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Fri, 23 Jan 2009 01:08:11 -0500 |
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I do not have specific experience with vasovagal syncope, though I do know it can be a
problem, even for women who do not have a history of it, during a prolonged or difficult
second stage. Since women with epidural analgesia often have difficulty pushing due to
loss of sensation, it seems logical that remaining free from an epidural would benefit her.
I have a good many books on birth and have used a number of internet sites as well, but
ounce for ounce, "Natural Childbirth the Bradley Way" has been the single best resource
for describing the phases of the first stage and the emotional signposts of each phase. It
is very specific, giving examples of what to look for to determine what phase the woman
is in. It also discourages artificial breathing patterns, which can sometimes cause
hyperventilation and syncope in perfectly healthy women.
I think the suggestions for the second stage would also be particularly beneficial to a
woman who did not want a stressful time pushing. It advises against the stereotypical
scene where the mother turns purple and blows a couple of capillaries, chin on chest,
some oxygen deprivation for her as she waits for the doctor to finally finish counting to
10, only to be told to take a quick deep breath and do it again. Instead it suggests
waiting for the body to signal the woman to push and for her to push in a more focused,
rather than harder, way only as long as she feels comfortable then a good rest before
pushing again.
Again, I do not have specific experience with vasovagal syncope, but my familiarity with
this description of the Bradley method seems to match the mother's desires with her
condition.
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