Comments on: “I Have To Break Your Water Now…Or You Will Get An Amniotic Fluid Embolism” http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/ Wed, 23 May 2012 18:19:50 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Chrisda http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-89471 Chrisda Tue, 20 Mar 2012 12:19:54 +0000 http://myobsaidwhat.com/?p=651#comment-89471 WOW, then I am dead !?!?!? I arrived at hospital, was 7cm according to the nurse with intact membranes. They forced me onto the bed and hooked up the monitor, then left me there. 20mins later they were still faffing around the room & waiting for the doc. I felt the urge to push so started pushing at what I thought was the babies head but it turns out it was the amniotic sac which broke while I pushing, 10mins later my little boy was born. WOW, then I am dead !?!?!? I arrived at hospital, was 7cm according to the nurse with intact membranes. They forced me onto the bed and hooked up the monitor, then left me there. 20mins later they were still faffing around the room & waiting for the doc. I felt the urge to push so started pushing at what I thought was the babies head but it turns out it was the amniotic sac which broke while I pushing, 10mins later my little boy was born.

]]> By: Andy (UK Midwife) http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-2175 Andy (UK Midwife) Wed, 23 Dec 2009 21:05:56 +0000 http://myobsaidwhat.com/?p=651#comment-2175 Look on the net for MIDIRS (www.midirs.org). It is a midwifery research digest that collates research from around the world and publishes it, online and in a quarterly journal. It costs about £70 a year, which is about $100. It is searchable, and you can order articles as hard copies. Also check out the 'informed choice' leaflets, which are produced by midwives for mothers so that they can make a truly informed decision about their care. There is a professional one for midwives too. In the UK evidence based care is central to our model of woman centred care. It is also beaten into medical students from an early part of their training. I know that our system is imperfect in so many ways, but I think we give women a good deal. They may lose out in terms of staffing and resource provision, but our whole service starts from a basis of evidence based care. MIDIRS is excellent though- all women should access it. Look on the net for MIDIRS (www.midirs.org). It is a midwifery research digest that collates research from around the world and publishes it, online and in a quarterly journal. It costs about £70 a year, which is about $100. It is searchable, and you can order articles as hard copies. Also check out the ‘informed choice’ leaflets, which are produced by midwives for mothers so that they can make a truly informed decision about their care. There is a professional one for midwives too. In the UK evidence based care is central to our model of woman centred care. It is also beaten into medical students from an early part of their training. I know that our system is imperfect in so many ways, but I think we give women a good deal. They may lose out in terms of staffing and resource provision, but our whole service starts from a basis of evidence based care.
MIDIRS is excellent though- all women should access it.

]]> By: Charity http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-2036 Charity Sun, 20 Dec 2009 05:11:22 +0000 http://myobsaidwhat.com/?p=651#comment-2036 Sorry... I meant it as a blanket reply. Not a reply to just your post. Sorry… I meant it as a blanket reply. Not a reply to just your post.

]]> By: Jespren http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1941 Jespren Thu, 17 Dec 2009 14:01:35 +0000 http://myobsaidwhat.com/?p=651#comment-1941 When I told an OB in the midst of an arguement about me demanding too much "all I want is evidence based care" she replied with "well, if you are going to be that arogant and adament about it you aren't going to find anyone willing to take you on as a patient!" so no, I don't think most of them HAVE heard of 'evidence based practice' (at least not around here!) When I told an OB in the midst of an arguement about me demanding too much “all I want is evidence based care” she replied with “well, if you are going to be that arogant and adament about it you aren’t going to find anyone willing to take you on as a patient!” so no, I don’t think most of them HAVE heard of ‘evidence based practice’ (at least not around here!)

]]> By: Jane http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1920 Jane Thu, 17 Dec 2009 00:41:19 +0000 http://myobsaidwhat.com/?p=651#comment-1920 Except they got her out the door in a plastic bag. Except they got her out the door in a plastic bag.

]]> By: Andy (UK Midwife) http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1915 Andy (UK Midwife) Wed, 16 Dec 2009 23:01:45 +0000 http://myobsaidwhat.com/?p=651#comment-1915 Here is a mental picture: the baby, fluid, etc are all sealed in a big bag. You can push as hard as you like and if the membranes are intact, there is no-where for the fluid to go. How, in any way, can it suddenly go squirting somewhere dangerous? Anyway, when you have a contraction, the bit of membrane under the greatest stress is the bit in the cervix, so that is where the rupture is most likely to occur. It is incredible that the doctor has such an inaccurate knowledge of anatomy and physiology, and even more so that they would use such crude means to scare women into accepting their care. Have they heard the phrase 'evidence based practice'? Here is a mental picture: the baby, fluid, etc are all sealed in a big bag. You can push as hard as you like and if the membranes are intact, there is no-where for the fluid to go. How, in any way, can it suddenly go squirting somewhere dangerous? Anyway, when you have a contraction, the bit of membrane under the greatest stress is the bit in the cervix, so that is where the rupture is most likely to occur. It is incredible that the doctor has such an inaccurate knowledge of anatomy and physiology, and even more so that they would use such crude means to scare women into accepting their care.
Have they heard the phrase ‘evidence based practice’?

]]> By: Sheridan http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1911 Sheridan Wed, 16 Dec 2009 21:52:43 +0000 http://myobsaidwhat.com/?p=651#comment-1911 Wow, I just am amazed how OBs continue to use fear to motivate moms to allow the OB to do whatever it is they want to. Wow, I just am amazed how OBs continue to use fear to motivate moms to allow the OB to do whatever it is they want to.

]]> By: Charity http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1908 Charity Wed, 16 Dec 2009 17:19:50 +0000 http://myobsaidwhat.com/?p=651#comment-1908 I'm sure all OBs know this stuff. Given the assembly-line attitude at hospitals, they'll say ANYTHING to get that baby out as quickly as possible and get you out the door. I’m sure all OBs know this stuff. Given the assembly-line attitude at hospitals, they’ll say ANYTHING to get that baby out as quickly as possible and get you out the door.

]]> By: Jane http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1900 Jane Wed, 16 Dec 2009 13:55:23 +0000 http://myobsaidwhat.com/?p=651#comment-1900 I know a woman who died of this. She had polyhydramniosis and her doctor ruptured her membranes. Within an hour she was dead. The baby survived. (Hint: controlled rupture of the membranes for poly. Pinprick. Mom on hands and knees so there's no gush of fluid. Doctor should have known this if I could read up on it on the internet, no?) I know a woman who died of this. She had polyhydramniosis and her doctor ruptured her membranes. Within an hour she was dead. The baby survived.

(Hint: controlled rupture of the membranes for poly. Pinprick. Mom on hands and knees so there’s no gush of fluid. Doctor should have known this if I could read up on it on the internet, no?)

]]> By: Sheva http://myobsaidwhat.com/2009/12/16/i-have-to-break-your-water-now-or-you-will-get-an-amniotic-fluid-embolism/comment-page-1/#comment-1897 Sheva Wed, 16 Dec 2009 13:42:48 +0000 http://myobsaidwhat.com/?p=651#comment-1897 I would have fallen for this during my hospital birth, too. Most people who read the regular "what to expect when you're expecting" won't ever come across this information. If you only read one book, read Marsden Wagner's "Creating Your Birth Plan". FYI: Amniotic fluid embolism (AFE) is a rare and incompletely understood obstetric emergency in which amniotic fluid, fetal cells, hair, or other debris enters the mother's blood stream via the placental bed of the uterus and triggers an allergic reaction. This reaction then results in heart and lung collapse and hemorrhage. On the list of causes of maternal mortality, it is fifth. Thank you, Wikipedia! I would have fallen for this during my hospital birth, too. Most people who read the regular “what to expect when you’re expecting” won’t ever come across this information. If you only read one book, read Marsden Wagner’s “Creating Your Birth Plan”. FYI: Amniotic fluid embolism (AFE) is a rare and incompletely understood obstetric emergency in which amniotic fluid, fetal cells, hair, or other debris enters the mother’s blood stream via the placental bed of the uterus and triggers an allergic reaction. This reaction then results in heart and lung collapse and hemorrhage. On the list of causes of maternal mortality, it is fifth.
Thank you, Wikipedia!

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