vaginal tissues of the ice (big enough to grasp but not too big or sharp corners as to damage vagina), the manoeuvring required to actually apply the ice ( ie fingers or fist in the vagina) to the correct area and maintain it there long enough to have any effect, the effect upon the temperature of foetalscalp fontanelle that surely must be pushing against the lip of cervix, potential for infection as with any VE to say nothing of the effect upon the mother. You'd have to make sure she knew exactly what you were doing and why and be coherent which can be tricky around transition! Maybe if a brave research oriented mw could try it on herself first and report Sorry I'm a bit busy for research at the moment. Cheers (or should it be chills ?) Laraine - Original Message - From: Robyn Borgas To: [EMAIL PROTECTED] Sent: Wednesday, March 26, 2003 5:17 AM Subject: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! Has anyone tried applying 'ice on a swollen cervix' with a LABOURING WOMAN ? Does this really work ?
Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX !
Just some info on ice: most women are not temperature sensitive in the vagina and cervix: we just don't have those particular sensory nerves there. So, all of those "sexy" movies with people putting ice in their vaginas: for most of us just hype. I always say "most" as for sure someone will feel it Then, an anterior lip is not that big just one small piece of ice held by a sensitive midwife would be sufficient with mum in hands and knees. But not too long as remember the mum will not feel ice on her cervix and so the midwife would have to be the judge. That being said, I have not done it. Personally, I don't like manipulating cervixes. Ifthe swollen cervixresolves it does so with the woman in hands and knees position resisting pushing and it is spontaneous: suddenly the baby is on view. Just a little more time is all. But, if you have had/seen success with manipulating cervixes then, I suppose you feel comfortable doing it. marilyn - Original Message - From: Laraine Hood To: [EMAIL PROTECTED] Sent: Tuesday, March 25, 2003 4:20 PM Subject: Re: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! I have been told about it, never actually seen it done although I was asked for ice once by another midwife for this reason, but it was not applied. My concerns were, the effect on the vaginal tissues of the ice (big enough to grasp but not too big or sharp corners as to damage vagina), the manoeuvring required to actually apply the ice ( ie fingers or fist in the vagina) to the correct area and maintain it there long enough to have any effect, the effect upon the temperature of foetalscalp fontanelle that surely must be pushing against the lip of cervix, potential for infection as with any VE to say nothing of the effect upon the mother. You'd have to make sure she knew exactly what you were doing and why and be coherent which can be tricky around transition! Maybe if a brave research oriented mw could try it on herself first and report Sorry I'm a bit busy for research at the moment. Cheers (or should it be chills ?) Laraine - Original Message - From: Robyn Borgas To: [EMAIL PROTECTED] Sent: Wednesday, March 26, 2003 5:17 AM Subject: [ozmidwifery] Re: ICE ON SWOLLEN CERVIX ! Has anyone tried applying 'ice on a swollen cervix' with a LABOURING WOMAN ? Does this really work ?