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Re: Delivery of the impacted head From: Richard Chudacoff, MD (richardc@bcm.tmc.edu) Wed Nov 27 12:51:01 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Q Fever" Previous message: Richard Chudacoff, MD: "Horrible case" Maybe in reply to: Danny Tucker: "Delivery of the impacted head" Next in thread: DoctorJoe@aol.com: "Re: Delivery of the impacted head" >When disimpaction is a problem and the head is way down the vagina, one >of our Ob's has on several recent occasions reached up to the fundus and >delivered the breech, then lifted the head out from the pelvis. > We sometimes have a nurse give pressure from below, pushing the vertex cephalad. Other times, it just takes patient, constant, persistant pressure from operators hand, pushing cephalad. The fundus will relax enough to permit the delivery of the vertex. Delivering the breech first doesn't seem like a bad way to go, since a lot of these cases result in lateral cervical tears when the operator gets too anxious and starts jerking the hand that is attempting to elevate the vertex. -- Richard Chudacoff, MD Assistant Professor, OB/GYN Baylor College of Medicine BaylorMedCare 1601 Main St., STE 505 Richmond, TX 77469 tel 281-344-0277 fax 281-344-0288 This life must be a test. If it were the real thing, they would have given us clear and better instructions at birth. -Anon Next message: Cheri Van Hoover: "Q Fever" Previous message: Richard Chudacoff, MD: "Horrible case" Maybe in reply to: Danny Tucker: "Delivery of the impacted head" Next in thread: DoctorJoe@aol.com: "Re: Delivery of the impacted head"

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