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Re: Treatment of Shoulder Dystocia From: Bernard Cristalli (bcrist@club-internet.fr) Tue Jun 9 11:28:00 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Laurie Lovely, M.D.: "Re: OB: Second twin" Previous message: Malcolm Griffiths: "Re: pre-orgasm headache" Maybe in reply to: Christine Dangel: "Treatment of Shoulder Dystocia" Next in thread: Braun, R. Daniel: "Re: Treatment of Shoulder Dystocia" Jane Helwig, MD wrote: > > At Mon, 8 Jun 1998, Bernard Cristalli wrote: > > > > >I don't know what you mean with "all-fours maneuver". I use Jacquemier > >maneuver and never had to use Zavanelli's (till now). > > > Bernard, > > What is Jacquemier maneuver? > -- Jane, This maneuver has been described in 1860. It is a lowering of the posterior arm . To pull down the arm you need to grasp the corresponding hand in the pelvis following the sacrum on the ventral side of the fetus. If the extraction is impossible a 180° rotation of the fetus is done (Varnier maneuver) so that this posterior arm becomes anterior and the same maneuver is done too with this new posterior arm. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Laurie Lovely, M.D.: "Re: OB: Second twin" Previous message: Malcolm Griffiths: "Re: pre-orgasm headache" Maybe in reply to: Christine Dangel: "Treatment of Shoulder Dystocia" Next in thread: Braun, R. Daniel: "Re: Treatment of Shoulder Dystocia"

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