Re: Gail Hart's comments about postpartum bleeding: I wonder about the "pushing before full dilation" part. Telling someone *not* to push comes under my definition of coached pushing. Many of "my" moms--especially multips--push before full dilation and simply open up and give birth. If there is spontaneous bearing down, I'm inclined to leave it alone and just ask them how it feels. If it's really too soon, it hurts, and they're willing to back off. I usually don't even check (ie vag check) them unless it's not working (to evaluate for "complete dilation"). The most frequent reason for a vag check at that time is moms who think they aren't "allowed" to push until the magic 10 because of previous birth experience and/or training. I'd like to hear more about others' experience with this.
-Kip Kozlowski
Reprinted from Midwifery Today E-News (Vol 1 Issues 51, Dec 17, 1999)
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