Re: Fundal Pressure

From: ainsron (ainsron@sbcglobal.net)
Thu Mar 2 09:28:51 2006


Sometimes I'm not sure it is the amount of pressure that is lacking, as much as not getting the correct angle to apply the proper vector of forces. What is a Wrigley??

Ronald E. Ainsworth, MD, FACOG

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Wednesday, March 01, 2006 4:59 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Fundal Pressure

For some reason which has me bothered I find it hard to deliver the head manually at C/S - perhaps the junior assistants don't apply enough fundal pressure! - but I have taken to using the Wrigley's to the extent that I almost never do a Caesar without them now! I must be losing my skills?

Steve

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Thursday, 2 March 2006 11:49 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Fundal Pressure

Agree - but I have never used forceps - see no reason why using steel hands..

Ef

>At Wed, 1 Mar 2006, ainsron wrote:
>
>Fundal pressure or forceps. Fundal pressure at C/S is a different
issue. >You're not going to rupture the uterus - It's already cut open; and
>you're not going to get a shoulder dystocia, you're not passing the
>fetus through the pelvis. If it's a tight squeeze, just make the
>incision wider or push harder!
>





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