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Re: shoulder dystociaFrom: Anna Meenan, MD (annam@uic.edu)Thu Jan 13 11:25:09 2005
Finally found my Medscape Login and password and accessed the actual article. One paragraph intrigued me: Dr. Gurewitsch: Although we do not make clinical recommendations based on a laboratory model, we highlight in the discussion section of our article that manipulation of fetal position after delivery of the head had been indeed practiced routinely at all deliveries in the 1950s and 1960s, when dystocia injury rates were at an all-time low. Based on this and now our results, we believe there is justification for reincorporating this practice even at regular deliveries. This should decrease the force applied at any delivery and, more importantly, will increase clinicians' familiarity with fetal manipulation so that they can be more adept and comfortable with its execution before it is truly needed in a shoulder dystocia emergency. Any of you "old guys" out there remember routinely doing a Rubin's at all deliveries? Interesting concept.
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Anna Meenan, MD
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