Is it normal practice to section a hand presentation? It just seemed weird when I got back to work and a pt. I had admitted for induction that morning had got to complete (a multip) and was sectioned because of a hand.
I never experienced this in the homebirth arena and now have seen it twice at work.
If you weren't to section, how do you deliver a hand presentation?
The way they were delivered was just like any other delivery, except that there was tearing with both. HTH!
My dd was born with her hand by her head--no one realized it until hand/head were coming out together. Other than the second midwife jumping in to hold her hand/arm in place until her shoulders were out (to avoid her arm/shoulder getting injured and me tearing), there wasn't any difference between hers and my other births. She came out so quickly that I didn't even notice the second midwife wasn't a few feet away until after I was holding her. She was perfectly fine other than a small bruise on her arm that developed the over the next day or two (either from my pelvis or the midwife's hand) and I had no tearing.
Scary to think that I might have ended up with a c-section instead if the wrong dr. had noticed in advance.
I didn't tear at all. And he was 8lbs5oz with big bones, so not a "little" baby, either.
So yeah... that seems pretty darn weird to me.
My youngest was UC and he was a face/brow presentation, his face was immediately maroon/purple and he had bruising for about a month ( even with arnica and ruta). We transfered to the NICU and the doctors there (excluding the residents) were confident that he would have had the same presentation at the hospital and the same outcome ( looking like a baby racoon).
laura, dh Brian, ds Rory 14, dd Ellie 13, ds Caelan 11, ds Seamus 9, ds Finn 7 and Penelope 2 !!!!
I would think that in most cases a hand wouldn't be discovered until imminent and waiting to trasfer the mother into the er would be more dangerous than proceding with eerything.
Oh that gives me another thought - OP was she having trouble pushing?
SAHM to DD1 8/06 , DD2 8/09 , and DD3 9/12 married to 6/99. We , , , , and lots of and .
I was having this discussion with a friend, actually- a friend of hers had a child born with a nuchal hand and it was diagnosed as shoulder dystocia. (baby did need some help after she was born.) Apparently the mum has been told that if she has more children she will need an elective c-section.
I asked a more experienced RN and she said it was because of tear risk and injury to arm risk.
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My DS had a "nuchal hand" but my MW said he came out like superman, so maybe it was more than just a nuchal hand.
Missionary, birth-worker, midwifery student
Mama to DD (9yr), DS (3yr), & UC twin DDs (5yr)
...until things came to a screaming halt and the mother vowed and declared soemthing was wrong. OB didnt believe her but caved to her demands for a c-section (previous birth had been vaginal and rapid so she was convinced something was wrong). On c-section it was obvious her uterus had ruptured and the baby's other hand was sticking out the uterus. Lucky OB listened to the mom this time.
The next one was a hand presentation with high head. I monitored well and checked vaginally frequently til I knew I was also feeling a foot - sure enough the baby was coming down sideways. Cord got in the way and we had a crash c-section - both mother and baby well.
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