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Old 03-27-2012, 01:21 PM   #51
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

I pushed for about 5 hours, in a hospital, before my daughter was born. But she had torticollis, so she was basically stuck most of that time. They spent a good hour trying to turn her head inside the birth canal when I had no pain meds. Talk about horrific! I got an epidural about 3 hours into pushing (and 25 hours into active labor), and pushed another hour before they gave me the option of vacuum or c-section. I went with vacuum and she was born an hour later.

Admittedly I was pushing before I was 10cm, which only made everything worse. I know lots of women can control pushing, but mine was completely involuntary. I can only liken it to throwing up. There was no possible way I could stop it, as much as they begged me to try, which is one of the big reasons they encouraged me to finally get an epidural. The epidural did the trick and stopped the involuntary pushing.

ETA: Baby #2 was out with probably 10 minutes tops of pushing. Such a wonderful change!

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Old 03-28-2012, 06:14 AM   #52
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

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Originally Posted by champatlife View Post
That's interesting. With my second I had two nurse on top of me pressing above my pelvis. Literally jumping on top of me, and the doctor was yelling for more help, I was in the zone not realizing what was going on until i heard her say, xwe need more nurses" and then i panicked and asked what was wrong and everyone was like "just dont stop pushing" and then my beautiful baby girl made her way into the world,but she didnt cry, and I panicked again until they laid her on my chest. She never did cry until the took her from me 15 mins later.

A pedi came in to asess for broken bones, and she had a lot of bruising on her head, and stork bites but no coning. I was confused at first about why the concerns for broken bones, and my husband was like, you didn't realive two nurses standing on stools practically jumping on top of you? Then I vaguely remembered pain in the area and small flash memories.
I don't think pushing to get baby under pelvis is necessarily the same as fundamental pressure, someone correct me if I'm wrong. It sounds like you had shoulder dystocia, my first 2 had very similar things. Atfter the gaskin maneuver failed they flopped me over and used the pelvic pressure to try and unwedge them. I didn't remember after my first birth either until i started looking back, i think i had blacked it out because if was really terrifying.
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Old 03-28-2012, 04:20 PM   #53
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Originally Posted by champatlife

That's interesting. With my second I had two nurse on top of me pressing above my pelvis. Literally jumping on top of me, and the doctor was yelling for more help, I was in the zone not realizing what was going on until i heard her say, xwe need more nurses" and then i panicked and asked what was wrong and everyone was like "just dont stop pushing" and then my beautiful baby girl made her way into the world,but she didnt cry, and I panicked again until they laid her on my chest. She never did cry until the took her from me 15 mins later.

A pedi came in to asess for broken bones, and she had a lot of bruising on her head, and stork bites but no coning. I was confused at first about why the concerns for broken bones, and my husband was like, you didn't realive two nurses standing on stools practically jumping on top of you? Then I vaguely remembered pain in the area and small flash memories.
Fundal pressure and supra pubic pressure are two totally different things! Supra pubic pressure is used to get the shoulders through the pelvis in a shoulder dystocia.
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Old 03-28-2012, 05:50 PM   #54
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

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Fundal pressure and supra pubic pressure are two totally different things! Supra pubic pressure is used to get the shoulders through the pelvis in a shoulder dystocia.
yeah I did some major googling in the past 24 hours. Good to know. hahaha, but now I'm petrified of labor from all the googling.
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Old 04-01-2012, 08:05 PM   #55
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

I cannot imagine pushing for 10 hours. I had to push for a little under an hour with my youngest and it was like hell on Earth. To be honest, by the end of it I just laid there and sobbed like a little frickin' baby and cried out to God.
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Old 04-02-2012, 01:13 PM   #56
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

You may want to read this story: http://doulamomma.wordpress.com/2010...ed-t-cesarean/

She was 10 cm dilated for 20 hours with an intact bag of waters. Even more interesting is how long the placenta took to come out. Her story is especially interesting in that she had had a inverted t incision with her firstborn and she was attempting a VBAC. She was in South Korea (we were there the same time except I chose to return to the US--we were actually due the same day though I never met her, just met her doula) and had both a midwife and an OB who had recently started doing homebirths.
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Old 04-02-2012, 02:10 PM   #57
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

Wow! I don't know how you handled that! You're like superwoman! My first was in a hospital and I think I maybe pushed for an hour. It was exhausting!! Any longer and the hospital I was at would have tried to strong-arm me into a c/s.

The rest of my babies were born unassisted at home; two came out via "fetal ejection reflex" where I just kinda breathed them out (took just a few minutes) and the other I actually pushed, but it was still only 7 minutes. That 7 minutes, though...wow, I was beat. Seriously.

Thinking about the fetal ejection reflex, I'm wondering if you ever experienced that during your birth. Not just an "urge to push", but a diarrhea-like expulsion of baby (yes, sounds gross, but it's also completely accurate in describing the sensation ). Some woman can be fully dilated for hours or even days before their bodies are actually ready for pushing. Maybe that was the case here, where it took your body a while to realize, "oh, we're doing this now?"
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Old 04-02-2012, 05:54 PM   #58
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

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Originally Posted by NATTYBATSMOM View Post
You may want to read this story: http://doulamomma.wordpress.com/2010...ed-t-cesarean/

She was 10 cm dilated for 20 hours with an intact bag of waters. Even more interesting is how long the placenta took to come out. Her story is especially interesting in that she had had a inverted t incision with her firstborn and she was attempting a VBAC. She was in South Korea (we were there the same time except I chose to return to the US--we were actually due the same day though I never met her, just met her doula) and had both a midwife and an OB who had recently started doing homebirths.
Wow! What an amazing story.
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Old 04-02-2012, 06:01 PM   #59
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

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Wow! What an amazing story.
I know! I remember reading it and being VERY glad that my little one came out in less than two pushes. Was sort of grateful then for the 2, almost 3 days of horrible back labor. That I could do at home, don't think my hospital would have been okay with me going 20 hours at 10 cm!
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Old 04-03-2012, 08:51 PM   #60
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Re: 10 hours of pushing. Yes, I said pushing. Anyone else go long??

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I am surprised at the people who think 2 hours of pushing is long, or had C sections at that point. My memory from my research before my first birth was that 2-4 hours of pushing was a fairly accepted range in hospitals. I pushed for 1.5 hours with my first and it seemed very normal. FWIW, I pushed for about 5 minutes with my second child and maybe 10-15 minutes with my third, although the really intense pushes were 5 minutes or less.

I am completely speculating but it seems like you had an urge to push way before it was productive. I guess the bigger question is WHY did that happen. Maybe like dry heaves long before you actually vomit.... you only get exhausted from them rather then it accomplishing anything. There are times our bodies work that way - another example, like a runny nose when you have no other cold or allergy symptoms and feel fine.

I mean, now that I think about it, what triggers pushing anyway? We don't really know what triggers the onset of labor - do we know for the pushing phase? Is it pressure on the cervix, is it chemical, is the sensation transferred by certain nerves? Chicken and egg question - does it start with baby's position or something else which then helps you move baby's position? Maybe if you find out more about how normal pushing is triggered and coordinated/conveyed by the body, you can speculate on what might have been different for you.

As for finding a physical therapist, try http://www.apta.org/apta/findapt/ind...ID=10737422525 and check "women's heath" as your specialty area.
The need to push is generated from "Ferguson's reflex" when your baby's head reaches +1 station. This is why you should NOT "trust" the urge to push all of the time. Just because you feel the urge to push, that does not mean you are dilated to 10 cm. You can be 9/+1 or lip/+1. Pushing against an undilated cervix can cause cervical swelling which can then lead to further dystocia for second stage, cervical lacerations, etc.

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Originally Posted by champatlife View Post
That's interesting. With my second I had two nurse on top of me pressing above my pelvis. Literally jumping on top of me, and the doctor was yelling for more help, I was in the zone not realizing what was going on until i heard her say, xwe need more nurses" and then i panicked and asked what was wrong and everyone was like "just dont stop pushing" and then my beautiful baby girl made her way into the world,but she didnt cry, and I panicked again until they laid her on my chest. She never did cry until the took her from me 15 mins later.

A pedi came in to asess for broken bones, and she had a lot of bruising on her head, and stork bites but no coning. I was confused at first about why the concerns for broken bones, and my husband was like, you didn't realive two nurses standing on stools practically jumping on top of you? Then I vaguely remembered pain in the area and small flash memories.
It sounds to me like you had a shoulder dystocia. FUNDAL pressure is pressure being applied to the fundus, or the top of your uterus. SUPRAPUBIC pressure is pressure being applied right above your pubic bone. This is helpful when you have a shoulder dystocia. The anterior shoulder gets impacted behind your pubic bone. What they probably did was jack your knees up to your ears (McRoberts) and apply aggressive pressure right above your pubic bone. Those moves together force your pelvis wider while also attempting to force that anterior shoulder underneath the pubic bone. When he assessed for broken bones, he was probably assessing for a broken clavicle (collar bone). This can be a complication of shoulder dystocias.

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Originally Posted by NATTYBATSMOM View Post
You may want to read this story: http://doulamomma.wordpress.com/2010...ed-t-cesarean/

She was 10 cm dilated for 20 hours with an intact bag of waters. Even more interesting is how long the placenta took to come out. Her story is especially interesting in that she had had a inverted t incision with her firstborn and she was attempting a VBAC. She was in South Korea (we were there the same time except I chose to return to the US--we were actually due the same day though I never met her, just met her doula) and had both a midwife and an OB who had recently started doing homebirths.
So, wait. She was a HBAC with a T-shaped incision. She pushed for 20 hours. That is the craziest story I have ever heard of. It makes my head explode. She had a partially vertical incision. She was homebirthing. She pushed for 20 hours. Stories like that remind me that God takes care of babies and fools- and in that story, sounds like there were both.



OP, 10 hours of pushing is insane. Your midwife was irresponsible for allowing you to push for that long. You are one very, extremely lucky woman that you did not a) rupture your uterus b) end up with a Bandl's ring c) end up with a rectovaginal fistula from damage to your pelvic floor d) end up with a shoulder dystocia e) end up with a massive, massive postpartum hemorrhage from your atonic uterus. Women in third world countries push for 10 hours. Women in America should never push for 10 hours. For your next birth, I would highly suggest that you birth in a hospital. Do not take this "success" to be proof that you can birth at home without complication. 10 hours of pushing is ALWAYS a complication. I am skeptical of your midwife's assertion that your muscles were spasming. How did she know this to be true? I have never heard of this impinging on pushing efforts. Pushing for 10 hours is not a happy, positive thing. It's a frightening thing. With all due respect, this is something that you should really meditate on and if you decide to homebirth again, I would do it coming to terms with the fact that if you end up pushing for longer than 3 hours with this next baby, that you are okay with an adverse outcome for that pregnancy.
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