Re: Episiotomy question
From: Kim Elise Goldman (goldman@calweb.com)
Wed Feb 20 10:15:19 2008
I delivered my own daughter on all fours - it is an incredibly easy
position to push from and much more comfortable than about anything
save hanging from a squat bar which, of course, our hospital does NOT
have. We went home 2 hours later. We waited that 2 hours for me to
shower and for the pediatrician to make her way in to the hospital to
sign the baby out - otherwise insurance would not cover the use of the
LDR room.
:)
Kim
On Feb 20, 2008, at 11:55 AM, Joanne Bulley, MD wrote:
> 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
>
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