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Re: Episiotomy questionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Feb 17 16:52:52 2008
At Sun, 17 Feb 2008, AllanHo@aol.com wrote: > >In a message dated 2/17/2008 3:35:51 PM Eastern Standard Time, annam@uic.edu >writes: > >That was undoubtedly written by someone who has only ever tried to get into >the posterior vagina while mom was sitting on it and baby was lying on it. >Try it when baby being pulled anteriorly by gravity and sacrum levered up >posteriorly by attending's hand (and arm), as they are in the all-4's position. > As I said, the amount of extra space you achieve is AMAZING. The last time >I did it, I was able to reduce a posterior arm that was trapped behind the >baby's back. > >Anna Meenan, MD > >I have heard of this maneuver, but the thought of making a woman flip around >with a baby's head between her legs scares me a little bit. What if she >sits on the baby's head by accident? > >Allan Allan its actually very easy to do if the Mom does not have an epi, and I have actually done it with Mom's with epi's; personally I don't find Gaskin helps that much and that's probably because I do my supine delieveries with the bed broken and Mom's cocyx-sacrum floating in the breeze that's where you get maximum bang for the buck with McRobert's.
--
Take care, John
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