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Re: Fundal Pressure From: D. Ashley Hill (dahmd@cfl.rr.com) Tue Feb 28 18:49:56 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: S Osterling M.D.: "HRT tuning in a 31 year old woman" Previous message: Garry E. Siegel, M.D.: "Gen: Courtesy on the list" In reply to: Dr. Ainsworth: "Fundal Pressure" Next in thread: Dr Eberhard Lisse: "Re: Fundal Pressure" Ronald: This would not fly at our hospital system. I attended a med-mal conference last year where a major malpractice lawyer specializing in brachial plexus injuries told us that he has a line of experts waiting to testify against you if you (or the RN) use fundal pressure during delivery, under any circumstances. These experts state that fundal pressure causes further impaction of the shoulder against the pubis, potentially stretching the brachial plexus. Further, he told us that most insurers settle immediately if the physician, midwife or RN uses fundal pressure. Our nursing staff will not perform fundal pressure, probably even if the doctor points a gun at them. Ashley At Tue, 28 Feb 2006, Dr. Ainsworth wrote: > >I have always been taught that fundal pressure was contraindicated >because of the risk of uterine rupture and shoulder impaction at the >time of shoulder dystocia, i.e., I do not use it. When this policy came >through our perinatal, I objected to it because of the above. snip -- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida Next message: S Osterling M.D.: "HRT tuning in a 31 year old woman" Previous message: Garry E. Siegel, M.D.: "Gen: Courtesy on the list" In reply to: Dr. Ainsworth: "Fundal Pressure" Next in thread: Dr Eberhard Lisse: "Re: Fundal Pressure"

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