Re: Episiotomy question

From: AllanHo@aol.com
Mon Feb 18 19:55:01 2008


In a message dated 2/18/2008 9:33:04 PM Eastern Standard Time, rchudacoff@mylinuxisp.com writes:

it probably does not work well. I mean, how many patients, without epidurals, have been writhing back and forth on the delivery bed for minutes or hours with an impacted head, and never delivered. As brilliant as you are, and I am not arguing the fact, the Allen Maneuver might be placed next to that worm that used to cause pre-eclampsia…IMHO. I could be wrong though. Richard Chudacoff, MD, FACOG

Richard, thanks for the complements... And I will ignore the imbedded insult. Don't take me so seriously about naming a Maneuver after myself. For all you know, it may not even be my real name. I am sorry for trying to add a little humor to this serious academic discussion.

But going back to your point - an impacted head is not the same thing as an impacted shoulder. On the other hand, anecdotally, maternal ambulation does help with the descend of the fetal head.

Allan ( or not :- )





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