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Re: Episiotomy questionFrom: AllanHo@aol.comMon Feb 18 19:29:29 2008
In a message dated 2/18/2008 9:01:57 PM Eastern Standard Time, eramirezt@coqui.net writes: Allan the mechanisms of shoulder dystocia - IMHO - are not so clear in your mind.. the expulsive forces are not the critical factor in SD - the impingement of the shoulder behind the symphis - or the sacrum in the cases of the posterior shoulder is the problem.. if you give fundal pressure to an already stucked shoulder you will further increase damage - if you release the shoulder - by whatever maneuver you wish - then the expulsive forces will do the rest.. take care.. Ef Dude (I mean sir), I am not proposing fundal pressure to deliver a stuck shoulder! I was asking Ina May why she thought gravity would help deliver a stuck baby when we know the expulsive force is not a factor. I am contending that it is the movements that unstick the shoulder, given that the outlet dimensions are the same when a woman is in the McRobert position and the on-all-4's position. Please read what I wrote carefully before you condemn what is in my mind. Thanks. Allan
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