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Re: shoulder dystocia From: Anna Meenan, MD (annam@uic.edu) Thu Jan 13 21:36:39 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: skype" Previous message: Betsy Hyde: "Re: shoulder dystocia" In reply to: Betsy Hyde: "Re: shoulder dystocia" Next in thread: art fougner, md: "Re: shoulder dystocia" Reply: art fougner, md: "Re: shoulder dystocia" Reply: art fougner, md: "Re: shoulder dystocia" Look again, Betsy. Dr. Gurewitsch is saying that manipulation of the fetal position after delivery of the head had been practiced ROUTINELY at ALL deliveries in the 50's and 60's (not just the ones with sticky shoulders). I figured if it was something that went on that long ago, only the old guys would remember being taught that way. I have never heard of that and was never taught that way (and I'm not all that young myself). -- Anna Meenan, MD At Thu, 13 Jan 2005, Betsy Hyde wrote: > >On Thursday, January 13, 2005, at 01:27 PM, Anna Meenan, MD wrote: > >> Finally found my Medscape Login and password and accessed the actual >> article. One paragraph intrigued me: >> >> Dr. Gurewitsch: Although we do not make clinical recommendations based >> on a laboratory model, we highlight in the discussion section of our >> article that manipulation of fetal position after delivery of the head >> had been indeed practiced routinely at all deliveries in the 1950s and >> 1960s, > >> Any of you "old guys" out there remember routinely doing a Rubin's at >> all deliveries? Interesting concept. > >oh, Anna, you are breaking my heart. I have done "anterior" rubins >routinely at each and every sticky shoulder delivery for a long, long >time. 10 years? 15 years? 20 years? > >If I anticipate a SD or have a SD I automatically ask for McRoberts, >identify for the assistant where the anterior shoulder is, and >specifically tell the assistant the direction/oblique diameter in which >I want force applied. I then put my hand on the posterior aspect of >the shoulder, and rotate in a direction to compress the bisacromial >diameter/aka compress the shoulders, as the assistant does suprapubic >pressure in that oblique. > >I never knew that this maneuver had a name until the recent journal >article in question. Maybe this is why I have never had to do >Gaskin/Hands-Knees......because it generally works very nicely. > >-- >Betsy Hyde CNM >Branford, CT > Next message: Dr Eberhard W Lisse: "Re: skype" Previous message: Betsy Hyde: "Re: shoulder dystocia" In reply to: Betsy Hyde: "Re: shoulder dystocia" Next in thread: art fougner, md: "Re: shoulder dystocia" Reply: art fougner, md: "Re: shoulder dystocia" Reply: art fougner, md: "Re: shoulder dystocia"

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