Re: eye hemorragy was to push or not to push. That is the question.

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Tue Jun 30 19:18:05 2009


Beg to differ--do not have data to back this up, but, I would bet that straining at stool, laughing (?) etc., compared to pushing in 2nd stage are markedly different; pushing in labor being much more forceful. Further, being "constipated," these patients have several options--laxatives, enemas, etc.

Having had a retinal detachment that required surgery, I would be scared to death to have to push as hard as some women do in 2nd stage.

Gerald P. Rodríguez, M.D., FACOG Santa Fe

> ----- Original Message -----
From: Raymond, Steve To: Multiple recipients of list OB-GYN-L Sent: Tuesday, June 30, 2009 5:21 PM Subject: RE: eye hemorragy was to push or not to push. That is the question.

Just the question I wanted to ask. What would be the mechanism for a retinal detachment in 2nd stage of labour that would be peculiar to that, as distinct from all the "normal" things like coughing, sneezing, straining at stool? Or even laughing? I am quite sceptical about this "old nanny" prohibition on labour. Sounds like an old wives' tale to me.

Steve Raymond Ph (03)62227898 Cell 0438372395

------------------------------------------------------------------------------ -------------------------------------------------------------------------

--
-------------------------------------------------------------------------  From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Allan
  Sent: Wednesday, 1 July 2009 9:13 AM
  To: Multiple recipients of list OB-GYN-L
  Subject: Re: eye hemorragy was to push or not to push. That is the question.

Sorry to ask this stupid question - what do these patients do when they get constipated?!

Allan

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