Re: 'How childbirth went industrial'

From: R. Daniel Braun (rd.braun@gmail.com)
Fri Oct 13 11:08:50 2006


In 42 years, I have never seen nor heard of that maneuver.

Dan

On 10/13/06, Jane Helwig, MD <jane@helwig.net> wrote: >
> There is a fascinating article in the current issue (Oct. 9, cover art
> shows airplanes tinting Vermont's leaves autumn colors) of The New
> Yorker magazine by Atul Gawande, MD, on the subject of rising c/s rates
> and why obstetric skills such as forceps are rapidly slipping away. The
> gist is that it's hard to teach forceps skills and it's easy to teach
> c/s skills. Thus some finish residency without knowing how to do
> forceps safely. The remedy: concentrate on teaching residents how to do
> a c/s and presto! safer childbirth.
>
> As with most stories from Dr. Gawande (a general surgeon), it is an
> entertaining and well researched piece. He quotes extensively from
> Watson "Watty" Bowes, MD, professor emeritus of obstetrics at UNC, who
> was my adviser in medical school.
>
> One exception I noticed was Gawande's description of how a c/s is done,
> about delivering the baby from the uterus: "If the head is deep in the
> birth canal, you have to grasp the baby's waist, stand up straight, and
> *pull*."
>
> I haven't ever grasped a baby's waist at c/s. Is this a standard
> maneuver?
>
> --
> Jane Helwig, MD, FACOG
> Private practice, 2 MDs
> Lancaster, SC
>

--
R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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