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Re: Episiotomy questionFrom: AllanHo@aol.comWed Feb 20 20:14:57 2008
In a message dated 2/20/2008 11:56:06 AM Eastern Standard Time, islesannie@gmail.com writes: I never did the "all fours" but if there was any possible hint of shoulder problems - you know the velocity of the head delivering starts to slow, I was very quick to have the mom / with help flip onto her left side. I would have her upper leg over my shoulders and I would be behind her. GREAT way to get the shoulders and the rest of the baby out. As Anna says, you then give great kudos to the Mom and everyone in the rooom who helped in anyway and Mom is delighted to no longer be pregnant and have the baby in her arms. Joanne Joanne - I am so happy to hear your comment! I see your method of turning your patient on her side as another support (along with the runner's lunge) to my hypothesis that rotating the hip can dislodge a stuck shoulder. Anna - I like "it" already without even trying "it". Trust me, I will flip the patient over (two times if I have to) before I would try the Zavanelli Maneuver, symphysiotomy, intentionally breaking a clavicle or ... even a proctoepisiomtomy! I will, however, consider rotating the patient's hip to one side first. Thank you very much! Efain - apology accepted. You are a gentleman! I will be careful in the future not to end a statement I want to make with a question. Robert - if you don't see any more postings from me in the future, I would have either changed my name or drunk a cup of hemlock. I will go watch the lunar eclipse now and maybe enjoy a cup of hemlock at the same time. Allan
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