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Re: OB: cheap tricks for Rotation of the Occiput From: emilio porro (sanbonav@hotmail.com) Sat Feb 28 06:57:48 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman: "Consumer Driven Health Care" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: GEN: Premiers fear collapse of health-care system" In reply to: art fougner, md: "OB: Posture Exercises Do Not Influence Rotation of the Occiput" These are some cheap tricks You can suggest for occipital posterior fetal head (that You can diagnose at the end of pregnancy or at the beginning of labor localinzing the position of fetal spine with ultrasounds or Leopold manoeuvres) 1)You can suggest the pregnant woman to wash strongly her house (or hospital )floor with floor polisher standing up.The probable mechanism is strong alternate contraction of ileo-psoas muscles. (had been used by my Mother to deliver the third baby of seven who was in wrong position,and recently suggested by me to a patient with previous big baby (kg. 4,600)in occipito posterior position and long labor and a second big baby(kg. 4,700 at birth )who was in in the same position at the end of pregnancy but had been delivered in half an hour. 2)Is used in Africa where for women android pelvis fetal engagement may be a problem .During labor the woman makes to or three rounds of the hospital whith a off-road vehicle,so is strongly shaked helping the baby to enter in the pelvis. 3)according Chinese medicine the use of moxa sigars on acupuncture point Bladder 67(as for podalic version)because there is an increase of spontaneous fetal movements(more details at http://www.sanbonaventura.com) Yours faithfully Emilio Porro ObGyn M.D. Como Italy http://www.sanbonaventura.com At Fri, 27 Feb 2004, art fougner, md wrote: > >In this weekend's British Medical Journal - > >art > >BMJ 2004;328:490 (28 February) > >Randomised controlled trial of effect of hands and knees posturing on >incidence of occiput posterior position at birth >Azar Kariminia, research officer1, Marie E Chamberlain, professor of >midwifery3, John Keogh, consultant obstetrician and gynaecologist2, >Agnes Shea, lecturer3 >1 Midwifery Research, Hornsby Hospital, Palmerston Road, Hornsby, NSW >2077, Australia, 2 Department of Obstetrics and Gynaecology, Hornsby >Hospital, 3 University of Sydney, Sydney, NSW 2006, Australia > >Correspondence to: Azar Kariminia, Public Health Unit, Long Bay Complex, >Anzac Parade, Malabar, PO Box 150, Matraville, NSW 2036, Australia >karimia@chs.health.nsw.gov.au > >Objective To evaluate the efficacy of hands and knees position and >pelvic rocking exercises on the incidence of fetal occiput posterior >position at birth. > >Design Multicentre randomised controlled trial. > >Setting Seven maternity units in New South Wales, Australia, >encompassing teaching hospitals and district general hospitals. > >Participants 2547 pregnant women at 37 weeks' gestation; 1292 randomised >to the intervention group and 1255 to the control group. > >Intervention Hands and knees position and pelvic rocking exercises from >37 weeks' gestation until the onset of labour. > >Main outcome measure Incidence of fetal occiput posterior position at >birth. > >Results 1046 women in the intervention group and 1209 women in the >control group remained in the study until they went into labour. No >significant difference existed between the groups for the incidence of >occiput posterior position at birth: 105 (8.1%) women in the >intervention group and 98 (7.8%) in the control group had a baby in a >posterior position at delivery (difference in risk 0.3%, 95% confidence >interval -1.8 to 2.4). The incidence of fetal transverse arrest was >3.4% (44 women) in the intervention group and 3.0% (38 women) in the >control group (difference in risk 0.4, -1 to 1.7). No differences >occurred between intervention and control groups for induction of >labour, use of epidural, duration of labour, mode of delivery, use of >episiotomy, or Apgar score. > >Conclusion Hands and knees exercise with pelvic rocking from 37 weeks' >gestation to the onset of labour did not reduce the incidence of >persistent occiput posterior position at birth. > >-- >art fougner, md >ich bin ein New Yorker > Next message: Dean Huffman: "Consumer Driven Health Care" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: GEN: Premiers fear collapse of health-care system" In reply to: art fougner, md: "OB: Posture Exercises Do Not Influence Rotation of the Occiput"

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