Re: 'How childbirth went industrial'

From: Efrain Ramirez (eramirezt@coqui.net)
Fri Oct 13 22:49:23 2006


Add 30 more years - I have never done that - I have never used forceps or anythong else except my hands to get the baby out..

Ef

t Fri, 13 Oct 2006, R. Daniel Braun wrote: >
>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
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




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