Re: Implementing Safe and Effective Practices for Second Stage Labor
From: Dr Eberhard W Lisse (el@lisse.NA)
Sat Mar 21 02:27:43 2009
Hardly original or new.
el
GIN11153@aol.com wrote:
> Lippincott has graciously opened this article to non subscribers at no
> cost, by Laura Mahlmeister-a very good read!:
>
> For nearly 60 years, women who reach the second stage of labor have been
> exhorted to push hard and push long during your contraction while I
> count to 10. This drill is commonly referred to as purple pushing
> because the mother's face becomes increasingly engorged with blood
> during sustained, closed-glottis, bearing-down efforts. The practice
> became standardized in virtually all labor and delivery settings in the
> United States and Canada by the mid-1960s. The ritual of immediate,
> forceful, closed-glottis pushing is attributed in part to medical
> literature published in the 1950s, reporting a relationship between
> prolonged second-stage labor and maternal-neonatal morbidity. However,
> subsequent studies have not consistently found a relationship between
> longer second-stage labors and adverse outcomes. Immediate,
> closed-glottis pushing has also been sustained in part by the
> establishment of arbitrary timelines for the duration of second-stage labor.
>
> Read the rest here
>
> http://www.lww.com/static/promos/W9K683AH.pdf?utm_source=subscribers&utm_medium=email&utm_content=productpageREADMORELINK&utm_campaign=W9K683AH
> <http://www.lww.com/static/promos/W9K683AH.pdf?utm_source=subscribers&utm_medium=email&utm_content=productpageREADMORELINK&utm_campaign=W9K683AH>
>
> Gail Neuman RNC CPHW
> Administrator/student midwife
> Orange County Maternity Center
> 1210 S. State College Bl., Suite D
> Anaheim, CA 92806
>
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--
Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
PO Box 8421 \ / Please do NOT email to this address
Bachbrecht, Namibia ;____/ if it is DNS related in ANY way
