Dilation Checks: When Are They Necessary?
Why are we going in and up to check dilation when the baby is coming down and out? I wonder when we first started to invade the woman’s body in this way? Was it after World War II or the turn of the century? What about women who have suffered sexual abuse? What damage are we doing? What information do we really need? Many midwives in the UK and even in the US have stopped doing such checks unless they really need a certain piece of information. What are your thoughts about this?
My midwife partner and I turned away a woman because her bones were so small that we could not even get in to measure her pelvis. She said her mother and sister had both had cesareans for small pelvises. We thought she might do better with our backup doctor because she would probably need a cesarean. I ran into her several years later in the grocery store. She had had her baby vaginally after a short labor and a short second stage.
So, what information are we looking for and how do we know what the outcome will be? We can’t know what the outcome will be. Isn’t midwifery a beautiful art?
The “Rule of 10” Versus Women’s Primal Wisdom by Lydi Owen