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Re: Palpating head above pelvic brimFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Fri Mar 21 13:39:33 2008
I think head above the brim is a great rule, unfortunately it becomes not very usefull when BMI>45, seems about 1/3 of the MOM's I deliever have a BMI of >45 these days. One of the reason's I like Tuucker/Macleans is the shanks are about 18 inches long and the blades are non-fenestrated. There are only one pair of non-fenestrated Kielland in the D.R. the shanks are only 14? inches long, when Mom's BMI is > 45 the head may be at +4 and you will not be able to apply them because of soft tissue dystocia.
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Take care, John
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