I've had a nurse try to push a doula client through the reduction of a "lip" and when it failed, the nurse said "well, really, she has a rim all the way around." I was like, "oh, so really she's about 9 cm and it's normal to be grunty and not really want to push?" (this nurse got off at 7am but really wanted to "be there" for the birth *sigh*). I think sometimes it's so easy to say, "oh, we can just get this thing out of the way and get on with it," when really the path of least resistance is to just WAIT it out. I know the particular client I mentioned had some swelling in her cervix and then did end up with an anterior lip that didn't go away for hours. Wonder what would've happened if the hurried nurse hadn't tried to "reduce" her 9cm cervix?
Charlotte, midwife to some awesome women, wife to Jason, and no longer a mama to all boys S ('01), A ('03) S ('08) and L ('10).