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Re: OB: OA vs. OP From: Kathi Wilson (wilsonk@gtn.on.ca) Sun Dec 31 09:29:46 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Re: Multiracial babies - was: poop hits the fan" Previous message: Myer S. Bornstein, MD, MMM, CPE, FACOG: "Re: OA vs. OP" Maybe in reply to: Danny Tucker: "OB: OA vs. OP" Next in thread: K Dew: "New name for delivery position was Re OA/OP" Reply: K Dew: "New name for delivery position was Re OA/OP" "O'Grady, Patrick MD" wrote: > v. at times, the older clinicians--and now the > midwives > on rediscovery--will attempt Puddicombe's maneuver > where the parturient is manipulated into all fours > or > knee chest position. This is reputed to be effective > in > initating rotation. These that do rotate, of course, > might > have rotated anyway, but this could be attempted if > the woman is willing and the anesthesia (if any), > permissive. The theory is that gravity and > repositioning > combine to dislodge (?) the O, permitting rotation. Gee, I didn't know that there was a name attached to that :-) Other positions that work well, if any are going to work, are exaggerated Sims (good if the woman has an epidural and can't assume other positions, like knee-chest) -- I use this often and with success. As well, having a woman sit on the toilet (if she is unmedicated) has a good reputation for spinning OP's. Our experienced nursing staff (and we got some old timers) will always say, if we have an OP, "Have you put her on the toilet yet?" That being said, I do find that positioning works better for OP's in a multip rather than a primip, where the little beggers seem to get locked in by the taut abdominal/uterine tone. Primips most often seem to be the ones who get the ratty incoordinate uterine action w/ OP's as well, and in those cases, epidural/oxytocin often seems to be the cure. -- Kathi Wilson, RM Ilderton, Ontario, Canada mailto:wilsonk@gtn.on.ca ********************** Thames Valley Midwives 346 Platts Lane, London, Ontario, Canada http://tvm.on.ca mailto:info@tvm.on.ca Next message: Cheri Van Hoover: "Re: Multiracial babies - was: poop hits the fan" Previous message: Myer S. Bornstein, MD, MMM, CPE, FACOG: "Re: OA vs. OP" Maybe in reply to: Danny Tucker: "OB: OA vs. OP" Next in thread: K Dew: "New name for delivery position was Re OA/OP" Reply: K Dew: "New name for delivery position was Re OA/OP"

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