RE: [ozmidwifery] if mother wants to be directed for pushing
Hi Emily, I don't think there is much evidence to support not doing VE's in labour at the moment. But I guess as most midwives will tell you that with experience you can learn to judge where the woman is at without invasive VE's all the time (of course there are always a few surprises!!) I find that the pigmentation which travels up their bottom crease as they dilate is a good indicator, as well as listening to their sounds, the things they say and their behaviour. If they were pushing and there were no signs of descent after a time then I probably would do a VE. I think the worst part of doing one to confirm that a woman is fully (apart from the discomfort to the woman) is that then the whole time factors comes into play. eg. in some hospitals they only "allow" 45 mins for a primip to push and 30 mins for a multi. So by avoiding VE's or putting them off you can buy some time for the woman. Cheers Michelle [EMAIL PROTECTED] 08/26/05 03:07pm great! thats what i was hoping. i would have hated tofind out that i needed to tell mums to ignore theirfeelings. do you know if theres any evidence to backthis up b/c where im at at the moment they always do aVE before 'allowing' mum to push haha how sadlove emily--- Michelle Windsor [EMAIL PROTECTED]wrote: I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear. About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully dilated). I've never seen a problem with multi's who involuntarily push before being fully dilated. My sister had an ARM at 4 cm (induced) and began pushing almost straight after and 15 mins later had a baby! Where I work we rarely do VE's so I'm sure that lots of our mums are pushing prior to being fully and so far we haven't had any problems. Cheers Michelle Emily [EMAIL PROTECTED] wrote: i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes.Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Pivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again,Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was justwondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours
RE: [ozmidwifery] if mother wants to be directed for pushing
You are probably right Michelle. Not a good idea to do a VE just to confirm full dilation. If they push well for ages with no progress that may be an indication but so often you see either the head or other positive signs of progressin a reasonable time so why make her uncomfortable? Cheers JudyMichelle Windsor [EMAIL PROTECTED] wrote: I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear. About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully dilated). I've never seen a problem with multi's who involuntarily push before being fully dilated. My sister had an ARM at 4 cm (induced) and began pushing almost straight after and 15 mins later had a baby! Where I work we rarely do VE's so I'm sure that lots of our mums are pushing prior to being fully and so far we haven't had any problems. Cheers MichelleEmily [EMAIL PROTECTED] wrote: i have been wondering lately about the other side ofthings. i was with a woman last week who was feelingstrong urges to push and was pushing involuntarily atthe peak of each contraction from about 4cm. she onlyhad two VEs - 4cm and 6cm. about half an hour afterthe 6cm one everyone was still talking her throughbreathing through the contractions and trying not topush. she had been doing a lot of poo so i checked herto clean her up again and there i see half a littlehead sitting on her peri. the poor poor lady stilltrying not to push through that.i feel awful that she never got to go with her urges.so what is the alternative? should women go with whattheir body tells them to do if that means pushing waybefore they're fully? she sustained quite a badposterior vaginal wall tear as well - would this berelated at all to! ! pushing before full dilation?love to hear your opinions because i really did feelbad for this poor lady having to fight her urges. shehad so much faith in everyone..((anyway after all that she was very satisfied withher birth, had 8 of her family including hergrandfather with her and a lovely baby girl.))love emily--- jo <[EMAIL PROTECTED]>wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Beha! ! lf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following! ! your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low "birthing stool". The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more pa! infu! l? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. __Do You Yahoo!?Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Do you Yahoo!?Messenger 7.0: Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them! Send instant messages to your online friends http://au.messenger.yahoo.com
Re: [ozmidwifery] if mother wants to be directed for pushing
Hi Judy, I have been away for a couple of days but would love a copy of the breast feeding video if it is still available Cheers Glenys [EMAIL PROTECTED]
RE: [ozmidwifery] if mother wants to be directed for pushing
InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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.
RE: [ozmidwifery] if mother wants to be directed for pushing
i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo [EMAIL PROTECTED] wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
Re: [ozmidwifery] if mother wants to be directed for pushing
Emily, This is quite common for lots of reasons but very often where the cervix is at just hasn't caught up to where the body is at ie the woman looks acts fully but is only partly dilated, her behaviour her cervical dilation aren't congruent. I'm not sure what the answer is but it's common enough. The birth is almost always fast when the MW gets the picture just soothes her through the contractions. There are multiple theories, I don't get them all, most involve the MW instructing the lady to : move, change position, pant, breathe, don't pant, blow,walk, sit, knee chest,lie left, lie right, stand up..you get the picture. Attributed to: posterior pres'n, grandmultis, lowheads, big pelvis, small pelvis, big baby, small baby, breech baby Seen but not understood BM - Original Message - From: Emily [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, August 26, 2005 11:08 AM Subject: RE: [ozmidwifery] if mother wants to be directed for pushing i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo [EMAIL PROTECTED] wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- 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.
Re: [ozmidwifery] if mother wants to be directed for pushing
Emily, I don't think you could get a post vag wall lac prior to being fully because the head ( which does the tearing) is not on the pelvic floor before the Cx is fully. Must be another explanation. BM - Original Message - From: Emily [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, August 26, 2005 11:08 AM Subject: RE: [ozmidwifery] if mother wants to be directed for pushing i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo [EMAIL PROTECTED] wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- 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.
Re: [ozmidwifery] if mother wants to be directed for pushing
yeh i realise that :) i just thought it might have been because of the pelvic floor being tensed up and hence tearing more easily once the head did reach there surely if youre fighting your intuition, youll be more tense and tissues less flexible ? Emily, I don't think you could get a post vag wall lac prior to being fully because the head ( which does the tearing) is not on the pelvic floor before the Cx is fully. Must be another explanation. BM - Original Message - From: Emily [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, August 26, 2005 11:08 AM Subject: RE: [ozmidwifery] if mother wants to be directed for pushing i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo [EMAIL PROTECTED] wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- 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. __ Do you Yahoo!? Yahoo! Mail - Find what you need with new
Re: [ozmidwifery] if mother wants to be directed for pushing
SORRY !! No doubt. - Original Message - From: Emily [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, August 26, 2005 12:12 PM Subject: Re: [ozmidwifery] if mother wants to be directed for pushing yeh i realise that :) i just thought it might have been because of the pelvic floor being tensed up and hence tearing more easily once the head did reach there surely if youre fighting your intuition, youll be more tense and tissues less flexible ? Emily, I don't think you could get a post vag wall lac prior to being fully because the head ( which does the tearing) is not on the pelvic floor before the Cx is fully. Must be another explanation. BM - Original Message - From: Emily [EMAIL PROTECTED] To: ozmidwifery@acegraphics.com.au Sent: Friday, August 26, 2005 11:08 AM Subject: RE: [ozmidwifery] if mother wants to be directed for pushing i have been wondering lately about the other side of things. i was with a woman last week who was feeling strong urges to push and was pushing involuntarily at the peak of each contraction from about 4cm. she only had two VEs - 4cm and 6cm. about half an hour after the 6cm one everyone was still talking her through breathing through the contractions and trying not to push. she had been doing a lot of poo so i checked her to clean her up again and there i see half a little head sitting on her peri. the poor poor lady still trying not to push through that. i feel awful that she never got to go with her urges. so what is the alternative? should women go with what their body tells them to do if that means pushing way before they're fully? she sustained quite a bad posterior vaginal wall tear as well - would this be related at all to pushing before full dilation? love to hear your opinions because i really did feel bad for this poor lady having to fight her urges. she had so much faith in everyone.. ((anyway after all that she was very satisfied with her birth, had 8 of her family including her grandfather with her and a lovely baby girl.)) love emily --- jo [EMAIL PROTECTED] wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low birthing stool. The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painful? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- 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. __ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -- 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. __ Do you Yahoo!? Yahoo! Mail
RE: [ozmidwifery] if mother wants to be directed for pushing
I guess the big fear associated with pushing before the woman is fully is that the cervix will either swell up (and then take longer to dilate) or tear. About the only time I've seen swelling of the cervix is when women are directed to push by staff who have been mistaken in their VE (ie not fully dilated). I've never seen a problem with multi's who involuntarily push before being fully dilated. My sister had an ARM at 4 cm (induced) and began pushing almost straight after and 15 mins later had a baby! Where I work we rarely do VE's so I'm sure that lots of our mums are pushing prior to being fully and so far we haven't had any problems. Cheers MichelleEmily [EMAIL PROTECTED] wrote: i have been wondering lately about the other side ofthings. i was with a woman last week who was feelingstrong urges to push and was pushing involuntarily atthe peak of each contraction from about 4cm. she onlyhad two VEs - 4cm and 6cm. about half an hour afterthe 6cm one everyone was still talking her throughbreathing through the contractions and trying not topush. she had been doing a lot of poo so i checked herto clean her up again and there i see half a littlehead sitting on her peri. the poor poor lady stilltrying not to push through that.i feel awful that she never got to go with her urges.so what is the alternative? should women go with whattheir body tells them to do if that means pushing waybefore they're fully? she sustained quite a badposterior vaginal wall tear as well - would this berelated at all to! pushing before full dilation?love to hear your opinions because i really did feelbad for this poor lady having to fight her urges. shehad so much faith in everyone..((anyway after all that she was very satisfied withher birth, had 8 of her family including hergrandfather with her and a lovely baby girl.))love emily--- jo <[EMAIL PROTECTED]>wrote: InterestingI work with our local homebirth midwife as a doula and we had a client a few weeks back who never had the urge to push, baby was finally born about 51/2 hours after full dilation. The urge never came to her, she actively pushed towards the end - not directed by anyone...although not naturally occurring pushes. Jo Hunter -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Beha! lf Of Päivi Sent: Thursday, 25 August 2005 7:31 AM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] if mother wants to be directed for pushing Hi again, Like I told you earlier, I have just started a childbirth education program. One of my students just gave birth and had a quick and straight forward unmedicated 1st stage, but ended up pushing for 1.45minutes. She said she had no idea, what she had to do and told very clearly to the midwife to direct her for pushing. I had promised to be her doula if she felt she needed me, but since it all went so quickly, she never called me. I was just wondering how I would have reacted to the situation if I was there, since during the training we emphasized spontanious pushing, waiting for the urge to push and following! your own feelings. I noticed there was discussion about pushing here a week ago and I read the wonderful artickle by Gloria Lemay too. But what if the mom wants to be directed? Do you ever direct a woman in 2nd stage and if so, how? The bag of waters was broken in the end of transition and water was green. She was also given syntocin 40 minutes after she started pushing, because the contractions were getting less powerful... She said she never felt a real urge to push. She was pushing on all-fours and on the low "birthing stool". The baby was average size. Do you find, that not all women get the powerful urge to push, or is it just a matter of waiting enaugh? In my own two births I never found the pushing very painful, but was not given syntocin either. Does the syntocin make the 2nd stage more painfu! l? Many questions again... would like to hear about your experience. Paivi Childbirth educator -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. -- This mailing list is sponsored by ACE Graphics. Visit to subscribe or unsubscribe. __Do You Yahoo!?Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com --This mailing list is sponsored by ACE Graphics.Visit to subscribe or unsubscribe. Do you Yahoo!? Messenger 7.0: Make free PC-to-PC calls to your friends overseas. You could win a holiday to see them!
