Re: to push or not to push

From: Dr Eberhard Lisse (el@lisse.NA)
Wed Jul 29 03:50:24 2009


I have very few shoulder dystocias, which makes every one occurring even more frightening, but I also feel that the Gaskin Maneuver works better for me than the corkscrews or McRoberts. Didn't know about the "step", will remember that :-)-O

el

on 7/28/09 11:22 PM Ina May Gaskin said the following: > 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

--
Dr. Eberhard W. Lisse  \        / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / *     |   Telephone: +264 81 124 6733 (cell)
PO Box 8421             \     /   Please do NOT email to this address
Bachbrecht, Namibia     ;____/        if it is DNS related in ANY way




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 05:14:35 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.