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Re: OB: Bladder Flap flap From: DoctorJoe@aol.com Thu Jul 17 18:07:05 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Cytotec and postpartum hemorrhage" Previous message: DoctorJoe@aol.com: "Re: FRI: Another frivolous lawsuit!" Next in thread: Glen Elrod MD: "Re: OB: Bladder Flap flap" Reply: Glen Elrod MD: "Re: OB: Bladder Flap flap" In a message dated 7/17/03 13:04:18, Terrence.Jones@kp.org writes: > > Just trying to get the whole picture. The incision is made. The arm of the > baby is now handing you its cord. The assistant is able to push the head > upward. Suction is broken as the delivering hand meets the assistant's at the > vertex. Flexion is accomplished. Despite every effort to elevate without > "breaking the wrist" (as mentioned by another - abducting with flexing forward and > facing cross-table); rotation when ears are visible; and reduction, below the > vtx - there is now an eight cm vertical extension into the parametria and the > ureter is now bathed in heme. This is the "apple" to which i'm referring. So > - You reach in and grab the legs. Someone says they've seen femoral fractures > with this appraoch. You suggest such fractures may be related to technique? > Here's where i'm a bit lost. > I remember that they were talking about the various misadventures of the stuck head, and I merely commented that instead of going all out to get the head UP, you can try to reach up and get the feet and pull the baby out that way. I think once you've broken the suction and have a hand down in there, you keep on going for it. Some have used a single Barton forcep to lever the head out (Megison, Green Journal, few and sundry years ago). Some can stick a vacuum on it. Whatever . . . . I was only commenting on the head the is DOWN there and difficult to get at anyway. So I guess I was talking about oranges. Joe P. Next message: RModugno@aol.com: "Re: Cytotec and postpartum hemorrhage" Previous message: DoctorJoe@aol.com: "Re: FRI: Another frivolous lawsuit!" Next in thread: Glen Elrod MD: "Re: OB: Bladder Flap flap" Reply: Glen Elrod MD: "Re: OB: Bladder Flap flap"

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