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Re: More posterior than you thinkFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Jan 6 04:49:20 2008
At Sat, 5 Jan 2008, R. Daniel Braun wrote: > >Andrew, would you please check the material put out by Aldo Vacca, the >inventor of the Kiwi. He has multiple papers in the literature and has even >written a poem "It's more posterior than you think!". I gave you the URL to >an excerpt from that poem in the first response that I made referring to the >Kiwi. > >Dan > The vacuum extraction that failed occurred in a nulliparous woman who had been pushing for longer than one hour in the second stage of labour. The fetal head was stationed in the mid pelvis (+1 cm) and the position was occipitoposterior. Descent of the head to the level of the pelvic outlet was achieved in five pulls but detachment of the cup occurred on the perineum and delivery was completed with forceps with the fetal head remaining in a persistent occipitoposterior position. The infant's birthweight was 3690g. The site of Welcome to the real world. http://www.clinicalinnovations.com/literature/VaccaArticle.pdf
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Take care, John
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