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Re: Pain management/ shoulder dystocia From: Anna Meenan, MD (annam@uic.edu) Thu Mar 30 09:20:02 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Pain management/ shoulder dystocia" Previous message: Anna Meenan, MD: "Re: Pain management" In reply to: GA12L@aol.com: "Re: Pain management/ shoulder dystocia" You can get cord gasses even with a retained placenta. Just double-clamp a section of cord and draw them while you're waiting for the placenta, though it's usually not at the top of my list of things to do in a situation like that, since I'm often more focused on the baby. Get peds neurosurg consult on baby ASAP, even if you think the Erb's will resolve. -- Anna Meenan, MD At Thu, 30 Mar 2006, GA12L@aol.com wrote: > >In a message dated 30/03/2006 13:24:33 GMT Daylight Time, >forcep@intercom.net writes: > >I'm sure you have done so but now go back and write down >moment by moment the mechanisms you used to deliver infant ,with times. >If you had help make them do same thing. Joe C > >Thanks for that Joe. I don't remember much about it. All I know is I got the >baby out. It was so frightening. I did write down what I did with the help >of the other 2 midwives. One did suprapubic pressure for one minute constant >then one minute rocking. I tried to push the anterior shoulder into the >oblique and in the end I got the baby out by getting the posterior shoulder out >first. I tried to remember the HELPERR mnemonic. I was starting the think >we might have to perform a Zavanelli! I'm not ashamed to admit I sat down and >cried buckets after. It was the worse one I had been involved in. To top it >all the emergency buzzer wasn't working, just as well I got help before the >baby was born and informed the parents of McRoberts and other stuff. Her >last baby was over 9 lbs and this one palpated large too but she weighed 153 Kgs >so it was difficult to tell. Oh, and then she had a retained placenta so I >couldn't take any cord blood for gases or Kleihauer. And the hits just keep >on coming... > >Gail Next message: Anna Meenan, MD: "Re: Pain management/ shoulder dystocia" Previous message: Anna Meenan, MD: "Re: Pain management" In reply to: GA12L@aol.com: "Re: Pain management/ shoulder dystocia"

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