Re: 100 lbs wieght gain, o.p. multip

From: Betsy Hyde (elishyde@mindspring.com)
Sat Oct 20 09:41:36 2007


On Oct 20, 2007, at 10:14 AM, Richard Kaplan wrote:

> Having a size 6 hand, I have had pretty good luck with manual
> rotation from OP (I haven't used Kiellands since I was a
> resident). Does anyone who has done this often have any "pearls"
> on how to determine which way to rotate the head (clockwise or
> counterclockwise) other than to try one way and then the other if
> the first attempt fails (e.g. ultrasound or abdominal palpation to
> determine the relationship of the shoulders to the vertex)?

I always try the 'short arc' rotation. In addition, I've been most successful doing this with an assistant. While I rotate the head, the assistant is rotating the body in the same direction. I find that more successful than just rotating the vertex.

--
Betsy Hyde CNM
Branford, CT




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