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Re: Symphysiotomy for Shoulder Dystocia From: Braun, R. Daniel (rbraun@iupui.edu) Tue Feb 15 06:14:13 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: GYNAEC SURGERY" Previous message: Jeffrey W. Clemens: "Medscape Women's Health" Smellie scissors were for destroying the fetus. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: jbulley@cheshire.net [mailto:jbulley@cheshire.net] Sent: Sunday, February 13, 2000 11:46 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Symphysiotomy for Shoulder Dystocia Glen Thanks for your very clear description of how to do the symphysiotomy for SD. You describe it just how I would have done it had I the need to do it. I did have one delivery that could have used this back in '87. Baby died before I got it delivered. It remains the worst experience of my career. All maneuvers completed appropriately, to no avail. The symphysiotomy make SO much more sense than the Zavanelli maneuver. I am not sure I was aware of it in '87. Wasn't ther a tool in the past called the "Smelly Scissors" meant just for this? Or were they for something else? Joanne Bulley, MD At Sun, 13 Feb 2000, ENDODOK@aol.com wrote: > > Leaving aside for a moment the current academic discussion re: SD, let me >respond to a question about symphysiotomy. If the Titanic is sinking, this >may be the last life raft!! > ( in a recent issue of OBGYN Management, >Clark from Salt Lake participated in a discussion of SD, and he was not in >favor of Zavanelli. He also discusses symphysiotomy in his book) > I hope that none of you ever have to face this potentially catastrophic >situation, but if such a case falls in your lap, symphysiotomy may save your >baby when all else fails. > >J.Glenn Bradley MD -- Joanne Bulley, MD Keene, NH Next message: Braun, R. Daniel: "Re: GYNAEC SURGERY" Previous message: Jeffrey W. Clemens: "Medscape Women's Health"

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