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Re: to push or not to push From: Richard Chudacoff (rchudacoff@mylinuxisp.com) Tue Jul 28 17:14:28 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ina May Gaskin: "Re: to push or not to push" Previous message: Christopher Jones: "to push or not to push" In reply to: Christopher Jones: "to push or not to push" Next in thread: Dr Eberhard Lisse: "Re: to push or not to push" Reply: Dr Eberhard Lisse: "Re: to push or not to push" Since I induce everyone at 39 weeks, I have not seen a dystocia in years...however, I agree with you. When doing the McRoberts and suprapubic pressure, the pushing has to be timed to your movement -- Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Christopher Jones Sent: Tuesday, July 28, 2009 3:03 PM To: Multiple recipients of list OB-GYN-L Subject: to push or not to push 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 Next message: Ina May Gaskin: "Re: to push or not to push" Previous message: Christopher Jones: "to push or not to push" In reply to: Christopher Jones: "to push or not to push" Next in thread: Dr Eberhard Lisse: "Re: to push or not to push" Reply: Dr Eberhard Lisse: "Re: to push or not to push"

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