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Re: PG's or oxytocinFrom: Betsy Hyde (elishyde@connix.com)Sun Oct 20 19:06:56 1996
>In message <z3XSwEApIyZyEwdx@dial.pipex.com>, Danny Tucker ><danny.tucker@dial.pipex.com> writes >>We had a muliparous G4P3, previous spontaneous normal deliveries, >>inpatient for the last 2 weeks with unstable lie, mild-moderate >>idiopathic polyhydramnios. Yesterday she was 40/40 and booked for LSCS - >>at no time had her baby's head in a position suitable for stabilising >>induction. I examined her just before the anaesthetic and it was 5/5 >>palpable, but over the pelvis. >> >>What would (those who have the option) have done, use PGE2 or started >>oxytocin with intact membranes? there is a technique called "belly lifting" which might have transformed an unstable lie, or a lie over-riding the symphysis, into a longitudinal one which was more favorable for pitocin induction or AROM. Basically it is a vector analysis of the forces of labor, and has been used for relief of pain of back labor. I have also found it extremely useful for those multips who come in well dilated, head no where near the pelvis, and pendulous abodomen due to lax abdominal musculature. Mom stands up, flexes knees, bends backwards just slightly, places hands under uterus and tries to align the longitudinal axis of the fetus with the long axis of the mom...ie belly lifting. This is probably the same mechanism of the old scultetis binder or sandbag techniques for labor. It not only relieves pain of back labor, but assists in descent.
-- Betsy Hyde CNM Branford, CT midwife in private ob/cnm practice assistant clinical professor/yale university collector of African art....has a sculpture from the Ivory Coast which exhibits this exact posture
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