Re: Spam warning for Namibian Obstetricians
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Tue Oct 23 12:26:30 2007
Absolutely--been there, done that. I make sure that, and the Murless
vector are in the room, as it is a long minute when the circulator has
to run and get either of those!
Garry
At Mon, 22 Oct 2007, Richard Chudacoff wrote:
>
>You could always use a Kiwi vacuum. They work very well, and are easy to
>manipulate during a cesearen section
>
>--
>Richard Chudacoff, MD, FACOG
>Las Vegas International Center for Advanced Gynecologic Care
>(Specializing in minimally and non-invasive surgery)
>2481 Professional Court
>Las Vegas, NV 89128
>TEL: 702-485-8893
>FAX: 702-974-0945
>
>http://www.lasvegasgyncenter.com
>http://www.exablateoflasvegas.com
>
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E.
>Siegel, M.D.
>Sent: Monday, October 22, 2007 6:31 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Spam warning for Namibian Obstetricians
>
>I never understood, learned or was properly shown how to use forceps at
>a section.
>
>Any references with pictures?
>
>Garry
>
>At Sun, 21 Oct 2007, Ronald Ainsworth wrote:
>>
>>We used that in residency, but I haven't had one for
>>years. After I scoop the hand up a short distance,
>>I'll use a single blade of a Simpson forcep as a "shoe
>>horn" and get my hand out of the way. Takes up a lot
>>less room than my hand and works quite well for me.
>>If that doesn't work, I'll apply the other blade and
>>deliver with the forceps.
>>
>>--- "Garry E. Siegel, M.D." <garrys@mindspring.com>
>>wrote:
>>
>>> 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
>>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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