They think the bleed might have been due to quick dilation.Īt this point my lovely husband fainted. Baby was always happy and I had no pain between contractions. Because I was a “VBAC” they monitored this. This is where things went a bit fast and I had a bit of a bleed. The CTG monitoring in the shower wasn't able to get a good reading, so as my waters has already broken, I agreed to have a scalp clip so I could stay in the shower. Then I used the shower with the portable gas and air. On arrival at the hospital, I decided to try some gas and air. As soon as my waters broke everything intensified and the surges were every 2-3 minutes. The midwife I spoke to advised to come in for monitoring, due to being a VBAC. The surges continued to become strong and closer together.Īt 11pm my waters went with a pop. By the afternoon the surges became more regular, about every 10-15 minutes. At 10am, I went for my routine CTG, and I had a stretch and sweep. I started having some regular cramps in the early hours of Thursday morning, but they slowed down at about 9am. Here is her birth story, as she wrote it to the group. Our SMS’s flew back and forth, to cut a long story short, Claire logged in to the Birthing Master-Class, session 3, “Call the Dr.” as medical intervention was being suggested. I got an SMS from Claire at 42 weeks apologizing for not returning the TENS yet, offering to bring it back if needed, however she hadn’t gone into labour yet. Claire did our VBAC Master-Class and hired a TENS. Claire knew she wanted to educate herself and prepare mentally, physically and spiritually to welcome her next baby on her terms, Safely and as Educated as possible. More research and a discussion with her mother-in-law, who gave birth to all her babies at 42 to 43 weeks. Baby was covered in lots of vernix at birth and had difficulty initiating breathing at birth, requiring a week in the special care nursery. However, Claire describes her baby as showing signs of being premature at 39 weeks. Her first birth was an essential planned Caesarean at 39 weeks for medical reasons. She was unhappy with her first birth experience and wanted the tools to make sure this next birth would be more empowering. It is always up to you how long you would like to leave it or if you are happy to go with the recommendation, but it can be more decisions to make and can impact oxytocin.The back story is I met Claire at the VBAC course earlier this year. In some cases, the membranes (your waters) can be broken and this would then begin the clock on your local policy of how long to leave labour to begin before stepping in to induce or offer caesarean. They can cause bleeding and discomfort to the cervix which can impact oxytocin even if it turns out to be harmless. Sweeps can induce discomfort similar to surges/prolonged early labour which can lead to exhaustion and is linked to higher epidural use and further interventions. Your cervix is not a crystal ball but do get that oxytocin flowing! It is worth remembering at this point that the cervix can change quickly so if you attempt a sweep and find that your cervix doesn’t seem to be gearing up for labour then don’t be disheartened as you could still go into labour any minute. Sometimes this can have positive mental benefits as it can feel like an affirmative action. However, many feel they would like to try it as a first step to see if they can avoid further levels of induction. The evidence from a Cochrane review in 2020 that brought lots of studies together showed that the use of sweeps in first time parents did ‘not seem to produce clinically important benefits when used to prevent the need for further induction interventions. It’s impossible to get accurate evidence on sweeps as if someone goes into labour the day after a sweep, there is no way to know if they would have gone into labour then anyway, since sweeps are only given at the end of pregnancy when labour is likely to happen. Usually a certain amount of discomfort is experienced during a sweep as it is not a gentle procedure. A sweep aims to irritate the cervix and uterus to release prostaglandins. If the cervix is not open, they can sweep the outside. Via a vaginal exam (VE) the midwife or doctor will insert a finger into the cervical opening, if possible, and try to run a finger around the inside to separate the membranes (the sac containing your baby) from the wall of the uterus. They are often offered routinely at the end of pregnancy, the week that this would happen will vary based on area. However, people are not encouraged to be in hospital after having one so if labour begins after that you would go on to labour in your chosen birthplace. A sweep is a form of induction as it aims to encourage the body to go into labour before it would have happened on its own.
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