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Re: Episiotomy questionFrom: AllanHo@aol.comMon Feb 18 20:41:02 2008
In a message dated 2/18/2008 10:02:40 PM Eastern Standard Time, elishyde@att.net writes: Two, if one makes the assumption that most of the weight of the fetus is in its trunk, and that gravity is what it is....would it not make sense that to be on all-4's with hips and knees flexed (enlarging the AP diameter as has been demonstrated radiographically) that the bulky trunk of the fetus to follow gravity and "fall" towards the maternal abdomen, therefore moving the shoulder from behind the pubic symphysis? Expulsive force is cephalad to caudad, therefore potentially impacting the shoulder even more, and causing stress on the thin LUS. (Plus fundal pressure is indefensible in the US courts). H-K allows more posterior to anterior movement as well as increases the pelvic diameters. Betsy Hyde CNM Branford, CT = That's what I thought - getting on all 4's actually makes it less effective for the mother to push the baby out. The baby wants to slide towards the mother's diaphram. So how does it make it easier for the mother to breath like what Ina May said? Allan
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