Re: Episiotomy question

From: art fougner, md (evsono@pipeline.com)
Mon Feb 18 10:43:17 2008


The neonatal clavicle is so thin, you could probably manage this with a finger or two. Fair disclosure: I've never actually had to do this, thank God.

Art

At Mon, 18 Feb 2008, FRANCES WREN wrote: >
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>I have never been able to purposefully fracture a clavicle in shoulder dystocia.
>frances wren
>have read re using scizzors to do it...yuck...I'd be scared...god knows what I'd cut
>

>>>----- Original Message -----
>From: "Meenan, Anna" <annam@uic.edu>
>Date: Sunday, February 17, 2008 10:31 pm
>Subject: Re: Episiotomy question
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>
>> >My family physician mentor had told me that I should fracture
>> the
>> >collarbone, but after my "seminar" in Guatemala, I didn't have
>> to
>> >try that because all-fours worked so well.
>>
>> Tom Benedetti, one of the big shoulder dystocia gurus in the US,
>> once
>> said in a seminar that he had never been able to purposely
>> fracture a
>> clavicle, but he was always very happy when one fractured
>> spontaneously, resulting in delivery of the shoulder.
>>
>> Anna Meenan, MD
>>
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><DIV>I have never been able to purposefully fracture a clavicle in shoulder dystocia.</DIV>
><DIV>frances wren</DIV>
>

>>><DIV>have read re using scizzors to do it...yuck...I'd be scared...god knows what I'd cut<BR><BR>----- Original Message -----<BR>From: "Meenan, Anna" <annam@uic.edu><BR>Date: Sunday, February 17, 2008 10:31 pm<BR>Subject: Re: Episiotomy question<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> >My family physician mentor had told me that I should fracture <BR>> the <BR>> >collarbone, but after my "seminar" in Guatemala, I didn't have <BR>> to <BR>> >try that because all-fours worked so well.<BR>> <BR>> <BR>> Tom Benedetti, one of the big shoulder dystocia gurus in the US, <BR>> once <BR>> said in a seminar that he had never been able to purposely <BR>> fracture a <BR>> clavicle, but he was always very happy when one fractured <BR>> spontaneously, resulting in delivery of the shoulder.<BR>> <BR>> Anna Meenan, MD<BR>> </DIV>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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