Re: to push or not to push

From: Ina May Gaskin (midwifeim@earthlink.net)
Wed Jul 29 10:58:01 2009


It can be pretty dramatic how much this can help to release an impacted shoulder to draw one knee forward. Women who have a shoulder dystocia while sitting or squatting in a tub of water often find that stepping out of the tub will release the problem shoulder. It's simple body mechanics plus the effect of gravity. :-)

Ina May

On 29 Jul 2009, at 03:52, Dr Eberhard Lisse wrote:

> I have very few shoulder dystocias, which makes every one occurring
> even more frightening, but I also feel that the Gaskin Maneuver works
> better for me than the corkscrews or McRoberts. Didn't know about
> the "step", will remember that :-)-O
>
> el
>
> on 7/28/09 11:22 PM Ina May Gaskin said the following:
>> I've only worked with women who were able to move and support their
>> own
>> weight. Step 1: get the mother to turn to hands and knees. Most will
>> then have the urge to push. If not, I'll splint my first two fingers
>> across the posterior armpit (it's usually the easier to get) and
>> deliver
>> the shoulder. If that's not possible, it may be possible to grasp
>> one of
>> the hands and deliver whichever shoulder it's attached to. The rest
>> should be easy.
>>
>> Another variation is to have the mother take a "step" forward with
>> first
>> one knee, then the other to free an impacted shoulder.
>>
>> Ina May
>
> --
> Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar)
> el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell)
> PO Box 8421 \ / Please do NOT email to this address
> Bachbrecht, Namibia ;____/ if it is DNS related in ANY way





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