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Re: Shoulder Dystocia and the "all fours maneuver"From: ManaMW@aol.comTue Oct 3 11:05:29 1995
In a message dated 95-10-01 18:12:33 EDT, you write:
> I have been unable to come across any references regarding the "all There is a wonderful article in the Journal of Family Practice, Vol 32, No. 6, pgs 625-629, 1991 called "A New (old) Maneuver for the Management of Shoulder Dystocia." One of the authors is Ina May Gaskin who has used this technique for years with much success. It really does help to expand the pelvic dimensions and also allows for a much easier delivery of the posterior shoulder (or arm, if necessary). The repositioning of the mother to the H-K position is accomplish very easily on a bed. I have found that the mothers will take charge of turning themselves, with some assistance, once the understand the severity of the issue. A mother with an epidural obviously will require more assistance and stabilization. I have always tried the McRoberts manuever first and then gone to the H-K position if McRoberts fails. Debbie Debbie Pulley, CPM Lilburn, GA USA AOL: ManaMW Internet: manamw@aol.com Posted at 10:28:25 a on 10/3/95 "Babies are God's opinion that the world should go on"
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