The action of a midwife prior to giving birth

Most people associate a midwife as someone who helps a woman during delivery. What a lot of people do not know is that a midwife is very much involved in a lot of issues before delivery. They play a very important role that shouldn’t be overlooked. So in this article we are going to learn what some of these things are that they accomplish prior to delivery.

Some of the things you look for are the health of the mother. This is important not only for the mother but it will help determine if using a midwife would be wise. Because if they find out that there might be a complication during delivery, they may rule out the possibility of a home delivery. In other words if the woman’s health has problems that woman could be referred to a doctor.  This has comforted many women in my homebirth midwives San Diego services knowing if they could have complications or not.

The next significant thing they will look into is the prenatal care for the health of the baby. A midwife will have access to all the tools needed to make sure that the baby is growing fine indeed. They will be able to tell if the heartbeat is fine. They will be able to find out and learn if there are other issues to be worried about.  This is a big benefit women look for in my homebirth San Diego practice.

Last but not least, a midwife can help throughout the pregnancy period to monitor the health of both the baby and the mother. Obviously things can change during a pregnancy so regular visits will help monitor. These regular maintenance will help determine if anything unusual came up that needs some attention. This is very important to many women I see in my San Diego home birth practice.

So as you have read, even if you have utilized a midwife, it doesn’t mean that the regular care is not present. As a matter of fact, the level of care you may get from a midwife could overshadow everything else.

Giving birth using a midwife: Some criticisms

People basically think of hospitals and doctors when they think of having a baby delivered.  But there is a growing movement of women who are wanting to go more natural.There are some women who are actually foregoing the medication during delivery in order to have a more natural mode or nature child birth. Part of that movement of going natural is using a midwife to deliver a baby.  There are many advantages to this that we are going to look at in this article.

Some people, first and foremost, think using a midwife to deliver a baby is not safe.They think that the safest practice is having a baby with a doctor, since they have all the medical equipment needed.But this actually a false or invalid issue since most deliveries done by a midwife are only done with safe pregnancies.  In other words if there is any history of complications it will not be performed with a midwife.  Other then that as a San Diego midwife I know first hand midwives know what to do in medical emergencies.

Midwives will not be using any medication that women need, that is actually another common criticism.Because women do not actually need to have drugs for delivery that is why the premise is false.The major reason why most pregnancies take so long, as a matter of fact, are drugs.  The drugs cause the birth to stop because it is disrupting the natural delivery. I have seen first hand as a homebirth midwife San Diego how much faster natural deliveries are.So medication is definitely no longer needed and it only hinders the delivery.

Another criticism is that midwives are not doctors.It does not actually mean that they don’t know what to do medically, while that is true. All midwives definitely have to go through a very difficult licensing and certification process.  This process teaches them what medical procedures may need to be performed in certain situations.  As a certified midwives San Diego practicioner I know first hand that midwives are prepared for emergencies.

As you can see, having a baby with a midwife definitely has more benefits than with those people would have you to believe.It helps you to have a faster delivery than with medications and is definitely safer.

Pedunculated Fibroid

Fibroid that grow in the uterus stalk is called pedunculated fibroid. If this fibroid grows outside the uterus it is called sub-serous fibroids and if it grows inside the uterus its called sub-mucosal fibroids.

Pedunculated fibroids can become quite large. An article in the East African Medical Journal last year reported that a 37-year-old woman presented with significant, increasing abdominal swelling. Surgeons removed a 1.5 kg pedunculated fibroid that was almost 16 cm in length.

One of the most startling things about this patients condition was that she had no symptoms other than the abdominal swelling. Other women who develop pedunculated fibroids have a much different experience.

Occasionally pedunculated submucosal fibroids can protrude into the vaginal canal, bringing pain during sexual intercourse. The American University of Beirut Medical Center has reported two women that had prolapsed pedunculated submucosal fibroids, one of these patients fibroids had 12 centimetres of the fibroid prolapsed into the vaginal canal while the rest of it remained in the uterus.

When the stalk gets distorted it causes severe pain but very few faces this problem. It is very risk if the fibroid in the stalk grows.

Women with these fibroids also often experience pain in the uterus and significant uterine cramping. The pain can often extent to other organs as well.

Yet another possible symptom brought on by pedunculated submucosal fibroids is bleeding between periods. This bleeding can range from light spotting, to constant bleeding very similar to that of a light period. Those who have constant bleeding report that the intensity of the bleeding becomes heavier at the arrival of their time of the month.

Often when the pedunculated fibroid has become severely twisted it will require surgical intervention. This occurs because the pain level becomes so great to the woman experiencing it that they will do anything to stop it.

Another effect of twisted peduncle is a blockage or twist in veins that supplies the fibroid with blood and nutrients. These fibroid perishes if the supply is blocked and hence causes severe pain and enhances the infection rate.

Uterine Artery Embolization is a procedure often recommended whenever the peduncle reaches a width of 2 centimetres or more. This procedure serves the purpose of blocking the blood supply to the fibroids, thus impeding growth and causing them to decrease in size and eventually die. The University of Toronto, however, has reported that pedunculated subserousal fibroids were more likely to be effected by Uterine Artery Embolization than other types of fibroids.

The doctors in Bretonneau hospital of France suggests women to repeat Uterine Artery Embolization, as its diagnosed that 10% of women has re-growth of these fibroids after 2 years.

Another common treatment for pedunculated fibroids is Myomectomy. A procedure in which the fibroid is surgically removed and the uterus repaired by the surgeon. This surgery does not, however, have a 100% success rate as Doctors at the University of South Dakota have reported a case where they attempted a myomectomy on a patient. The woman had experienced a ruptured blood vessel in a large pedunculated fibroid while giving birth. The attempted myomectomy was unsuccessful, and they were forced to perform an emergency hysterectomy instead.

Before hysterectomy surgeries, it is very reasonable to sign papers as an approval, as things may go wrong or sometimes for very few women uterus has to be removed.