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Re: Palpating head above pelvic brim From: Hemant Damle (hemantdamle@gmail.com) Sat Mar 22 01:15:03 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Palpating head above pelvic brim" Previous message: Glen Elrod: "Re: Gyn: It's fun to be a gynecologist" In reply to: FRANCES WREN: "Re: Gyn: It's fun to be a gynecologist" Next in thread: FRANCES WREN: "Re: Palpating head above pelvic brim" Reply: FRANCES WREN: "Re: Palpating head above pelvic brim" We always teach our residents first to palpate abdominally followed by PV exam at appropriate time. These two things are complimentry. Adominally you palpate and examine for FHS contractions etc every 30 min. PV may be after 2 hrs. Prof Dr Hemant S Damle On 3/21/08, rmodugno@aol.com <rmodugno@aol.com> wrote: > > In residency in South Africa ( many moons ago in the 70s) -we were always > taught to assess "station" transabdominally, rather than using the ischial > spines when assesing a patient for operative delivery.. This is the concept > of "fifths" of head above the pelvic brim to assess CPD. Degree of Caput and > molding transvaginally were also assessed.Most operative deliveries were > vacuum extractions.Kiellands/Kjellands were banned. > > 0/5 - no head felt - operative delivery very likely to succeed. > 1/5 - consider symphysiotomy ! > Anything 2/5 and above - C/S > > Robert Modugno MD MBA FACOG > Sylva, NC > > ------------------------------ > Planning your summer road trip? Check out AOL Travel Guides<http://travel.aol.com/travel-guide/united-states?ncid=aoltrv00030000000015> > ------------------------------ > . > ------------------------------ > Next message: RModugno@aol.com: "Re: Palpating head above pelvic brim" Previous message: Glen Elrod: "Re: Gyn: It's fun to be a gynecologist" In reply to: FRANCES WREN: "Re: Gyn: It's fun to be a gynecologist" Next in thread: FRANCES WREN: "Re: Palpating head above pelvic brim" Reply: FRANCES WREN: "Re: Palpating head above pelvic brim"

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