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Re: Episiotomy question From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Mon Feb 18 19:51:40 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: AllanHo@aol.com: "Re: Episiotomy question" Previous message: Betsy Hyde: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question" Reply: Ina May Gaskin: "Re: Episiotomy question" It can be shown that the outlet diameters change from the supine to the all fours position. That's why the McRoberts is effective and the Gaskin even more so Steve ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of -- ________________________________ AllanHo@aol.com Sent: Tuesday, 19 February 2008 1:34 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Episiotomy question 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 ________________________________ Delicious ideas to please the pickiest eaters. Watch the video on AOL ________________________________ Living. 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: AllanHo@aol.com: "Re: Episiotomy question" Previous message: Betsy Hyde: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question" Reply: Ina May Gaskin: "Re: Episiotomy question"

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