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Re: case? managementFrom: freda seddon (fseddon@interlog.com)Tue Dec 12 23:14:44 2000
G5P4, all previous SVD. Labour slower this time, has urge to push after 4 hours of active labour, pushes with no result x 3 contx. VE to assess= hand and forearm in front of vertex -1 to spines. This happened recently. I tried to pinch the fingers to get the baby to pull the hand back, no room to push the arm and hand back in dorsal or lateral positions. Moved to hands and knees, gentle pressure on the vertex provided enough room to move the hand and arm back. Vertex slid back onto cervix with digital control, 8 cm. Within 5 minutes the baby was born. Slight bruise below antecubital fossa, good nerve and muscle function of arm. Baby delivered with hand on cheek. No analgesia during labour and birth. Intact perineum. -- Freda Seddon, RN, RM Community Midwife Midwifery Care Scarborough 2680 Lawrence Ave. East, Suite 211 Toronto, Ontario M1P 4Y4 (416) 757-4848 fax 757-1562
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