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Re: 100 lbs wieght gain, o.p. multip From: RModugno@aol.com Sat Oct 20 09:59:08 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Previous message: R. Daniel Braun: "Re: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1" Maybe in reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "100 lbs wieght gain, o.p. multip" Next in thread: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Reply: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Reply: Dr Eberhard Lisse: "Re: 100 lbs wieght gain, o.p. multip" In a message dated 10/20/2007 10:42:27 A.M. Eastern Daylight Time, elishyde@mindspring.com writes: 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 Great advice Betsy! If I do a section on this type of patient - I usually have an assistant push up from below to try to avoid those horrendous extensions of the lower uterine segment. Anyone have any pearls for that? Had a patient not too long ago where I had someone push up from below and I "lost" the head. Baby started to go up the left paracolic gutter, couldn't retrieve the head and so had to do a breech extraction to deliver the baby! (Ofcourse it was one am.) Robert Modugno MD MBA FACOG Sylva, NC Next message: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Previous message: R. Daniel Braun: "Re: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1" Maybe in reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "100 lbs wieght gain, o.p. multip" Next in thread: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Reply: R. Daniel Braun: "Re: 100 lbs wieght gain, o.p. multip" Reply: Dr Eberhard Lisse: "Re: 100 lbs wieght gain, o.p. multip"

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