-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: +3/5 From: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk) Sun Jun 28 03:16:27 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "MgSO4 in preeclampsia (was Preeclampsia Lab Package)" Previous message: Malcolm Griffiths: "OB: progesterone - reponse to Peter Wein!" In reply to: Jane Helwig, MD: "Re: +3/5" Next in thread: Malcolm Griffiths: "Re: +3/5" In message <199806272330.SAA01869@talk.obgyn.net>, Jane Helwig, MD <jane@seasonedsystems.com> writes >Robert or Peter or Malcolm, > >Can you please give more details about abdominal assessment of >engagement? What exactly did Professor Philpott tell the midwives to do >in their exam? He basically got them to feel how much of the head was palpable abdominally. As an aid it was recognised that a term head was about five fingers breadth from bottom to top. So three fingers breadth palpable was 3/5. They weren't midwives they were lay-carers. > >I find the statement that engagement doesn't occur in African patients >until labor very interesting. >Does engagement not occur in African patients (and perhaps in some >African-American patients) before labor because of pelvis shape--molding >produced by labor is necessary for engagement? Please tell us more. > I have no great experience in this population (el has!). However my understanding is that it is largely to do with a combination of sacralisation of L5 and a so-called "high inclination" pelvis. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997]) Next message: Malcolm Griffiths: "MgSO4 in preeclampsia (was Preeclampsia Lab Package)" Previous message: Malcolm Griffiths: "OB: progesterone - reponse to Peter Wein!" In reply to: Jane Helwig, MD: "Re: +3/5" Next in thread: Malcolm Griffiths: "Re: +3/5"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:28:03 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.