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Originally Posted by Mom2six
A lot of places still go by station as to whether they let a woman up and around with ruptured membranes, but many go by "is the presenting part well applied to the cervix". I have to say, I don't ever remember a case where the membranes were ruptured and the presenting part *wasn't* well applied - except in cases where the OB has artificially ruputured membranes with a high presenting part to try and encourage engagement (grrrr - which often winds up an "OB induced cord prolapse"). Explain to me if the head is up against the cervix, how is the cord supposed to prolapse around it?
Originally Posted by blueviolet
Laboring in bed with a posterior baby! As a mom who had excruciating back labor I really feel for you. What a cruel thing to do to a woman with a posterior baby.
As for the cord prolapse -- I am really not getting why they wanted you to lie down to prevent it. Seems to me that would increase chances of cord prolapse -- since the cord is lighter than the baby, the only way it's going to float toward the cervix ahead of the baby is if you're lying down, the baby is floating around, and your water goes "whoosh!", carrying the lighter cord with it toward the cervix. If you're vertical, gravity is going to pull the baby's head down first, and the cord will float upwards. If you are get to the hospital sometime *after* the water has broken, and you've been upright all that time and the cord hasn't prolapsed, it's not going to if you remain upright. It's just logical.
Originally Posted by doctorjen
I'm not a midwife, but a family doc who attends deliveries, and it's never occurred to me to put a mom with spontaneous rupture of membranes in bed. I generally figure if the cord is not presenting at the time of rupture, it's not likely to later. (Or at least not anymore likely lying down than standing.)
I also like hands and knees for posterior babies, and the birth ball. Also, if mom likes to be upright better, often standing and leaning over the bed or our hospital's wide windowsills seems to help, and gives good access for counter pressure. We put the bed flat, just a little higher than waist high and have mom lay her head on the bed during contractions, and rock her hips back and forth while nurse, dad, or me does firm counter pressure. This has been a great position of comfort for a lot of moms with back labor. Also, since I'm supposed to abide by hospital rules and monitor continuously, I find no problem monitoring with mom standing, sitting or rocking. Our nurses are great about encouraging mom to find whatever position suits them, then the nurse worries about the monitor.
Originally Posted by onlyboys
I think that those of us who have had a disappointing birthing experience are or were on the same journey that you are. I was there 8 years ago with my first, and it was a very difficult place to navigate.
Just know that your feelings are justified (sounds like) and that birth does not have to be like that. (Even in a hospital, though it sounds like you would be *perfect* for a direct-entry midwife.)
It took me years with people telling me, "But look! You got a great baby out of the deal!" But, for me, a baby was not all that birth was about. It was a process for me to becoming a mother, one that I was cheated out of by my OB. I felt violated, used, demeaned and abused (and I didn't even have to have a cesarian birth).
My subsequent births have been healing and beautiful. Much love to you as you figure out your place in Henry's birthing.
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