|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Shoulder DystociaFrom: Dr. Ainsworth (ainsron@sbcglobal.net)Wed Jan 5 16:26:59 2005
Optimal shoulder dystocia delivery method proposed Source: American Journal of Obstetrics and Gynecology 2005; Not yet available online US researchers may have identified the optimal method for delivering pregnancies complicated by shoulder dystocia. Using a birthing simulator and a force-sensing glove, US researchers have identified what may be the least forceful way to manage cases of shoulder dystocia. The team, from Johns Hopkins University in Baltimore, Maryland, performed 30 mock deliveries using a birthing device designed to simulate this delivery problem. The device is composed of several parts, including a maternal model, a fetal model, a force-sensing glove, and a remote computer. Ten deliveries were performed by each of three different maneuvers commonly employed to overcome shoulder dystocia, and the force exerted by the doctor's hand was measured in each case. Turning the baby so its spine faces the mother's belly - a technique known as anterior Rubin's maneuver - required the application of less force to the baby's head (6.5 pounds) than either turning the baby so its spine faces the mother's spine (8.5 pounds) or moving the mother's legs backwards (16 pounds). The brachial plexus nerves also suffered the least strain with the anterior Rubin's maneuver, with a stretch of 2.9 mm, compared with 6.9 mm and 7.3 mm, respectively, for the other two methods. Nevertheless, lead researcher Dr. Edith Gurewitsch says further study is needed before one procedure can be definitively recommended over another.
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Thu Oct 2 04:47:38 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.