|February 3, 2016 |
Volume 18, Issue 3
|Midwifery Today E-News|
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In This Week’s Issue
Midwifery Today’s Prolonged Labor Handbook discusses the benefits of positioning, trusting birth, and the political ramifications of time assessment and responsibility. You’ll also learn ways to prevent prolonged labor, including herbal remedies and psychological assessment. Part of the Holistic Clinical Series,the Prolonged Labor Handbook belongs in your birthbag! To order
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Quote of the Week
Patience is not simply the ability to wait; it’s how we behave while we’re waiting.
— Joyce Meyer, author and speaker
The Art of Midwifery
Labor marathons are often rooted in emotional discord. Fostering loving trust and loyal, determined commitment will usually see you through. As long as nutrition and hydration are offered freely, and vital signs remain reassuring, labor may take as long as it needs to. I don’t believe there is a time limit.
Midwifery Today Conferences
Tine Greve and Gail Hart discuss Clinical Issues in Birth Care
In the morning, you will learn about different reasons for prolonged labor, how to detect the pathological labor from the simple prolonged labor, and how to overcome difficulties and correct problems when possible or facilitate transfer when needed. The afternoon session covers normal and complicated second stage issues. The teachers will review second stage research from a midwifery point of view, focusing on how maternal positions and associated birth environments affect childbirth outcomes. This full-day class is part of our conference in Harrisburg, Pennsylvania, April 2016.
Join us in Fiji next June!
Plan now to attend our conference in Suva, Fiji, 20–24 June 2016. You will be able to learn from teachers such as Carol Gautschi (pictured), Gail Hart, Fernando Molina and Debra Pascali-Bonaro. Classes to choose from include Midwifery in the South Pacific, Shoulder Dystocia and Second Stage Issues, Village Prenatals, and Breech Skills.
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Making Change in Syria
Social networking, especially Facebook, is absolutely amazing to me. I have been talking with a woman in Damascus, Syria, named Bushra. She teaches English to midwives, and she has been asking me questions via Messenger from her midwife students there. Their questions were mind boggling. I decided to include several of my very experienced colleagues on our Messenger conversation to share, and mountains are being moved.
One midwife in Damascus was just told by the doctor to cut the cord now. She said, “No, the baby has not gotten all of its stem cells!” Bushra says of her, “She is so strong that she has the courage to confront the doctors and tell them what is right and that there is no need for an episiotomy and excessive intervention.” Bushra then told me that this same midwife assisted at an upright birth last week. What we can do with the Internet and Facebook is amazing. Together, we give power and rights back to the parents, who are, after all, the ones who take home the baby and live with the consequences of what others have done to them.
I suppose it is even more amazing in light of global politics that we can speak with midwives to help spread better birth practices. It shows that midwives all over the world want to help make things best for motherbaby. We can change this stubborn world, and social networking can help us do that.
— Jan Tritten, mother of Midwifery Today
Jan Tritten is the founder, editor-in-chief and mother of Midwifery Today magazine. She became a midwife in 1977 after the amazing homebirth of her second daughter. Her mission is to make loving midwifery care the norm for birthing women and their babies throughout the world. Meet Jan at our conferences around the world, or join her online, as she works to transform birth practices around the world.
Prolonged Labor Class at Harrisburg Conference
Prolonged labor is such an important issue, which is why it is a topic we try to cover at each Midwifery Today conference. We often have different teachers teach on prolonged labor in order to get different views on this important subject. At Harrisburg, Pennsylvania, speakers Tine Greve and Gail Hart are facilitating a three-hour class on this essential topic. Please join us if you can! Here is the write up about it:
— Jan Tritten
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Prolonged Labor—Caught in the Middle
Prolonged labor requires so much of a midwife in terms of endurance, patience, labor support skills and professional judgment. A surprising thing about it is how babies, after delaying interminably, can birth so fast, and conversely, how the second stage can be as grueling as the first.
Twice in my midwifery career I have come to the home of a multip and found her fully dilated, membranes ruptured, with painful contractions, yet unable to push. The head was high and in direct occipitoposterior position. The woman turned on her hands and knees, and the baby rotated and came out in one or two contractions. This was an unforgettable demonstration of the importance of a baby’s presentation in helping it fit smoothly through the pelvis.
Other factors in prolonged labor are the strength of the uterine action, resistance of soft tissues, size of the baby, and size and shape of the pelvis. Evidence shows that some women are genetically predisposed to prolonged labor.
Prolonged labor is never a desired outcome—not for the mother, her family or her caregiver. As a midwife, I have been criticized both for intervening and for failing to intervene soon enough in the same labor.
Read this article excerpt from the Winter 2015 issue of Midwifery Today magazine, now on our website:
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