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Re: Spam warning for Namibian Obstetricians From: Garry E. Siegel, M.D. (garrys@mindspring.com) Sun Oct 21 21:29:42 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Arlo G - was spinal vs epidural" Previous message: Henry Gregor: "Re: Arlo G - was spinal vs epidural" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Spam warning for Namibian Obstetricians" Next in thread: art fougner, md: "Re: Spam warning for Namibian Obstetricians" Reply: art fougner, md: "Re: Spam warning for Namibian Obstetricians" Reply: Ronald Ainsworth: "Re: Spam warning for Namibian Obstetricians" Reply: Charlie Chambers: "Re: Spam warning for Namibian Obstetricians" In order to avoid extension, I have heard a suggestion of using the "opposite hand" to elevate the head, and have done it some, though it is awkward. I am on the patient's right side, and normally use my right hand. However, to use your left hand, you must turn your body to the right and almost face away from the patient. The puported advantage is that you limit your wrist motion and lessen the chance of a laceration. It is very rare that I need the head pushed up; perhaps because I use Kiellands for deliveries that some might section--who knows? Does anyone use the Murless vector? It is a handy tool. Garry At Sun, 21 Oct 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >Nice article and basic technique I use, but if the author thinks >elevating the head from below is not sometimes necessary than he hasn,t >done enough sections. Another point not brought up is, do not fight the >uterus you will lose every time and more likely cause an extension, if >you have not cut accross the placenta and there is no occult cord >prolapse then you have loads of time to wait for the uterus to relax. >Extensions to the uterines have never been an issue for me they are easy >to repair especially if you make a high tranverse incision. Extensions >to the vagina are the ones that scare me. > >-- > Take care, John > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Joanne Bulley, MD: "Re: Arlo G - was spinal vs epidural" Previous message: Henry Gregor: "Re: Arlo G - was spinal vs epidural" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Spam warning for Namibian Obstetricians" Next in thread: art fougner, md: "Re: Spam warning for Namibian Obstetricians" Reply: art fougner, md: "Re: Spam warning for Namibian Obstetricians" Reply: Ronald Ainsworth: "Re: Spam warning for Namibian Obstetricians" Reply: Charlie Chambers: "Re: Spam warning for Namibian Obstetricians"

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