With my first son’s birth the midwife suggested we rupture my amniotic sac when I was about 9+ cm dilated. I went along with it, but in hindsight wondered why we did that. Clearly dilated between 9-10 cm it wasn’t like we had a long way to go. So, when it came time for my second son’s birth I resisted the temptation – even though I was really tempted. After a full day of mostly light labor, but a couple hours of harder work I was only 4 cm and I was pretty sure I was going to be working all night. I resisted because I knew I felt regret the first time around and it turned out to be a good decision. I spent the next 1.5 hours in the shower thinking to myself “I am a childbirth educator, I am a doula, I must do this. I must do this. Can I do this?” Fortunately when the doctor came to check on my progress I learned that I had, in fact, done it. I was ready to push.
On my first push there wash a gush of lightly green tinted amniotic fluid. Yes, meconium staining. As I reflected back on the whole situation I realized that if I had consented to an AROM (Artificial Rupture of Membrane) they would have discovered the meconium earlier and I would most likely have spent my most difficult moments of labor in bed (torture to me) and hooked to a monitor instead of in the shower. I felt glad for my decision.
Anyway, another local doula Yvonne Novak posted this blog on her facebook page and I thought it was really interesting. Hope you enjoy it.