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Re: Shoulder Dystocia From: ainsron (ainsron@sbcglobal.net) Thu Jan 6 08:36:29 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ENDODOK@aol.com: "F/U PMB pt. with recent Bx. of simple hyperplasia" Previous message: art fougner, md: "Re: Law of Probability Dispersal" In reply to: Efrain Ramirez: "Re: Shoulder Dystocia" Next in thread: art fougner, md: "Re: Shoulder Dystocia" I've never tried it either. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Thursday, January 06, 2005 5:55 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Shoulder Dystocia Weird - in the reply your message is readable !! I have never tried the Rubin's maneuver - Efrain >At Wed, 5 Jan 2005, Efrain Ramirez wrote: > >I did not understand it - sorry. > >>At Wed, 5 Jan 2005, Dr. Ainsworth wrote: >> >>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. > >-- >"The opposite of a correct statement is a false statement. >But the opposite of a profound truth may well be another profound truth." > >Niels Bohr (1885 - 1962) > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: ENDODOK@aol.com: "F/U PMB pt. with recent Bx. of simple hyperplasia" Previous message: art fougner, md: "Re: Law of Probability Dispersal" In reply to: Efrain Ramirez: "Re: Shoulder Dystocia" Next in thread: art fougner, md: "Re: Shoulder Dystocia"

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