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Re: Episiotomy question From: Joanne Bulley, MD (islesannie@gmail.com) Wed Feb 20 09:55:12 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Eminence vs. Evidence" Previous message: JSBowpat@aol.com: "Re: Gaskin manuever" In reply to: Meenan, Anna: "Re: Episiotomy question" Next in thread: Kim Elise Goldman: "Re: Episiotomy question" Reply: Kim Elise Goldman: "Re: Episiotomy question" As most of you know, I don't do Ob anymore. But - back in the dark ages (you know the mid-late 80's) when we still "went back" to the DR and the beds did not break away and we had "ABEs" (Alternate Birthing Experiences where you got to deliver in your labor room and have non separation and possibly be discharged 6 hours later) -- I never did the "all fours" but if there was any possible hint of shoulder problems - you know the velocity of the head delivering starts to slow, I was very quick to have the mom / with help flip onto her left side. I would have her upper leg over my shoulders and I would be behind her. GREAT way to get the shoulders and the rest of the baby out. As Anna says, you then give great kudos to the Mom and everyone in the rooom who helped in anyway and Mom is delighted to no longer be pregnant and have the baby in her arms. Joanne At Tue, 19 Feb 2008, Meenan, Anna wrote: > >I agree Allen, that this has been one of the more interesting >discussions we have had on this list. I had not heard it recommended >before to have the mom pull one knee forward if the baby didn't come, >so I have learned something today. > >A few thoughts on the points you have made: > >I deliver all my babies in a hospital setting in the U.S. too. The >first time I used the Gaskin Maneuver was during the delivery of a >255-lb mom who had precip'ed the head while still on a labor bed, >which was actually a large cart with a 4-inch thick mattress that did >not break off at the bottom (this was 1989 and we still "went back to >delivery" in those days.) I had only heard of the maneuver shortly >before that, but when I looked at the big mom, sunk into the mattress >with no room to maneuver, that was what flashed through my mind---Get >her butt out of the mattress--and that seemed the best way to do it. >The mom didn't bat an eyelash when I told her what we needed to do, >and was quite agile in spite of her size. It's really not as big a >deal as you think it is. > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: art fougner, md: "Re: Eminence vs. Evidence" Previous message: JSBowpat@aol.com: "Re: Gaskin manuever" In reply to: Meenan, Anna: "Re: Episiotomy question" Next in thread: Kim Elise Goldman: "Re: Episiotomy question" Reply: Kim Elise Goldman: "Re: Episiotomy question"

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