repost: confinement to bed in labor for ruptured membranesThread
Oct 25, 2010 08:00 PM
(Martin had problems posting to the forum and asked that I post for her.)
I am not aware of any research on the risk of cord prolapse with ruptured membranes when women are upright, and anyone who is, please feel free to chime in. Common sense, though, says that if the head is engaged in the pelvis, there would be no risk of the cord slipping down ahead of the baby's head because the head would be sitting in the bowl of the woman's pelvis like an egg in an egg cup. Common sense also says that when the head is not engaged, upright postures would be safer than recumbent ones because when upright, gravity would bring the head downward. I am not a clinician, but what makes sense to me is to have the woman stand up and for someone to listen to the heart tones through a couple of contractions to make sure the cord isn't being pinched between the baby's head and the woman's pelvis (occult prolapse), and if the baby sounds good, to let the woman alone.
All Times America/New_York
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