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Re: Surprise breech was Re: ventouseFrom: GA12L@aol.comWed Mar 8 11:24:57 2006
In a message dated 08/03/2006 15:24:36 GMT Standard Time, chellaram@pol.net writes: Some of the mothers are sent home after ARM to return when they are in active labour. I think you have this wrong. They were only ARM'd once they got to 3 cms and were contracting. Then if the cervix had not dilated to 4 cms after an hour syntocinon was used. The hospital I work in sent a working party across to Dublin to see for themselves how active management worked. It lasted 2 years as the section rate was rising. (The UK national rate is 23%, ours is now 21% but it was as high as 27% when all women were actively managed. Not only that midwives felt that they were becoming obstetric nurses and so they reverted back to woman-centred care. In Dublin at both Rotunda and NMH they have a lack of staff for the same reasons and have moved away from active management. While I accept that active management is needed in some cases I don't think Kieran O'Driscoll's work should be taken to include ALL women. He only meant it for first labours. Gail
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