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Re: Shoulder Dystocia and the "all fours maneuver"From: Cbstroud@aol.comSun Oct 1 22:24:31 1995
As an aside, I find delivering with patient on her side to be very helpful in several situations, not the least of which being shoulder dystocia. This position also takes the pressure created by the abdomen and ant. vaginal wall off of the impacted shoulder. Furthermore, the degree to which one can work posteriorly is greatly increased. I recently encountered a very severe dystocia, I survived by delivering the posterior arm first. I don't think I could have delivered this child if the mother had been in the traditional lithotomy position. I suggest everyone try delivering from this position. Chris Stroud, M.D. Private Practice, OB/GYN
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