Re: Episiotomy question

From: FRANCES WREN (fwren@shaw.ca)
Tue Feb 19 09:31:55 2008


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troublr with "correct terms" is that the "correct term" usually comes into being with some "eminence"using it in some country... whereas in other countries the same manoever has been called something else by some other eminence giving it a different "correct term"...possibly why I had never heard of the Gaskin manoever..I just called it getting on all-4's..or getting on hands and knees and as already mentioned on the list this manoever has been used for ions before we were treated to the eminence discovered "correct term"...and possibly "suggestion" of eminence discovered NEW manoever. rather like columbus discovering america.

I remember some years ago...many years ago when we were mostly keeping women on their backs flat in bed during labor in one of the hosps I worked in...for the baby you know!!! then some eminence came to speak to us about the new and advantageous method of letting women labor in different positions, and even heaven forbid letting them walk about... I also remember giggling (being quite young and more unaware that one was meant to take experts!! seriously) as it seemed more like a joke, since women themselves had known all that for ages.

I continue to be amazed about some of the eminence statements that we take at face value without actually also working out if it sounds logical or reasonable...goverment ..the law etc frances wren

>----- Original Message -----
From: Ina May Gaskin <inamaygaskin@gmail.com> Date: Tuesday, February 19, 2008 8:27 am Subject: Re: Episiotomy question To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>

> I can handle that, too. :-)
>
> Ina May
>
> On 18 Feb 2008, at 13:21, Dr Eberhard W Lisse wrote:
>
> > I prefer the correct term, which is the "Gaskin Maneuver".
> >
> > el
> >
> > On Feb 18, 2008, at 22:55, Meenan, Anna wrote:
> >
> >> Actually John, in the original descriptions in the
> American
> >> medical literature, there is no mention of knee-chest.
> >>
> >> Meenan AL, Gaskin IM, Hunt P, Ball C. A New (Old) Maneuver
> for the
> >> Management of Shoulder Dystocia. Journal of Family
> Practice,
> >> 1991, 32:625-629.
> >>
> >> Bruner JP, Drummond JSB, Meenan AL, Gaskin IM. All-
> Fours Maneuver
> >> for Reducing Shoulder Dystocia During Labor. Journal
> of
> >> Reproductive Medicine 1998, 43:439-443
> >>
> >> Correct me if I'm wrong, Ina May, but I recall reading
> somewhere
> >> that you had stated that you preferred the term "All-4's
> maneuver"
> >> as it is more descriptive in an emergency for someone who is
> not
> >> familiar with the maneuver. The rest of us just think
> it's cool
> >> that a life-saving obstetrical maneuver has been named after
> a
> >> licensed professional midwife.
> >>
> >> Anna Meenan, MD
> >>
>

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<DIV>troublr with "correct terms" is that the "correct term" usually comes into being with some "eminence"using it in some country...</DIV> <DIV>whereas in other countries the same manoever has been called something else by some other eminence giving it a different "correct term"...possibly why I had never heard of the Gaskin manoever..I just called it&nbsp;getting on all-4's..or getting on hands and knees</DIV> <DIV>and as already mentioned on the list this manoever has been used for ions before we were &nbsp;treated to the eminence discovered "correct term"...and possibly "suggestion" of eminence discovered NEW manoever.</DIV> <DIV>rather like columbus discovering america.</DIV> <DIV>&nbsp;</DIV> <DIV>I remember some years ago...many years ago when we were mostly keeping women on their backs flat in bed&nbsp; during labor in one of the hosps I worked in...for the baby you know!!!</DIV> <DIV>then some eminence came to speak to us about the new and advantageous method of letting women labor in different positions, and even heaven forbid letting them walk about...</DIV> <DIV>I also remember giggling (being quite young and more unaware that one was meant to take experts!! seriously)&nbsp;as it seemed more like a joke,&nbsp;since women themselves had known all that for ages.</DIV> <DIV>&nbsp;</DIV> <DIV>I continue to be amazed about some of the eminence statements that we&nbsp;take at face value without actually also working out if it sounds logical or reasonable...goverment ..the law etc</DIV> <DIV>frances wren</DIV> <DIV>&nbsp;</DIV>

><DIV>----- Original Message -----<BR>From: Ina May Gaskin &lt;inamaygaskin@gmail.com&gt;<BR>Date: Tuesday, February 19, 2008 8:27 am<BR>Subject: Re: Episiotomy question<BR>To: Multiple recipients of list OB-GYN-L &lt;ob-gyn-l@mail.obgyn.net&gt;<BR><BR>&gt; I can handle that, too. :-)<BR>&gt; <BR>&gt; Ina May<BR>&gt; <BR>&gt; On 18 Feb 2008, at 13:21, Dr Eberhard W Lisse wrote:<BR>&gt; <BR>&gt; &gt; I prefer the correct term, which is the "Gaskin Maneuver".<BR>&gt; &gt;<BR>&gt; &gt; el<BR>&gt; &gt;<BR>&gt; &gt; On Feb 18, 2008, at 22:55, Meenan, Anna wrote:<BR>&gt; &gt;<BR>&gt; &gt;&gt; Actually John, in the original descriptions in the <BR>&gt; American&nbsp; <BR>&gt; &gt;&gt; medical literature, there is no mention of knee-chest.<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt; Meenan AL, Gaskin IM, Hunt P, Ball C. A New (Old) Maneuver <BR>&gt; for the&nbsp; <BR>&gt; &gt;&gt; Management of Shoulder Dystocia.&nbsp; Journal of Family <BR>&gt; Practice,&nbsp; <BR>&gt; &gt;&gt; 1991, 32:625-629.<BR>&gt; &gt;&gt;
;<BR>&gt; &gt;&gt; Bruner JP, Drummond JSB, Meenan AL, Gaskin IM.&nbsp; All-<BR>&gt; Fours Maneuver&nbsp; <BR>&gt; &gt;&gt; for Reducing Shoulder Dystocia During Labor.&nbsp; Journal <BR>&gt; of&nbsp; <BR>&gt; &gt;&gt; Reproductive Medicine 1998, 43:439-443<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt; Correct me if I'm wrong, Ina May, but I recall reading <BR>&gt; somewhere&nbsp; <BR>&gt; &gt;&gt; that you had stated that you preferred the term "All-4's <BR>&gt; maneuver"&nbsp; <BR>&gt; &gt;&gt; as it is more descriptive in an emergency for someone who is <BR>&gt; not&nbsp; <BR>&gt; &gt;&gt; familiar with the maneuver.&nbsp; The rest of us just think <BR>&gt; it's cool&nbsp; <BR>&gt; &gt;&gt; that a life-saving obstetrical maneuver has been named after <BR>&gt; a&nbsp; <BR>&gt; &gt;&gt; licensed professional midwife.<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt;<BR>&gt; &gt;&gt; Anna Meenan, MD<BR>&gt; &gt;&gt;<BR>&gt; <BR>&gt; </DIV>

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