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Re: to push or not to push From: Mary Knauer, CNM - Baltimore, MD (mknauer@bellatlantic.net) Tue Jul 28 21:34:29 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: to push or not to push" Previous message: Rafael Haciski: "Re: Surgical Prophylaxis Done Right" Next in thread: Richard Chudacoff, MD: "Re: to push or not to push" Reply: Richard Chudacoff, MD: "Re: to push or not to push" May I ask about your primary C/Section rate? Primips are incredibly bad at vaginal delivery via induction at 39 weeks--might this account for your low occurrence? Tue, 28 Jul 2009, Richard Chudacoff wrote: > >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: Richard Chudacoff, MD: "Re: to push or not to push" Previous message: Rafael Haciski: "Re: Surgical Prophylaxis Done Right" Next in thread: Richard Chudacoff, MD: "Re: to push or not to push" Reply: Richard Chudacoff, MD: "Re: to push or not to push"

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