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	<title>Comments on: The Biggest Baby I&#8217;ve ever caught</title>
	<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/</link>
	<description>The Diary of a New Midwife</description>
	<pubDate>Tue, 02 Dec 2008 13:25:08 +0000</pubDate>
	<generator>http://wordpress.org/?v=2.0.4</generator>

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		<title>by: Ritsumei</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-230089</link>
		<pubDate>Mon, 27 Oct 2008 04:58:07 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-230089</guid>
					<description>What a great story! Yay Mom! And yay you! 

Interesting too. I had no idea that shoulder dystocia was so serious. One of these days I'm gonna splurge and get me a nice fat midwifery textbook. Birth is so interesting.</description>
		<content:encoded><![CDATA[<p>What a great story! Yay Mom! And yay you! </p>
<p>Interesting too. I had no idea that shoulder dystocia was so serious. One of these days I&#8217;m gonna splurge and get me a nice fat midwifery textbook. Birth is so interesting.
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		<title>by: hannah banana</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-167285</link>
		<pubDate>Thu, 12 Jun 2008 02:51:54 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-167285</guid>
					<description>What a lovely story!  Thanks for sharing!

AND...I've meaning to write you - I'm headed to nurse midwifery school in just 3 short weeks!  Your email (from eons ago) was so lovely and encouraging and I just wanted to let you know.</description>
		<content:encoded><![CDATA[<p>What a lovely story!  Thanks for sharing!</p>
<p>AND&#8230;I&#8217;ve meaning to write you - I&#8217;m headed to nurse midwifery school in just 3 short weeks!  Your email (from eons ago) was so lovely and encouraging and I just wanted to let you know.
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		<title>by: The Midwife</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-166724</link>
		<pubDate>Wed, 11 Jun 2008 04:11:07 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-166724</guid>
					<description>Hmm, LP, I think you're right.  Officially, "turtling" is after the head is out.  But then, I still feel like you'd see signs of turlting much sooner than actual crowning, if you're looking for them.  I guess, to my way of thinking, if the shoulders are stuck, each push will bring the head down, but in between the contractions, it's still going to want to move back up to where the shoulders are, because a neck will only stretch so far, and you'd see this during pushing as well as crowning.  But yeah, I think my use of the word may have been slightly incorrect.</description>
		<content:encoded><![CDATA[<p>Hmm, LP, I think you&#8217;re right.  Officially, &#8220;turtling&#8221; is after the head is out.  But then, I still feel like you&#8217;d see signs of turlting much sooner than actual crowning, if you&#8217;re looking for them.  I guess, to my way of thinking, if the shoulders are stuck, each push will bring the head down, but in between the contractions, it&#8217;s still going to want to move back up to where the shoulders are, because a neck will only stretch so far, and you&#8217;d see this during pushing as well as crowning.  But yeah, I think my use of the word may have been slightly incorrect.
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		<title>by: cmoers</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165918</link>
		<pubDate>Tue, 10 Jun 2008 03:31:14 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165918</guid>
					<description>Oooooohhhh, thank you for that.

I love living vicariously through you!</description>
		<content:encoded><![CDATA[<p>Oooooohhhh, thank you for that.</p>
<p>I love living vicariously through you!
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		<title>by: lovingpecola</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165909</link>
		<pubDate>Tue, 10 Jun 2008 03:18:13 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165909</guid>
					<description>99...how magical! The first baby I was intending to catch had an increased shoulder dystocia risk (BMI was nearly 50) and I remember all the discussions about all the people who would be present, etc and my preceptor reviewed all the stuff with me (HELPER) etc. It was so...intense...and I just kept thinking, but maybe it isn't going to be a shoulder dystocia! But of course they/we prepare for the worst when we suspect it. She ended up going to section despite all our efforts (and the docs of course did not want her to go to the OR because of her BMI) 

Thank you for this story, it was so good to read.

But I did want to clarify what you said about the turtle sign...I have always learned that it happens *after* the head is out...that it is the head being sucked back tight against the perineum as if it's going to go back inside after crowning and the birth of the head has occurred...you know it differently?

Good to read a new post from you!
LP</description>
		<content:encoded><![CDATA[<p>99&#8230;how magical! The first baby I was intending to catch had an increased shoulder dystocia risk (BMI was nearly 50) and I remember all the discussions about all the people who would be present, etc and my preceptor reviewed all the stuff with me (HELPER) etc. It was so&#8230;intense&#8230;and I just kept thinking, but maybe it isn&#8217;t going to be a shoulder dystocia! But of course they/we prepare for the worst when we suspect it. She ended up going to section despite all our efforts (and the docs of course did not want her to go to the OR because of her BMI) </p>
<p>Thank you for this story, it was so good to read.</p>
<p>But I did want to clarify what you said about the turtle sign&#8230;I have always learned that it happens *after* the head is out&#8230;that it is the head being sucked back tight against the perineum as if it&#8217;s going to go back inside after crowning and the birth of the head has occurred&#8230;you know it differently?</p>
<p>Good to read a new post from you!<br />
LP
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		<title>by: pamamidwife</title>
		<link>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165849</link>
		<pubDate>Tue, 10 Jun 2008 01:34:13 +0000</pubDate>
		<guid>http://www.bellytales.com/2008/06/09/a-miraculous-birth/#comment-165849</guid>
					<description>makes me so glad to do homebirths!  :)  (especially with unmedicated moms having big babies!)

the largest in my practice has been 13.6 - my first breech was 11.6.  I've had a number of 11 and 12 pound babies in my practice, too.  I had one true shoulder dystocia that was a 13lb baby.  It's the only time I felt completely scared of losing a baby.</description>
		<content:encoded><![CDATA[<p>makes me so glad to do homebirths!  <img src='http://www.bellytales.com/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' />   (especially with unmedicated moms having big babies!)</p>
<p>the largest in my practice has been 13.6 - my first breech was 11.6.  I&#8217;ve had a number of 11 and 12 pound babies in my practice, too.  I had one true shoulder dystocia that was a 13lb baby.  It&#8217;s the only time I felt completely scared of losing a baby.
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