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Re: OB-GYN-L digest 727 From: douglas krell (douglas.krell@nsionline.com) Thu Nov 28 07:31:19 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Supreeya Wongtra-ngan: "Re: Delivery of the impacted head" Previous message: Michael Rice: "Re: Malaria Prophylaxis" Danny Tucker wrote: > > I've had an assistant do this, but once you have your hand under the > head I don't understand how it can help any more. Anyone used halothane or another uterine relaxant to help? > > Danny. I think that pressure on the head from a vaginal assistant directs the vector force in a more cephalad direction whereas the operators hand lifts the vertex more or less toward the ceiling. The combination therefore applies the forces in the proper direction. We've never had to use a uterine relaxant although I'm sure there have been times when a patient on Magnesium sulfate for seizure prophyllaxis had to be sectioned for CPD. Uterine atony and subsequent hemorrhage of course is the problem with those interventions. -- Douglas Krell MD FACOG Santa Fe Next message: Supreeya Wongtra-ngan: "Re: Delivery of the impacted head" Previous message: Michael Rice: "Re: Malaria Prophylaxis"

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