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Re: Episiotomy question From: Meenan, Anna (annam@uic.edu) Sun Feb 17 17:16:24 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: spigget@aol.com: "Re: Gail's drivel" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question" That's never been a problem for me or anyone else I know who's tried it. Just have mom roll to her side and the bystanders help her get her butt up into the air. I too have done it in one patient who had an epidural. Have mom roll to the side, bend knees and hips at right angles, nurses help boost her butt up off the bed, and one nurse or family member on each side stabilizes her hips so she doesn't fall over. Had a patient once with a very dense epidural who I was afraid to try getting all the way up, so I just had her roll to the side and pull her knees and hips up at right angles. Even just doing that gives you extra space posteriorly. I've delivered, I think, 6 or 7 in the all-4's and have never done an episiotomy. By the time that head retracts against the perineum and those fat baby cheeks get plastered up against it, I wouldn't even want to try to get a pair of scissors in there. Anna Meenan, MD >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 > >Delicious ideas to please the pickiest eaters. >the video on AOL Living. Next message: spigget@aol.com: "Re: Gail's drivel" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question"

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