Re: Spam warning for Namibian Obstetricians

From: AllanHo@aol.com
Tue Oct 23 23:40:19 2007


In a message dated 10/23/2007 6:57:23 PM Eastern Daylight Time, stephen.raymond@dhhs.tas.gov.au writes:

With respect John, I have never had to elevate the head from below! Maybe I have never allowed labour to go on so long that the head is impacted that much!

I think the reason why pushing the head up from below works to dislodge the head duirng a section is because the action allows passage of air through the vagina to break the vaccuum. And I think that's why my open fingers technique works for me from above.

Come to think of it - it does not have to be air passing between my fingers into the birth canal as I lift the head. Any fluid would do - air, amniotic fluid, meconium. Something has to take up the space between the baby's head and the mother's soft tissue as the head up is being displaced upwards. Otherwise, a vacuum would be created - that's over 14 psi of pressure to overcome. As long as I keep my fingers open, fluid will flow down as the head gets lifted up. It's sort of like Zen - going with the flow. May be I call this the Zen Maneuver? :-)

Allan

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In a message dated 10/23/2007 6:57:23 PM Eastern Daylight Time, stephen.raymond@dhhs.tas.gov.au writes:
With respect John, I have never had to elevate the head from below!
Maybe I have never allowed labour to go on so long that the head is
impacted that much!
I think the reason why pushing the head up from below works to dislodge the head duirng a section is because the action allows passage of air through the vagina to break the vaccuum.  And I think that's why my open fingers technique works for me from above. 
 
Come to think of it - it does not have to be air passing between my fingers into the birth canal as I lift the head.  Any fluid would do - air, amniotic fluid, meconium.  Something has to take up the space between the baby's head and the mother's soft tissue as the head up is being displaced upwards.  Otherwise, a vacuum would be created - that's over 14 psi of pressure to overcome.  As long as I keep my fingers open, fluid will flow down as the head gets lifted up.  It's sort of like Zen - going with the flow.  May be I call this the Zen Maneuver?  :-)
 
Allan




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