Hello all,
Just have to chime in on this one. I don't *think* we do it in Norway as a
routine. I remember amazing my fellow students, and later colleagues, in
Norway by reading them a passage from some English text, which could have been
from the US but could also have been British - I can't remember - in which it
was stated unequivocally that whenever one found a nuchal cord (implication
being that one would always check for it), one proceeded to clamp it and cut
it before the shoulders were born. I have never, ever, not once, observed
this in practice, and indeed have a hard time imagining how I would do it
myself.
If any of you have any experience with it, I would love to hear how it works
in practice.
Rachel Myr
Kristiansand, Norway
>Where I work this practice was almost routine until a few years ago when
>'hands off' births and waterbirths began. Anecdotally, not feeling for a
>cord has never caused a problem - the cord comes out draped all round the
>body and you just unwind it after birth. I think it is very widespread as a
>practice because when mentioned in the Courses I do, most midwives do it and
>it usually generates a little debate about pros and cons .e.g. implications
>for third stage etc. Also have noticed it on American birth videos.
>Denis Walsh
>> Hi EVERYBODY
>> I have just registered for my PhD and the topic I am researching is the
>> practice of feeling for the cord after delivery of the head but before
>> delivery of the shoulders. This practice is mentioned in some of our
>> English text books (Myles) and I have and am still witnessing it in
>> practice, but to date I can find no literature or research to make this
>> evidenced based practice.
>> Does anyone know when this procedure was introduced or why? Also why have
>> we as midwives adapted it, is it linked to ritualistic practice?
>> Do you know of anyone who practices this procedure or do you do it
>> yourself? Do the women consent to this practice?
>> Any help or advice to any aspect of these questions would be greatly
>> appreciated
>> Elaine Jefford
>> Senior Lecturer
>> Anglia Polytechnic University
>> Chelmsford England
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