Re: Symphysiotomy for Shoulder Dystocia

From: art fougner, md (evsono@pipeline.com)
Mon Feb 14 07:05:53 2000


el -

all fours eh? did Anna Meenan send you a valentine's card?

Art

At Mon, 14 Feb 2000, Eberhard W Lisse wrote: >
>In message <20000213.223012.-568217.0.ArtCurtis@juno.com>, "Arthur W W Curtis,
>Jr." writes:
>
>> 2. A symphysiotomy probably not an accepted procedure (in the US
>> anyway), whereas a is. To how much risk is the Obstetrician
>> subjecting himself if he were to perform a symphysiotomy?
>
>My personal opinion (as an African obstetrician) is that whoever
>performs this procedure should be nailed to the outside wall of his
>office! Or if that canīt be done, loss of privileges, suspension of
>license, and of course indiction for aggrevated assault.
>
>Do the traditional manoevres such as McRoberts suprasymphysic pressure
>and if these donīt help put her on all fours. That is sometimes
>difficult to get across in a high stress situation, but it is very
>effective. Works so well that I have never felt the need to even think
>about a Jacquemier (something similarily drastic from France).
>
>el

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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