-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Episiotomy question From: Efrain Ramirez (eramirezt@coqui.net) Tue Feb 19 06:01:41 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Episiotomy question" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Eminence vs. Evidence" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: allanho@aol.com: "Re: Episiotomy question" Reply: allanho@aol.com: "Re: Episiotomy question" Allan - you can call me Dude, sir- whatever ...listers know who I am... maybe I am mistaken --- "With the McRobert Maneuver, the sacrum should be off the bed, so it should have the same effect as being up-side-down in the air.? I don't understand the part with gravity being in your favor unless the patient is squatting.? And if its the expulsive force that's critical, why is fundal pressure such a taboo?" > >Allan At Mon, 18 Feb 2008, AllanHo@aol.com wrote: > >In a message dated 2/18/2008 9:01:57 PM Eastern Standard Time, >eramirezt@coqui.net writes: > >Allan the mechanisms of shoulder dystocia - IMHO - are not so clear in >your mind.. the expulsive forces are not the critical factor in SD - >the impingement of the shoulder behind the symphis - or the sacrum in >the cases of the posterior shoulder is the problem.. if you give fundal >pressure to an already stucked shoulder you will further increase damage >- if you release the shoulder - by whatever maneuver you wish - then the >expulsive forces will do the rest.. take care.. > >Ef > >Dude (I mean sir), I am not proposing fundal pressure to deliver a stuck >shoulder! I was asking Ina May why she thought gravity would help deliver a >stuck baby when we know the expulsive force is not a factor. I am contending >that it is the movements that unstick the shoulder, given that the outlet >dimensions are the same when a woman is in the McRobert position and the >on-all-4's position. Please read what I wrote carefully before you condemn what is in >my mind. Thanks. > >Allan -- "I can accept failure, but I can't accept not trying." - Michael Jordan Next message: Efrain Ramirez: "Re: Episiotomy question" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Eminence vs. Evidence" In reply to: AllanHo@aol.com: "Re: Episiotomy question" Next in thread: allanho@aol.com: "Re: Episiotomy question" Reply: allanho@aol.com: "Re: Episiotomy question"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:48:50 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.