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Re: OB: Bladder Flap flap From: Glen Elrod MD (glen.elrod@elmendorf.af.mil) Thu Jul 17 19:54:33 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Terrence.Jones@kp.org: "Re: OB:  Bladder Flap flap" Previous message: RModugno@aol.com: "Re: Cytotec and postpartum hemorrhage" In reply to: DoctorJoe@aol.com: "Re: OB: Bladder Flap flap" I ran across an instrument on our unit the other day that no one had obviously seen in years, labelled as a "head elevator" It looks like a glorified shoe horn with a handle. It looks perfectly like it could be placed under a low low head and use the handle to pull the head up out of the pelvis. Anyone else seen such a contraption? Glen At Thu, 17 Jul 2003, DoctorJoe@aol.com wrote: > >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. -- D. Glen Elrod, Maj, USAF, MC Medical Director Women's Health Clinic Elmendorf AFB, AK 99506 Next message: Terrence.Jones@kp.org: "Re: OB:  Bladder Flap flap" Previous message: RModugno@aol.com: "Re: Cytotec and postpartum hemorrhage" In reply to: DoctorJoe@aol.com: "Re: OB: Bladder Flap flap"

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