Midwifery Forum  
Go Back   Midwifery Forum > General Midwifery Discussions > Midwive's Tips and Tricks

Notices

Midwive's Tips and Tricks Share your tried and true tips and tricks with other midwives and learn a thing or two.

» Latest Discussions
No Threads to Display.
Reply
 
Thread Tools
  #1  
Old 03-23-2007
Neshama's Avatar
Neshama Neshama is offline
Member
 
Join Date: Mar 2007
Location: In the Diaspora
Posts: 83
Thanks: 1
Thanked 7 Times in 4 Posts
Send a message via AIM to Neshama Send a message via MSN to Neshama Send a message via Yahoo to Neshama
Default CHECK DILATION WITHOUT VAGINAL EXAM

I read about this trick in Midwifery Today's Tricks of the Trade, Wisdom of the Midwives
You gauge how far dilated she is by the "contraction ring". Its used in Russia by midwives instead of having to do vaginal exams. What an amazing trick! To not have to do cervical checks, to be able to simply look at how your belly is contracting and say "you're a 5, 5 1/2" would be... very beneficial to your clients, AND to your buisness.
Does anyone know more about this trick? Does anyone know someone who does? I really want to be trained to do this, and would go to Russia for a while to learn if from a midwife there.
What are your thoughts on this?
__________________
Kylie Heaton
Neshama Birth Serivces
trustbirthbozeman at gmail dot com
Doula Labor Support Services
in the Gallatain Valley area, Montana
Reply With Quote
  #2  
Old 03-23-2007
loveslabor's Avatar
loveslabor loveslabor is offline
Member
 
Join Date: Mar 2007
Location: Reno, NV
Posts: 74
Thanks: 1
Thanked 4 Times in 4 Posts
Points: 273, Level: 5
Points: 273, Level: 5 Points: 273, Level: 5 Points: 273, Level: 5
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

I haven't heard of this one before, but there is another trick in "Heart and Hands" to estimate dilation without an internal based on a purplish line near the perineum, I think. I don't have my book in front of me, but I've always wondered how that works out.
Reply With Quote
  #3  
Old 03-26-2007
CbirthRev's Avatar
CbirthRev CbirthRev is offline
Member
 
Join Date: Mar 2007
Location: Mississippi
Posts: 36
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

There is way to check by gauging fundal height in relation to the xiphoid process, it is detailed in Anne Frye's Volume II. I don't have it in front of me, but I believe it is three fingerbreadths = 8 cm. Less fingerbreadths = less dilation. Ha I know that isn't exactly technical, but like I said it's not in front of me.
Reply With Quote
  #4  
Old 03-28-2007
Neshama's Avatar
Neshama Neshama is offline
Member
 
Join Date: Mar 2007
Location: In the Diaspora
Posts: 83
Thanks: 1
Thanked 7 Times in 4 Posts
Send a message via AIM to Neshama Send a message via MSN to Neshama Send a message via Yahoo to Neshama
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

^
I'll have to look it up in AFII... thanks!
__________________
Kylie Heaton
Neshama Birth Serivces
trustbirthbozeman at gmail dot com
Doula Labor Support Services
in the Gallatain Valley area, Montana
Reply With Quote
  #5  
Old 03-29-2007
DeniseAK's Avatar
DeniseAK DeniseAK is offline
Senior Member
 
Join Date: Mar 2007
Location: Anchorage, Alaska
Posts: 735
Thanks: 152
Thanked 43 Times in 38 Posts
Points: 1,704, Level: 25
Points: 1,704, Level: 25 Points: 1,704, Level: 25 Points: 1,704, Level: 25
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

I have read about the one in Heart and hands, and I plan on checking this for myself when I have my baby in Octoberish with a mirror and correspond with my midwife with cervical checks. If I remember during labor anyways...lol I figure better on myself than on any clients that I may have in the past. I am curious about other methods tho, and I would love to learn them. Maybe we can plan a workshop one of these days.
__________________
Love and Light,
Denise
-- proud wife of Tim for 11 years and counting

proud mama to Orion-12, Osiris-10, Anubis-6, Isis-3, and Odin born early January 2011.

Determined Student Midwife, AAMI Student 2113
Certified Prenatal, Birth, and Postpartum Doula

"The Midwife works at the intersection of Time, as generation gives way to generation. In helping to make the Birth Space, She Creates a place of Sanctuary. She is a Sheperdess between the two worlds of the Spiritual and Human, and Her skills lie at the point where the emotions and the biological touch each other and interact. She tends the Tree of Life."--Sheila Kitzinger
Patience is a Virtue... For a Midwife it is Essential!
Reply With Quote
  #6  
Old 03-29-2007
CbirthRev's Avatar
CbirthRev CbirthRev is offline
Member
 
Join Date: Mar 2007
Location: Mississippi
Posts: 36
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Ok here is the info from Anne Frye Volume II, p. 376. Determine how many fingerbreadths of space are between the fundus and xiphoid process at the height of a contraction.

5 fb = no dilation
4 fb = 2 cm
3 fb = 4 cm
2 fb = 6 cm
1 fb = 8 cm
0 fm = complete

I have used this method only once so far, but it seemed pretty accurate then. Just thought I'd post here for those who don't own the book! Source included for reference.
__________________
~Candi - Birth Attendant, Mom, Wife, Lover, Best Friend, Sister, Daughter, and Goddess

A midwife is made long before she ever catches a baby. ~Me

The thing women have yet to learn is nobody gives you power. You just take it. ~
Roseanne Barr
Reply With Quote
  #7  
Old 03-30-2007
Delightful Doula's Avatar
Delightful Doula Delightful Doula is offline
Member
 
Join Date: Mar 2007
Location: Wichita, KS
Posts: 70
Thanks: 3
Thanked 3 Times in 3 Posts
Points: 156, Level: 3
Points: 156, Level: 3 Points: 156, Level: 3 Points: 156, Level: 3
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Please excuse my inability to understand this. I am confused because I think that if there is more space between the fundus and the xyphoid process that would mean that the baby is lower and cervix more dialated, not the other way around. I don't have the Anne Frye book to reference, but it seems backwards to me. Please help me understand.

If I can touch to xyphoid proces from the top of the fundus with only one fingerbreath, then would the baby/uterus still be really high? wouldn't that indicate less dialation?
__________________
Bianca
Mama to 1
A Delightful Doula
Apprentice Midwife and AAMI Student Midwife
Reply With Quote
  #8  
Old 03-30-2007
CbirthRev's Avatar
CbirthRev CbirthRev is offline
Member
 
Join Date: Mar 2007
Location: Mississippi
Posts: 36
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Here is what Anne Frye says:

As the space between the xiphoid and the fundus shortens (becomes narrower), dilation avances. This occurs, in part, because the uppersegment of the uterus thickens as labor advances. The uterus also rises more as contraction intensify.

Remember too that you would check this only at the height of a contraction.
__________________
~Candi - Birth Attendant, Mom, Wife, Lover, Best Friend, Sister, Daughter, and Goddess

A midwife is made long before she ever catches a baby. ~Me

The thing women have yet to learn is nobody gives you power. You just take it. ~
Roseanne Barr
Reply With Quote
  #9  
Old 03-30-2007
DeniseAK's Avatar
DeniseAK DeniseAK is offline
Senior Member
 
Join Date: Mar 2007
Location: Anchorage, Alaska
Posts: 735
Thanks: 152
Thanked 43 Times in 38 Posts
Points: 1,704, Level: 25
Points: 1,704, Level: 25 Points: 1,704, Level: 25 Points: 1,704, Level: 25
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Thats really cool!!! I hope to use it in the near future.
__________________
Love and Light,
Denise
-- proud wife of Tim for 11 years and counting

proud mama to Orion-12, Osiris-10, Anubis-6, Isis-3, and Odin born early January 2011.

Determined Student Midwife, AAMI Student 2113
Certified Prenatal, Birth, and Postpartum Doula

"The Midwife works at the intersection of Time, as generation gives way to generation. In helping to make the Birth Space, She Creates a place of Sanctuary. She is a Sheperdess between the two worlds of the Spiritual and Human, and Her skills lie at the point where the emotions and the biological touch each other and interact. She tends the Tree of Life."--Sheila Kitzinger
Patience is a Virtue... For a Midwife it is Essential!
Reply With Quote
  #10  
Old 03-30-2007
Delightful Doula's Avatar
Delightful Doula Delightful Doula is offline
Member
 
Join Date: Mar 2007
Location: Wichita, KS
Posts: 70
Thanks: 3
Thanked 3 Times in 3 Posts
Points: 156, Level: 3
Points: 156, Level: 3 Points: 156, Level: 3 Points: 156, Level: 3
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Thank you for the explanation. That is amazing and definitely something I will pay attention to. The midwife I work with just bought me Holistic Midwifery Vol. II as a birthday gift, but she won't give it to me until she has had the chance to read it herself. When I get it, I am going to read this section. Fascinating!
__________________
Bianca
Mama to 1
A Delightful Doula
Apprentice Midwife and AAMI Student Midwife
Reply With Quote
  #11  
Old 03-30-2007
beautiful*birth's Avatar
beautiful*birth beautiful*birth is offline
Member
 
Join Date: Mar 2007
Location: In the Bayou.
Posts: 212
Thanks: 27
Thanked 9 Times in 9 Posts
Points: 779, Level: 15
Points: 779, Level: 15 Points: 779, Level: 15 Points: 779, Level: 15
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Quote:
Originally Posted by CbirthRev View Post
Ok here is the info from Anne Frye Volume II, p. 376. Determine how many fingerbreadths of space are between the fundus and xiphoid process at the height of a contraction.

5 fb = no dilation
4 fb = 2 cm
3 fb = 4 cm
2 fb = 6 cm
1 fb = 8 cm
0 fm = complete

I have used this method only once so far, but it seemed pretty accurate then. Just thought I'd post here for those who don't own the book! Source included for reference.
Thank you for the interesting info. I, too, will have to try this method out with my next mommie in labor! How exciting that you don't need to be invasive!
Reply With Quote
  #12  
Old 03-31-2007
Neshama's Avatar
Neshama Neshama is offline
Member
 
Join Date: Mar 2007
Location: In the Diaspora
Posts: 83
Thanks: 1
Thanked 7 Times in 4 Posts
Send a message via AIM to Neshama Send a message via MSN to Neshama Send a message via Yahoo to Neshama
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

Yeah... That's great... thanks Candi!
__________________
Kylie Heaton
Neshama Birth Serivces
trustbirthbozeman at gmail dot com
Doula Labor Support Services
in the Gallatain Valley area, Montana
Reply With Quote
  #13  
Old 03-31-2007
CbirthRev's Avatar
CbirthRev CbirthRev is offline
Member
 
Join Date: Mar 2007
Location: Mississippi
Posts: 36
Thanks: 0
Thanked 1 Time in 1 Post
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

No problem wise women!
__________________
~Candi - Birth Attendant, Mom, Wife, Lover, Best Friend, Sister, Daughter, and Goddess

A midwife is made long before she ever catches a baby. ~Me

The thing women have yet to learn is nobody gives you power. You just take it. ~
Roseanne Barr
Reply With Quote
  #14  
Old 04-04-2007
beautiful*birth's Avatar
beautiful*birth beautiful*birth is offline
Member
 
Join Date: Mar 2007
Location: In the Bayou.
Posts: 212
Thanks: 27
Thanked 9 Times in 9 Posts
Points: 779, Level: 15
Points: 779, Level: 15 Points: 779, Level: 15 Points: 779, Level: 15
Activity: 0%
Activity: 0% Activity: 0% Activity: 0%
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

There is a mom in labor right now and we were going to try this as she has had some abuse issues and VE are problematic.

However, since I don't have the book, is there a certain position that mom should be in to check this space? Do you think it matters if she is lying vs squatting, etc.?

She is going natural, but we were wondering how inductions with Pit may vary. What do you all think....

Thanks....
Jackie
Reply With Quote
  #15  
Old 04-04-2007
momdzn's Avatar
momdzn momdzn is offline
Junior Member
 
Join Date: Mar 2007
Location: Mississippi
Posts: 28
Thanks: 0
Thanked 10 Times in 8 Posts
Send a message via MSN to momdzn Send a message via Yahoo to momdzn
Default Re: CHECK DILATION WITHOUT VAGINAL EXAM

To use the fingerbreath method, it should be the height of the contraction and she should be on her back
But it is effective.
Another tip from Anne Frye
Many women have a bloody show as the presenting part passes through the fully dilated cervical os. This show should be quite mucilaginous and stretchy; a trickle of brighter blood near the end of dilation, accompanied by lots of suprapubic pain, can also mean a cervical lip is being pulled down with the presenting part.
__________________
Barb in MS
woman of mature age,
wife to a wonderful, supportive husband,
mother of 12 (34g, 32g,30b, 28g, 26b, 24g, 20b, 18b, 16b, 13g, would be 12 angel b, 8g in 2007),
mom to 3 great sil's and 1 great dil,
grandma of 14 (ages 16 - 9 months), so far expect many more
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Powered by vBadvanced CMPS v3.0.1


All times are GMT -4. The time now is 12:19 PM.


Powered by vBulletin® Version 3.7.2
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright © 2007-2013 Midwifery and More Skin design and concept by Attitude