|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Symphysiotomy for Shoulder DystociaFrom: Anna Meenan, MD (annam@uic.edu)Thu Feb 17 10:18:58 2000
At Mon, 14 Feb 2000, Eberhard W Lisse wrote: > >In message <200002141405.IAA25113@forum.obgyn.net>, art fougner, md writes: >> el - >> >> all fours eh? did Anna Meenan send you a valentine's card? >> >> Art > >I am not reading all traffic all the time, but what´s the Anna Meenan >reference about? > >el Dr. Lisse, I believe Art was referring to me, though I don't have a clue what the crack about valentines meant. The reason he made reference to me is that I am a strong proponent of the all-fours maneuver (and thank you for your endorsement of it in a forum where it has often been the subject of rather lame humor). The all-fours maneuver is now known as the Gaskin maneuver, in honor of Ina May Gaskin, the midwife who brought it to the US from the highlands of Guatemala several years ago. She and I wrote the first original U.S. article in the Journal of Family Practice (Vol 32, No. 6, 1991, 625-629). A series of 32 cases at the time, it reappeared in the literature in 1998 as a series of 82 cases, written up by Dr. Joseph Bruner of Vanderbilt, Ina May, and myself in the Journal of Reproductive Medicine, Vol 43, No.5, May 1998, pp. 439-443. That article triggered a discussion in this forum, complete with the aforementioned lame humor, so you can search the archives if you want to read more about it. This manuever has saved my butt at least twice, and has been almost completely without morbidity and mortality. If you have never tried it, you would not know how much it opens up bony pelvic diameters (at least as well as disabling and invasive sympysiotomies). The amount of extra maneuvering room you get is amazing. It has been included in the ACOG instructional video (without proper credit given to Ina May) and in the AAFP Advanced Life Support in Obstetrics course. All I can say is read the articles and try it.
--
Anna L. Meenan, MD, FAAFP
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 04:43:43 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.