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Re: 'How childbirth went industrial'From: ainsron (ainsron@sbcglobal.net)Fri Oct 13 12:24:40 2006
Most of the time I use a single blade of a Simpson forceps to "shoe-horn" the head out of the uterus while my assistant pushes on the fundus. Occasionally I will use both blades to assist with extraction. I know some who use a vacuum to assist the head out. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Friday, October 13, 2006 5:55 AM To: Multiple recipients of list OB-GYN-L Subject: Re: 'How childbirth went industrial' In a message dated 10/13/06 7:47:41 AM, jane@helwig.net writes: 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? I never have. The only "trick" apart from scooping the baby's head up or having someone push a hand in the vagina to push it up is to reach up and grab the footsies and deliver it as a breech through the uterine incision. Apart from that (and the single Barton forcep to leverage it out, published by Megison in the Green Journal years ago), I don't know of any other tricks. Joe P.
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