I supported a woman a few months back who had a SROM but no labour for a
day or two. She was a birth centre mum but didn’t tell me or them abut
the ROM. We went in and they said she would have to birth in labour
ward now as it had been 48 hours. This wonderful gorgeous first time
mum said "I wil
iI had an induction with my second baby ( post dates and GDM ). My
private obs only induces at night as he feels women labour better at this
time. He did an ARM at 7.30pm and said he would see me in the morning if
nothing happened. We had also negotiated a midwife delivery ( regardless of
if
The woman I supported Tuesday had cholestasis and was given only 2-3 hours
before the pressure was too great! I am sure if she was given at least 6
hours like yourself and was not hounded that her labour would have been more
established - she was progressing. But they kept sending more and more
doc
Amy your story is truly appalling and also totally normal in the system. How
anyone can "refuse" your requests is disgusting! EFM does NOT save lives, it
just increases c-sec rates. How about birthing with evidence based care at
home if you have another baby? As Diana Korte says, if you don't want
"I ended up switching it off myself-to her utter bewilderment."
YAY! Amy, I wish more women would know enough to exercise their choice.
Shame about the midwife though, process focussed rather than woman centred?
"I don't know, am I an eternal cynic?"
The sad fact is that this cynicism (from whi
This is really pertinent thread for us mothers on the list...it seems an
issue about which there are no clear guidelines which makes it really hard
for women who are attempting to be in charge of their own labors. They
don't even know what sort of time frame they will have in which to relax
into
They did a swab just before ARM but also said that it takes 2 days for the
cultures to grow.
Best Regards,
Kelly Zantey
Creator, BellyBelly.com.au
Gentle Solutions From Conception to Parenthood
BellyBelly Birth Support - http://www.bellybelly.com.au/birth-support
-Original Message-
Fro
We swab on SROM assessment as we dont routinely swab, but unless confirmed
positive wont start IVAB until 18 hrs. Confirmed GBS aren't considered to be
candidates for home management.
Di
- Original Message -
From: "Kelly @ BellyBelly" <[EMAIL PROTECTED]>
To:
Sent: Thursday, June 15, 2
Repeat C-Sections Raise Risk of Maternal Morbidity
Reuters Health Information 2006. © 2006 Reuters Ltd.
NEW YORK (Reuters Health) May 31 - As the number of repeat c-sections
increases, so does the risk of bowel injury, ICU admission, and other
maternal complications, according to a report in t
We wait up to 96 hours. If a woman rings with
?pre-labour SROM, we ask them to attend the unit for confirmation, either by
history (checking pads) or spec if it looks inconclusive. We do an abdo palp,
CTG then send her home with antibiotics to be commenced 18 hours after ROM. We
ask to atten
Oh mum didn't have strep b swap done (they forgot to do it) so they wanted
her to be on ab's too as policy assumed she was positive. She ended up
saying no after they sent in a barrage of people trying to tell her to have
ab's.
Best Regards,
Kelly Zantey
Creator, BellyBelly.com.au
Gentle Solutio
We sometimes have some confusion over whether the women should have oral
AB's cover if they are on home management of SROM. The policy doesnt call
for it, but some doctor's recommend this. When in established labour and
membranes are broken for more than 18hrs, then IV AB's are used. I guess
t
Interesting you mention that bit about PPH Brenda, they estimated a 600ml
loss but had to do horrifically painful things to her after the birth as she
was trickling and they finally found a few small pea-sized (from memory)
clots on the cervix, which they said would keep bleeding if they didn't get
"The UK's NICE guidelines inherited from the UK's Royal College of Obs and
Gynea suggest that it is fine to leave pre-labour rupture of membranes up to
96 hours before induction of labour - "
This is the policy at Rosebud.
If doing ARM for IOL then waiting 4 hours is common & reducing the synto o
Heheheh J I was actually quite
surprised that for the very first time, at this last birth at the Mercy in Melbourne, they did turn
down the drip when asked – mum coped so much better and the word epidural
wasn’t yelled out again after that! They started it at 40 (that was a
very ‘mini’ dose
Hi Kelly,
I think most places differentiate between
spontaneous release of the waters or artificial rupture, in regards to potential
for infection and other issues. Our area policy is after SROM they can do home
management after initial confirmation of SROM by speculum exam and amnicator and
How frustrating then, that of the births I
have been to, when there has been an ARM to induce labour, mum gets pressure
for the drip after an hour, then they keep coming back in at periodic intervals
of 30mins-1hr with more pressure for synto! It’s a fight to keep them
away! So would it be
The UK’s
NICE guidelines inherited from the UK’s Royal College of Obs and
Gynea suggest that it is fine to leave pre-labour rupture of membranes up to 96
hours before induction of labour – see http://www.nice.org.uk/page.aspx?o=17381
Debbie Slater
Perth, WA
From:
owner-
Kelly In the maternity unit I worked in Northern Ireland we tend to leave women at term who had spontaneous rupture of members up to 48 hours to see if they go into labour before intervening Women who have their members artifically ruptured as part of the induction of labour procedure tend to
They like to have a baby within 24 hours of #
membranes so will augment with synto within 12 hours usually, although a lot
depends upon the time of day and acuity i.e. reluctant to start synto at night
due to smallish unit and lack of on site theatre staff/anaesthetists etc at
night. Also if
For those who work in maternity units, I am just wondering what
the policy is in your unit in regards to how long a woman can continue after
her waters have broken before having synto put up? There seems to be such
pressure to put it up fairly quickly (after you ask to at least wait at all!
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