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Re: episiotomy and shoulder dystociaFrom: FlynnCNM@aol.comWed Apr 30 15:23:21 1997
>It is obvious to me that you have never had a true shoulder dystocia if you have never had a third degree, and have delivered them all over an intact perineum. Ron< I didn't say "never", I have certainly had seconds. If the baby turtles after a slow delivery of the head, the head has molded to 4 cm less than the chest (with shoulders to match), and still the baby can be delivered with suprapubic and McRoberts, ie no Woods screw or post. shoulder sweeping, does that mean it wasn't a shoulder dystocia? I often disagree with the RN's who are much quicker to call tight shoulders a SD than I am, and I admit I go as much by how it feels inside as anything else, but I'd be curious as to what it takes for you to call it a true SD, for my own information. Thanks, Cynthia Flynn, CNM, PhD Private Practice, Kennewick, WA FlynnCNM@aol.com
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