WASHINGTON (Reuters) - Pregnant women coached through their first delivery do not fare much better than those who just do what feels natural, according to a study released on Friday.
Researchers at the University of Texas Southwestern found that women who were told to push 10 minutes for every contraction gave birth 13 minutes faster than those who were not given specific instructions.
But they said the difference has little impact on the overall birth, which experts say can take up to 14 hours on average.
Designed tables rubish - nothing to do with the woman and labour all to do with the care giver- Evidence showes that mobile women labor faster. It is wrong for you to tell familes that attend your classes that after pushing for 1 1/2 to expect a LSCS- completly wrong its not evidence backed information. But you should be telling them about is the latent phase - so when they turn up for a labour check and 2cms and are not in established labor they are confident to go home untill labour is established - this information is supported by evidence. Also about tranistion and everything that brings.
Exactly what she said.........:yeah:Why do women need to be "coached" to push a baby outta their lady partss? Oh that'd be because they're numb from the waist down and stuck on their backs on a specially designed "birthing" bed.
last night i was with a young woman who birthed - she had no medication pushed for three hours - direct op baby no episiotomies- small tear she was wonderful we all cried when she birthed. birth is a miracle.
last night i was with a young woman who birthed - she had no medication pushed for three hours - direct op baby no episiotomies- small tear she was wonderful we all cried when she birthed. birth is a miracle.
and what women need more than formal "coaching" and fancy birth beds and high tech equipment; is the space and support to do what they need to do to get their babies born.
Exactly what she said.........:yeah:Why do women need to be "coached" to push a baby outta their lady partss? Oh that'd be because they're numb from the waist down and stuck on their backs on a specially designed "birthing" bed.
The designer beds were intended, when first introduced, in the late '70s and '80s, to facilitate birth in the squat position, but Nurses were afraid women would topple over, landing on the floor on their faces. Over enthusiastic coaches were pushing on her back so that her face was closer to her perineum than one would want.
Doctors were in need of being in a "dignified" position themselves, in control of everything and very unwilling to let anyone else control things (least of all the mother-to-be - hence the epidural, which certainly eliminated squatting). In my classes I taught the expectant moms to practise their pushing techniques in every possible position, including squatting, side lying, etc. with the head elevated no more than 30 degrees unless squatting. Invariably the staff at the births got her into a highly raised back in bed, legs akimbo, with the baby aimed straight for the pubic bone(s).
The healthy baby-healthy mom result reminded me of the old saw, "it's not how you play the game, but whether you win". It does put all of us in the same ballpark, as who would say they wanted a healthy mom, who grits her teeth, pushes as long as it takes, but the baby is expected to be resilient.........
Few of us get to see the long range results of that. Pediatricians want to keep getting referrals, so they daren't ask the OB what the H he/she was thinking, to let the 2nd stage drag on, and on, and on.
The first birth I saw, in 1957 during my "training" in a 3 year hospital program, was a 19 year old Greek child/woman who screamed throughout the morning, evening and night shifts, was repeatedly given Demerol 100 mgm IM and was still laboring with puny contractions, the next day, thoroughly exhausted; and the chief of OB walked in imperiously and did a high forceps delivery without any form of anaesthesia. The baby's high pitched cry at his birth was something I'll never forget, and the mother's sounds equaled her baby's.............I wished for a carving fork to be placed strategically in that OB, so he could join that soprano chorus. Oh, the anger!!!!
Where I work, they don't allow moms to walk once they're ruptured. And most times the docs AROM them lol. So they just don't walk unless they're a foley induction really. I did hear a doc once say there has been no definitive proof that more cords fall out while walking as apposed to laying upright in bed. Makes you think!
We have huge, beautiful tubs where I work in L and D, and I have NEVER seen a pt in one. We are very "medicalized", have to be strapped to those monitors, and pumped full of pitocin. Man, that sounds bitter, lol. But true! And oh my gosh, don't make any radical suggestions, like walking at 9 cm, just give 'em the pit.
I was in triage one night (I have only been at this hospital for a few months), and a woman came in, was 4cm and ruptured. Give her the gown, a pad, and net undies, and leave to check on another pt. Came back and another nurse was helping her on with the undies. Takes me out of the room and says "we always help them with there clothes while there in labor" in a snotty voice. I had to bite my checks to keep from laughing! If the poor woman couldn't put her underwear on at 4cm, then how is she going to push a baby out at 10cm. Wouldn't that be to much work? Why do we treat women like they are sick, when they are in labor?
BTW, the laboring woman in question was looking at this other nurse like she had two heads, and later told me "umm, I can put my underwear on, I've been doing it for years" I was almost ROTFL. Ok, so that was way off topic, just saying I know what your talking about, nizhoni.
As far as "coaching", I'd say 80% of L and D nurses I know do count to 10, hold your breath, make sure you get 3 pushes in a uc. I tend to go with the flow of the mom, if she is not bringing the baby down with what she is doing, I'll suggest trying to lengthen pushes. I just will not count to 10, unless mom specifically ask me to count. About 90% of the time, what mom feels comfy doing will get the baby out.
What I don't get, is why patients are wearing "undies" and pads while in labor! Doesn't that involve struggling to get them off for lady partsl checks, and throwing them out when the membranes rupture? The Nurse who criticized you, is an example of time-old put-downs newbies receive until they've proved their worth. It would have been fun to respond, "How kind of you. I like to take a break while they do that for themselves".
I've not known women to drip secretions on the floor while walking, if allowed that helpful rite, and if the SROM occurs, a pad isn't going to prevent floor soiling.
It sounds like your facility is ripe for the revolution that occurred in the '60s, when women decided they didn't want to be pit'd without good reason, and wanted to train for childbirth so they could be in control of what was done to their bodies. This may mean that more midwives are requested. Yeah!
hehe well Thank you. But my facility does Not put on undies til after birth lol.
But thank you for the compliment anyway. =)
Dear Jodyangel:
You sound delightful, and an excellent L&D Nurse.
What I don't get, is why patients are wearing "undies" and pads while in labor! Doesn't that involve struggling to get them off for lady partsl checks, and throwing them out when the membranes rupture? The Nurse who criticized you, is an example of time-old put-downs newbies receive until they've proved their worth. It would have been fun to respond, "How kind of you. I like to take a break while they do that for themselves".
I've not known women to drip secretions on the floor while walking, if allowed that helpful rite, and if the SROM occurs, a pad isn't going to prevent floor soiling.
It sounds like your facility is ripe for the revolution that occurred in the '60s, when women decided they didn't want to be pit'd without good reason, and wanted to train for childbirth so they could be in control of what was done to their bodies. This may mean that more midwives are requested. Yeah!
Where I work, they don't allow moms to walk once they're ruptured. And most times the docs AROM them lol. !
Big load of crappola sorry - cords DON'T just fall outta women coz they stand up!!!! I can't believe nurses actually accept this rubbish and confine women to bed coz thats what the orders are! Fairy tales people............someone also mentioned undies! Why the hell wouldn't you let a woman wear a pair of undies in labour??? Dignity people.....:banghead::banghead::banghead:
Just to put the cat amongst the pigeons – I even encourage women to choose what ever they would like to wear during labor that’s if they want to wear anything up to them their bodies their birth their choice – and no cords don’t fall out when they stand up! In the UK we let women stay home for up to 24 post SROM– if they are term and all is well!
Just to put the cat amongst the pigeons - I even encourage women to choose what ever they would like to wear during labor that's if they want to wear anything up to them their bodies their birth their choice - and no cords don't fall out when they stand up! In the UK we let women stay home for up to 24 post SROM- if they are term and all is well!
Yep me too.....hospital gowns are awful; and are for women who are going to OT. Its funny really, if I had a woman with SROM and a high head I'd encourage her to be upright to get the damn head down into the pelvis!
I think all the previous posters agree here on the cord prolapse bit. Heck, I even think people should be able to wear whatever the heck they want while laboring. AND, I think they should be allowed to eat too. Can I have a bowl of crunchy granola now?
I think all the previous posters agree here on the cord prolapse bit. Heck, I even think people should be able to wear whatever the heck they want while laboring. AND, I think they should be allowed to eat too. Can I have a bowl of crunchy granola now?
Ha ha! Hey Elvish.....how about wearin'....nuthin' in labour! Now thats hippy!!!!!!!! God forbid! All those bodily fluids flowing all over the place! Eecck...........:hpygrp::hpygrp:
:banghead:
OzMW
172 Posts
Exactly what she said.........:yeah:Why do women need to be "coached" to push a baby outta their lady partss? Oh that'd be because they're numb from the waist down and stuck on their backs on a specially designed "birthing" bed.