Re: to push or not to push
From: Efrain Ramirez (eramirezt@coqui.net)
Tue Jul 28 23:43:38 2009
All 39 weeks and plus or are there 38 and some?
Ef
At Tue, 28 Jul 2009, Richard Chudacoff, MD wrote:
>
>7% primary c-section rate which includes elective primary c-sections. 100%
>repeat c-section rate.
>
>--
>Richard Chudacoff, MD, FACOG
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Mary
>Knauer, CNM - Baltimore, MD
>Sent: Tuesday, July 28, 2009 7:35 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: to push or not to push
>
>May I ask about your primary C/Section rate? Primips are incredibly bad
>at vaginal delivery via induction at 39 weeks--might this account for
>your low occurrence?
>
>Tue, 28 Jul 2009, Richard Chudacoff wrote:
>>
>>Since I induce everyone at 39 weeks, I have not seen a dystocia in
>>years...however, I agree with you. When doing the McRoberts and suprapubic
>>pressure, the pushing has to be timed to your movement
>>
>>--
>>Richard Chudacoff, MD, FACOG
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>Christopher Jones
>>Sent: Tuesday, July 28, 2009 3:03 PM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: to push or not to push
>>
>>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
>>
--
"Life is what happens to you while you're busy making other plans."- John Lennon
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