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Anterior Lip

Last post 08-02-2009 12:18 PM by midwifea. 1 replies.
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  • 08-02-2009 8:39 AM

    • Jen636
    • Top 75 Contributor
    • Joined on 02-14-2009
    • Metro Detroit
    • Posts 13

    Anterior Lip

    We've had a string of these lately.  For some reason, we are seeing a few moms who are complete, yet have that thin cervical lip hanging on.  For once client, the cervix was coming down with the baby's head.  We tried ice which helped greatly and did some gentle pushing of the cervix during a contraction.  It all worked out in the end but I'm wondering if there is anything that can be done prior to seeing this. 

    Moms like us because we tell them that we don't routinely do VE.  So then how would we find an asyclitic head and save our moms hours of hard labor?  How do we find an anterior lip that could have been corrected with position changes had we known about it?  (I guess this question has two parts.)  This doesn't happen often but because it happened twice in one week made me think more about it.  Any suggestions?

     

    Thanks ladies!

    ~Jen~
    Primary Midwife Under Supervision
    Homeschooling mom of 3
  • 08-02-2009 12:18 PM In reply to

    • midwifea
    • Top 10 Contributor
    • Joined on 02-12-2009
    • Kailua Kona, HI
    • Posts 475

    Re: Anterior Lip

    It's a fine line isn't it?  For me, it's always about trusing my instinct.  With no VE to tell me what the cervix is doing I look at mama's face.  If there is a deep satisfaction look there then my gut tells me it's okay.  If I read something else then a VE might be called for.  It's hard to be completely hands off in every birth, isn't it?

    Here's a link to a recent discussion we had about this;

    http://community.midwiferytoday.com/forums/p/611/2847.aspx#2847

    Blessings,
    April
    moderator

    "The Voice

    There is a voice inside of you
    That whispers all day long,
    "I feel this is right for me,
    I know that this is wrong."
    No teacher, preacher, parent, friend
    Or wise man can decide
    What's right for you--just listen to
    The voice that speaks inside."
    — Shel Silverstein
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