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Re: The 'Infamous' Ina May GaskinFrom: Paul Prior MD (pprior@clover.net)Sat Sep 30 10:14:28 2000
On Fri, 29 Sep 2000 08:13:38 -0500, Kathi Wilson <wilsonk@gtn.on.ca> wrote:
>When I first began practice, I used to call what I now label "sticky shoulders", Kathy - I am interested in your earlier posts in which you stated (I believe I'm restating this accurately) as a matter of practice you wait for the next contraction to attempt delivery of the shoulders. I was always taught that if a shoulder dystocia is present, additional contractions serve to impact further the shoulder under the symphysis. Thus I always attempt delivery of the anterior shoulder as a continuous process after delivery of the head if a large baby or small pelvis is expected. I do this before I suction or do anything else. Are you saying if you see a "turtle" sign, you wait until the next contraction to attempt delivery? I'm very interested in this difference in approach to this problem. WRT the definition issue, clearly there is no way to standardize what is a shoulder dystocia unless we all do deliveries the exact same way (which we surely don't!). My personal definition is that if I feel my heart rate rising, I call that a dystocia :)
-- Paul Prior MD Get rebates from online purchases - up to 30% cash back. Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more. OB/GYN Try: http://www.ebates.com/index.jhtml?referrer=pprior
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