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Virtual maternity ward tour

continued from page 2
lewis_gourdie: I am a home birth hopeful, however also very aware that there is a reasonably high rate of transfer for primigravidae. In the event that meconium was found in my waters during labour, what action would I reasonably expect my midwife to take?
Pam: Meconium often can be a sign that the baby is in distress so transfer is usually the option. There can be different types of meconium, old, fresh and thick. Sometimes the meconium is only noticed as the head is crowning - it is not safe to transfer then, but there are then some better positions to deliver in to aid drainage, etc. However, this is all dependent on the experience of the midwife looking after you and the circumstances at the time. Perhaps bring this up as a question next time you see her - ask her when and under what circumstances she would advise transfer to hospital.

kaz-je: I am just over 38 weeks and the baby is posterior - what are the chances of it turning and, if it does, what are the chances of it turning posterior again?
Pam: It is never too late. A midwife called Jean Sutton has a very good book on fetal optimal positioning. You may be able to get a copy from your library or if you are a member of the NCT from them. She suggests briefly to lie on your left side; do not sit slouched or in a reclining chair (so your pelvis is not tilted), but always sit upright. Do not go on long journeys especially in the car as you tilt your pelvis sitting. Walk around on your hands and knees for quite a few times during the day to encourage the back to rotate to the front (gravity). Also maybe read or watch TV for short periods on your knees leaning forward on cushions or a chair/settee. Hope this helps. If baby is still like this, even do the all fours, etc., in labour. You make look funny or they may think you are mad, but it will still help.

march02: Could you tell us how to identify the various bits of the baby? I can feel hard bits sticking out at the top of my uterus, which I assume is either the baby's head or bottom - does the head feel harder than the bottom, or is there another way of identifying body parts?



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