Originally Posted by mother/babyRN
And again I say, "discussion" means presentation of more than one viewpoint, as has been done here....And, actually when I think about it, people do the closed glottis thing naturally but take air in in order to accomplish it. Thus, take a deep breath and bear down does not mean you have a lungful of air and push that way because the movement is as though you were attempting to move your bowels, which is exactly what the original poster described...So, we're having a non discussion or discussion on "evidence based " stuff which really is basically a difference in the way things are described vs the actual event....I will reiterate..It is all about individuality, so DayRay, if your passionate comment was directed mostly toward me ( which is fine, by the way), my "opinion" and experience coupled with each individuals specific needs simply proves your point...Passionate viewpoints are the only way a debate can actually function...Evidence based material changes periodically depending upon the evidence gatherer and method of gathering..Just like political polls and interpretations of the bible.....Perhaps we should either agree to disagree or respect that we probably in the long run, are all pretty much saying the same thing...
Hmmm?
Actually I thought I was agreeing with what you were saying. Maybe the meaning of my post didn't come across correctly.
What I meant to say was that I like to hear about other nurses professional experiences.
I was trying to say:
I thought your post about your professional experience and others like it were worth more then a link to articles written about evidence based practice or offering only the example of their own birth. I was trying to get that across without offending the people who were posting them.
But it seems that I won't be able to get away with out offending someone. So I'll just say what I was thinking:
"Birth stories and research articles are great but to convince me that open glottis is the way to go I'll have to hear it from a nurse that has been using it and seen it work more then just a few times."
Also although I didn't say it, My limited experience has shown the same as yours seems to have. As I said before I haven't had much success with open glottis pushing. Purple pushing (as I guess it is now called) seems to work well for most people and those that it doesn't work for seem to find their own way with some gentle suggestions or just telling them "ok that was a good push" when they get it right.
I'm sorry if it sounded like I was flaming you, that was not what I meant. I was actually hoping that my comments would encourage people to talk more about what they have seen working L&D (like you had) rather then talking about articles or their own birth.
I'm also not trying to argue that one method is better then the other only that I want to hear what others have learned (while working L&D).
Would you like to comment?
For my pts that have little feeling due to an epidural,who may be more quiet than my unmedicated Moms, I encourage them to blow their air out slowly through pursed lips like they are blowing up a ballon. It seems to work great for me. Some pts still hold their breath while pushing just because that is what feels right to them. And that is fine, I just try to remind them to catch their breath before they turn purple. 
