Quote from bfusco
We have had 3 nurses injured in their shoulders and neck because of having to hold up and push back the womans legs during delivery. It is partially a request of the physician and partially that they have become so used to doing it that it is automatic whenever the pushing is ineffective or protracted. Does anyone know of any equipment that could be purchased for this or any other techniques? Thanks, B Fusco RN
I use the hand pedals as feet pedals during the early stages of pushing. I also get the significant other and whoever else is in the room to help mom hold her legs back. Sometimes I put one of the moms feet on my chest if there is just the dad in the room.
I've also used the birthing bar for foot support. Our footpedals are not the greatest for the feet, especially if the patient has a heavy epidural.
The most effective? Not really sure, because everyone is different.
Also, try and push the patient on her side; only one leg need be supported...
When its time for the birth, I am on the patients side, on a stool, holding her leg and in a good position to do suprapubic pressure or hand over the catheter for suctioning or whatever else I may need to do...