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Re: Palpating head above pelvic brimFrom: FRANCES WREN (fwren@shaw.ca)Sat Mar 22 11:29:12 2008
----c0efd8c3118ce70a57ac4 Content-Type: text/plain; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: 7bit I did my MD training in UK,then my fellowship ObGyn in Canada... as I remember it was in UK when we were taught our ob practical stuff by midwifes that we were taught to palpate abdominally first..including head above brim and by how much..or not, then do the PV. I don't think anyone ever mentioned that to me in my formal specialist FRCS ob training in canada. interesting...but other than in the really BMI +++ when it is very difficult to feel much, I have found it a very useful rule when I'm not sure re a "pull"...provided I remember to palpate versus just go ahead. frances wren MD FRCS
>----- Original Message -----
> We always teach our residents first to palpate abdominally ----c0efd8c3118ce70a57ac4 Content-Type: text/html; charset=us-ascii Content-Disposition: inline Content-Transfer-Encoding: quoted-printable <DIV>I did my MD training in UK,then my fellowship ObGyn in Canada...</DIV> <DIV>as I remember it was in UK when we were taught our ob practical stuff by midwifes that we were taught to palpate abdominally first..including head above brim and by how much..or not, then do the PV.</DIV> <DIV> </DIV> <DIV>I don't think anyone ever mentioned that to me in my formal specialist FRCS ob training in canada.</DIV> <DIV>interesting...but other than in the really BMI +++ when it is very difficult to feel much, I have found it a very useful rule when I'm not sure re a "pull"...provided I remember to palpate versus just go ahead.</DIV>
><DIV>frances wren MD FRCS<BR><BR>----- Original Message -----<BR>From: Hemant Damle <hemantdamle@gmail.com><BR>Date: Saturday, March 22, 2008 1:16 am<BR>Subject: Re: Palpating head above pelvic brim<BR>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net><BR><BR>> We always teach our residents first to palpate abdominally <BR>> followed by PV<BR>> exam at appropriate time.<BR>> These two things are complimentry. Adominally you palpate <BR>> and examine for<BR>> FHS contractions etc every 30 min. PV may be after 2 hrs.<BR>> <BR>> Prof Dr Hemant S Damle<BR>> <BR>> <BR>> On 3/21/08, rmodugno@aol.com <rmodugno@aol.com> wrote:<BR>> ><BR>> > In residency in South Africa ( many moons ago in the <BR>> 70s) -we were always<BR>> > taught to assess "station" transabdominally, rather than using <BR>> the ischial<BR>> > spines when assesing a patient for operative delivery.. <BR>> This is the concept<BR>> > of "fifths" of head above the pelvic brim to assess CPD. <BR>> Degree of Caput and<BR>> > molding transvaginally were also assessed.Most operative � ----c0efd8c3118ce70a57ac4--
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