Re: Episiotomy question
From: Ina May Gaskin (inamaygaskin@gmail.com)
Tue Feb 19 08:52:24 2008
You can even feel the difference if you put one hand on your own
symphysis and the other on your coccyx, noticing the distance between
(you're standing). Lean back and then note what happens as you lean
forward so your torso in parallel to the floor. You can feel the
coccyx lift.
Ina May
On 18 Feb 2008, at 18:56, Raymond Stephen wrote:
> 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.
>
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