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to push or not to pushFrom: Christopher Jones (christopj@msn.com)Tue Jul 28 17:02:23 2009
When you encounter a shoulder dystocia do you have you patients continue to push during your efforts to deliver the anterior shoulder? Ive heard different views regarding this. Essentially the non push proponents believe pushing just further impacts the anterior shoulder behind the pubic symphysis. Personally I have my patients push during McRoberts and Suprapubic pressure but if I have to go to one of the rotations or posterior arm pushing just hinders the efforts. Wanted to get opinions. Thanks Dr. Christopher Jones
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