Re: consent forms

From: Anna Meenan, MD (annam@uic.edu)
Sun Jan 1 22:55:46 2006


Yup, sounds like the typical American birth, though not everyone starts pitocin at 10 cm. In fact, I would hope the majority don't. The consent form is standard, and that of course is for the lawyers. And yes, everyone pushes for 10 seconds, 3 pushes per contraction, with a couple of nurses yelling PUSHPUSHPUSH in their ears, even though recent studies in AJOG show it doesn't make much difference how they push. I do let women get out of bed if they want to, and encourage it, in fact, but when i try to allow self-directed pushing, I get screaming nurses every time.

My SIL had twins at a hospital in Louisiana and wasn't allowed to push at all. Both were yanked out with what I assume was mid-if-not-high forceps. At least they were allowed to come vaginally.

Your SIL's SIL's birth would not be considered mismanaged in this country.

--
Anna Meenan, MD

P.S. Happy New Year everyone.

At Sun, 1 Jan 2006, GA12L@aol.com wrote: > >I had a conversation with my sister in law tonight who comes from New >Jersey. Her brother's wife has just given birth in a hospital. > >On admission inn full labour she was 'made' to sign a general consent form. >Why? > >She was put on her back on a bed and not allowed off. Something she found >out when tried to get up and was told off for leaving the bed. (Naughty girl, >how dare she?) > >She was contracting 4:10 but the 'nurse' insisted on pitocin being started >at full dilatation. "All women have pitocin" the nurse said > >She had 4 hourly v/e's and once she was fully she was made to push while >holding her breath for 10 seconds at a time and for at least 3 in a contraction. > Surprise surprise she became tired, her baby's heart rate dipped and she >ended up a forceps delivery. Baby has extensive bruising and she had an >episiotomy that extended into a 3rd degree tear. > >That my friends happened in New York. Mismanaged or what? > >Happy New Year.





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