Do YOU do this? Castile soap or astroglide - page 2

i think this is funny...several years ago, doc walks in on another nurse and myself doing our darndest to help a patient push. she had been pushing on her side, her back, in ever conceivable ( no pun... Read More

  1. by   mark_LD_RN
    not exactly the same thing natlieboo. we are mainly talking about making room in the birth canal and perineum to facilitate birth of the baby.

    in reference to the lip you are talking about that is the cervix, and i generally try to wait for it to go away on its own.to decrease risk of cervical damage and swelling. it is painful with out an epidural, but it is done at times.

    well hope this helps you out some.
    Last edit by mark_LD_RN on Aug 14, '02
  2. by   mother/babyRN
    Exactly. Thanks Mark. Once you feel an edematous cervix, you surely don't wish it on another patient. Right, Mark and other OB friends?
  3. by   mark_LD_RN
    thats for sure! i worked wit h a doc once that would have patients start pushing at 7 - 8 cm, i asked about sweeling of cervix he said" that is ridiculous . where did i hear such a thing?"

    well i have personally witnessed it on several occassions. and that is why i like to let it go away on its own. i also try to let patient only push when they get the urge. as i find this to be the most effective.

    i have on occasion gently encouraged a cervix to dilate a little but that is about as far as i take it. i prefer to let nature takes its course.

    anyone else have an opinion on this topic? lets hear it.
  4. by   mother/babyRN
    We believe in pasive descent, whether or not a doc does or not. I tell patients with the urge to push prior to being fully, to do some square breathing ( breathe in to the count of 4, hold for 4, exhale to the count of 4 and hold for 4) and let their bodies do what it needs to do, just don't lean in to it until you absolutely cannot stop. If someone is able to tell me they can't hold back, then they can. I am talking about that grunt we have all heard and love. I sometimes will gently focus their face towards mine and breath and blow ( with uc) with them.....The body is a marvelous thing. This approach helps people relax and realize it. With an epidural on board, as long as the fh and mom are ok, we don't encourage people to attempt pushing simply because they are fully. Until they actually feel some pressure and an urge, we let them sleep, talk or hang out until they feel something. Thats our approach to passive descent,. now generally beina accepted by the docs who have begrudginly had to accept that it means less tearing, episiotomis, fatugue, vacuums and c/sections....God for us!
  5. by   SmilingBluEyes
    Push thru a 7-8 cm cervix? let me tell the one and only time i saw this ..... the doctor told a patient to push HARD. I was freaking. Blood was everywhere. Two doctors pulled; one with a vacuum, the other had forceps. Oh yes, this really happened, friends!

    The baby was massively bruised facially. The patient's cervix LACERATED and BLED OUT MADLY. She bled out more than anyone I ever saw. It was like a PP hemorrhage but her ute was hard as a rock and 2 below the U. All this was UNNECESSARY to me. I was a first year nurse but I documented VERY carefully to cover my a** ! This poor lady went to OR to have her cervix repaired surgically while her baby languished in our nursery with a black and blue face. What a graphic 1st year lesson for me--- More importantly, what an awful birth for her. OH NO HELL NO, no way would I encourage a person to push past a 7 or 8 cm cervix....huh UH!!!!!!!!!

    Now a PAPER thin ant lip or rim? perhaps! I tell em push gently to see what it will do...<ONCE> If it does not budge I tell to STOP NOW and wait. AND YES I DO EXPLAIN (in not very graphic terms) why so they are more likely to cooperate.
    Last edit by SmilingBluEyes on Aug 14, '02
  6. by   BugRN
    Oh you guys, all this L/D talk is making me want to go back there!!! Cervix, ant. lip, rim, pushing........Ok, Ok, I'm thinking about why I left it, I'm Ok now, back to clinic nursing....... 9-5, no weekends...... It's Ok, I'm fine.... Oh but thanks for the L/D rush!!
    It really gets in your blood doesn't it?
  7. by   anitame
    We use hot packs and sterile mineral oil.
    MotherBaby, thanks for the square breathing thing. I'll have to try that, I've never heard of it before but it makes sense. And yes, I too LOVE that grunt. I love love love L & D (ok, MOST nights!)
  8. by   mother/babyRN
    I think it IS in the blood....Thats why we do ok when we float to the ER...(Never know what is coming) and why I have not yet been able to figure out why THEY are so "afraid" or should I say, leery, of maternity patients.......
  9. by   HazeK
    I teasingly call it Goose Grease....we use a slippery liquid soap

    .........OR..........

    we use WD-40:
    Operand-brand, Betadine Scrub,
    a very slippery, slightly thickened soapy betadine scrub solution.

    KY jelly just isn't as good....
    astroglide...Hmmmm, isn't that used to GET pregnant, not UNpregnant??? LOL

    :roll
  10. by   mother/babyRN
    I think you goose grease is out castile soap.....
  11. by   lindalou
    For those strange pts that want to eat the placenta they already have thier cooking oil. We have a doc that always says"lets get cooking" I will now have a new outlook ...and a smirk on my face) when he says this!:chuckle :chuckle :chuckle

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