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Re: Shoulder Dystocia and the "all fours maneuver"From: W. Brown (cbrowne@wordworks.com)Sun Oct 15 14:16:39 1995
>On Fri., 6 Oct. 1995, LMCNM@aol.com wrote: >>I have found that it is the movement that helps to dislodge the shoulder. I >>generally slip a bedpan under the patients before I turn on all fours and >>this has practically eliminated the need to do this. I feel real comfortable >>with shoulder dystocia-- Lonnie Morris CNM >What struck me about your message was the statement " I feel real comfortable >with shoulder dystocia". >I would advise caution. This is one obstetric emergency that I fear. It is >usually unexpected and requires immediate action to save the baby. >If you have never seen anything go wrong with a shoulder dystocia, you are >either very skilled or very lucky. In our population, I have seen several >cases >go wrong, very wrong and this has happened with the highest skilled doctors in >attendance of the delivery. >Dr. Carlos Chase >MBBS, DGO >Department of Obstetrics and Gynaecology >Queen Elizabeth Hospital >Bridgetown >Barbados > >E-mail: drchase@caribnet.net Ditto to Dr. Chase's comments. When I read that line, "I feel real comfortable . . .", I sensed that this individual had never truly been faced with a SEVERE shoulder dystocia. In my mind, there is little in my specialty I fear more. ******************** W. Brown, III, M.D. Los Gatos, CA -- cbrowne@best.com
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