Re: to push or not to push

From: Ina May Gaskin (inamaygaskin@gmail.com)
Tue Jul 28 17:20:33 2009


I've only worked with women who were able to move and support their own weight. Step 1: get the mother to turn to hands and knees. Most will then have the urge to push. If not, I'll splint my first two fingers across the posterior armpit (it's usually the easier to get) and deliver the shoulder. If that's not possible, it may be possible to grasp one of the hands and deliver whichever shoulder it's attached to. The rest should be easy.

Another variation is to have the mother take a "step" forward with first one knee, then the other to free an impacted shoulder.

Ina May

On 28 Jul 2009, at 17:03, Christopher Jones wrote:

> When you encounter a shoulder dystocia do you have you patients
> continue
> to push during your efforts to deliver the anterior shoulder? Ive
> heard
> different views regarding this. Essentially the non push proponents
> believe pushing just further impacts the anterior shoulder behind the
> pubic symphysis. Personally I have my patients push during McRoberts
> and Suprapubic pressure but if I have to go to one of the rotations or
> posterior arm pushing just hinders the efforts.
>
> Wanted to get opinions.
>
> Thanks
>
> Dr. Christopher Jones
>





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