30/5/2004 13:44
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Ilana Shemesh, natural midwife
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מאת:
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answers about water breaking
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כותרת:
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The policy for homebirths is to wait 24 hours without doing anything for labor to begin. It is good to have a vaginal culture before and know that you are Strep B negative, so that you can not worry about infection. Also very important not to have any vaginal exams, sex, or tub baths, and to take temperature every 4 hours. Also be aware of movements and color of water. Usually contractions begin during the first 24 hours. If not, you begin with natural induction like nipple rolling, and acupuncture and castor oil. If nothing starts within 12 hours, best to go to hospital for chemical induction. If the mother is negative for Strep B, has no fever, and is careful of hygiene, and has no vaginal exams then the risk of infection is extrememly minimal. The risks of inducing in hospital (especially first births) are many, and the chance of a Cesarian is quite high. In this case, although the water broke , her labor was long and that is why it took 3 days. There were never any signs of infection. Remember that in hospital there are the most bacteria and many more vaginal exams and invasive procedures like internal monitors which all increase the liklihood of infection. That is why they give antibiotics, and also because they don't test the women before to see if they are Strep B carriers.
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