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Re: Episiotomy question From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Mon Feb 18 18:03:35 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Episiotomy question" Previous message: Raymond Stephen: "Re: Episiotomy question" In reply to: allanho@aol.com: "Re: Episiotomy question" Next in thread: Efrain Ramirez: "Re: Episiotomy question" Because it damages the myometrium and stresses the fetus. Besides, it doesn't change the basic problem which is the dimension of the outlet! Steve ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ allanho@aol.com Sent: Tuesday, 19 February 2008 8:35 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Episiotomy question I am glad you agree with me that the movement of the patient may be the real mechanism of dislodging the stuck shoulder. I wonder if just rocking the patient's hip from side to side (now I will proclaim as the "Allan Maneuver", named after myself ;-) can achieve the same result. With the McRobert Maneuver, the sacrum should be off the bed, so it should have the same effect as being up-side-down in the air. I don't understand the part with gravity being in your favor unless the patient is squatting. And if its the expulsive force that's critical, why is fundal pressure such a taboo? Allan -----Original Message----- From: Ina May Gaskin <inamaygaskin@gmail.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Mon, 18 Feb 2008 9:43 am Subject: Re: Episiotomy question The movement definitely helps, but the antero-posterior diameter increases as you flex the thighs. McRoberts does that too, but all-fours gives the additional help of gravity without interfering with her ability to get a good deep breath (as McRoberts can). Ina May CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Efrain Ramirez: "Re: Episiotomy question" Previous message: Raymond Stephen: "Re: Episiotomy question" In reply to: allanho@aol.com: "Re: Episiotomy question" Next in thread: Efrain Ramirez: "Re: Episiotomy question"

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