Re: Difficult twins

From: Gerald P.Rodriguez (geraldpr@cybermesa.com)
Sun Dec 31 12:56:09 2006


And what evidence do you have that the "cause" of head entrapment is "panic?"

Gerald P. Rodríguez, M.D., FACOG Santa Fe

>----- Original Message -----
From: "Ina May Gaskin" <midwifeim@earthlink.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Sunday, December 31, 2006 12:43 PM Subject: Re: Difficult twins

> Yes, I would do a podalic version at 6 cm with heart tones that low. The
> cervix doesn't seem very open because of the high station of the head,
> but it won't be tight when you bring down the baby—as long as you don't
> communicate a sense of panic to the mother. That cervix just opened
> enough to let baby number one's head through, and it'll open again, as
> long as you don't cause her to panic. Panic is what causes most cases of
> head entrapment within the cervix. The rest of what's necessary is good
> breech technique.
>
> Ina May
>
> On Dec 30, 2006, at 5:03 PM, Larry Glazerman wrote:
>
>> Would you do a podalic version at 6 cm? I'd really worry about head
>> entrapment.
>>
>





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