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Re: Premature Amniorrexis From: Mickey Gillmor, CNM (mgillmo@emory.edu) Mon Mar 25 16:13:15 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Cochrane database" Previous message: Bert Gold: "Re: Lack of Healthy Options?" Maybe in reply to: Guttenberg Primo: "Premature Amniorrexis" Next in thread: Jason Gardosi: "Re: Premature Amniorrexis" Do you do this left lateral speculum exam with the woman's top leg raised, or is the pillow between the legs enough? I am eager to try this. The lithotomy positon has so many disadvantages, but is the position taught here. >Left lat. position, mother nicely curled up, backside out over edge of bed; >angle speculum posteriorly; easier opening of bivalve; good view of pool, if >any, in lateral fornix; good view of cervix. > >Similar to positioning for scalp blood sampling >(I am sure nobody does that in lithotomy any more ?!) > >2. Why: >a. Baby: happier - knowing that less likelihood of aortocaval compression. >b. Mother: more comfortable and mostly covered up; +pillow between knees >c. Midwife: glad not to have to set up stirrups etc >d. Doctor: sitting down next to bed rather than between legs and dirty feet. >Aseptic setup easy to get to. At eye level with introitus, with light from >end of bed usually giving excellent view. > >jason.gardosi@nottingham.ac.uk >OB/GYN, Queen's Medical Centre >University of Nottingham, UK > -- Mickey Gillmor, CNM Atlanta, GA mgillmo@emory.edu Next message: Malcolm Griffiths: "Re: Cochrane database" Previous message: Bert Gold: "Re: Lack of Healthy Options?" Maybe in reply to: Guttenberg Primo: "Premature Amniorrexis" Next in thread: Jason Gardosi: "Re: Premature Amniorrexis"

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