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Re: Pain management/ shoulder dystociaFrom: GA12L@aol.comThu Mar 30 05:44:36 2006
In a message dated 30/03/2006 13:24:33 GMT Daylight Time, forcep@intercom.net writes: I'm sure you have done so but now go back and write down moment by moment the mechanisms you used to deliver infant ,with times. If you had help make them do same thing. Joe C Thanks for that Joe. I don't remember much about it. All I know is I got the baby out. It was so frightening. I did write down what I did with the help of the other 2 midwives. One did suprapubic pressure for one minute constant then one minute rocking. I tried to push the anterior shoulder into the oblique and in the end I got the baby out by getting the posterior shoulder out first. I tried to remember the HELPERR mnemonic. I was starting the think we might have to perform a Zavanelli! I'm not ashamed to admit I sat down and cried buckets after. It was the worse one I had been involved in. To top it all the emergency buzzer wasn't working, just as well I got help before the baby was born and informed the parents of McRoberts and other stuff. Her last baby was over 9 lbs and this one palpated large too but she weighed 153 Kgs so it was difficult to tell. Oh, and then she had a retained placenta so I couldn't take any cord blood for gases or Kleihauer. And the hits just keep on coming... Gail
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