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Re: Shoulder dystocia - Again! From: Steve & Eryl Raymond (eryl@intekom.co.za) Mon Sep 20 04:01:02 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: Shoulder dystocia - Again!" Previous message: Anna Meenan, MD: "Re: Shoulder dystocia - Again!" In reply to: RModugno@aol.com: "Shoulder dystocia - Again!" Next in thread: Braun, R. Daniel: "Re: Shoulder dystocia - Again!" There is nothing new in this for OBGYN-listers - it is simply the Gaskin manoeuvre in a slightly modified form. Steve RModugno@aol.com wrote: >An interesting alternative manuever from OBG Management: > >LETTERS >Louis Freedman, MD Wilkes-Barre, Pa >An alternate maneuver for shoulder dystocia >Inspiration from desperation: If you cannot rotate the baby, rotate the mother instead. Thus, with continuous, gentle downward traction on the baby's head, rotate the mother completely onto her side, away from the baby's face. If the shoulder does not slide easily out from under the symphysis pubis, rotate the mother a full 180 degrees in the opposite direction, to her other side. With continued gentle downward traction, the impacted shoulder should deliver at some point in this rotational process. > >This straightforward technique is simple to learn and execute, especially on today's modern birthing beds. > >*********************************************** > >Robert Modugno MD MBA FACOG >Marietta, GA >http://www.novaobgyn.yourmd.com > Next message: Braun, R. Daniel: "Re: Shoulder dystocia - Again!" Previous message: Anna Meenan, MD: "Re: Shoulder dystocia - Again!" In reply to: RModugno@aol.com: "Shoulder dystocia - Again!" Next in thread: Braun, R. Daniel: "Re: Shoulder dystocia - Again!"

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