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Re: Episiotomy question From: Meenan, Anna (annam@uic.edu) Mon Feb 18 21:25:47 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Episiotomy question" Previous message: Meenan, Anna: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question" Baby falls away from the sacrum, allowing posterior shoulder to be born more easily. Baby is not going to slide up toward the diaphragm, because the head is caught OUTSIDE the vagina. Pressure on the diaphragm in McRoberts comes from mom being more firmly curled around the baby with her hips hyperflexed and spine curled up. Anna Meenan, MD >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 > >Delicious ideas to please the pickiest eaters. >the video on AOL Living. Next message: DoctorJoe@aol.com: "Re: Episiotomy question" Previous message: Meenan, Anna: "Re: Episiotomy question" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: Ina May Gaskin: "Re: Episiotomy question"

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