It can also be painful as well as cause some cascade effects. It is still an intervention. As a doula one of the things I do is assist with gathering information so that clients can make informed decisions. I do not make decisions for anyone, that is for you to do. If you are familiar at all with Gloria Lemay - this is some interesting information to assist with gathering information (I can't get it to quote right in the brackets):
[QUOTE]It's so easy for midwives to see it when the doctors are doing it, but it's more hidden from view when its our own interventions. When the membranes are stripped to induce the birth, it means that the body may go forward with much of the birth in a seemingly normal way but it is common for there to be a "glitch" with the placenta coming out.
I recently heard about a birth here which started with stripping the membranes in a midwife's office. The mother dilated smoothly but then had
-no urge to push
-no stretching of the perineum (epis cut)
-an adherent placenta (manual removal)
One of my favourite midwifery educators, Gail Hart, uses the analogy of a bicycle combination lock to describe the problem with inducing.
She says that if you don't have all the numbers lined up to give birth, you can't open the birth lock.
When the mother requests that you strip her membranes, your job is to say "No" and explain to her the problems that can ensue. Education is our main job. A wise midwife does not pick unripe fruit. She also doesn't engage in inductions at 38 wga with the potential to cause infection, prematurely release the membranes, cause a cord prolapse, have a RDS problem with babe, etc. I wish you many peaceful home births in the future and urge you to be firm with your clients about saving interventions for only the very rare cases.
Gloria Lemay, Vancouver, BC[QUOTE]