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Re: Brachial Plexus/Erb's PalsyFrom: Kathi Wilson, BHSc, RM (wilsonk@gtn.net)Mon Oct 18 07:58:34 1999
At Mon, 18 Oct 1999, DoctorJoe@aol.com wrote: >
>The poor mom who posted that webpage about shoulder dystocia admits to being Which is sad, in't it? Not evidence-based, puts the woman at increased risk, but covers the practitioner's butt (for which I do not place blame, BTW). And it negates the opportunity for some health education which might alter the situation. These pages all focus on the practitioner, but don't address the issue of what the *woman* should do to aid in prevention. (Nor do they discuss in any detail the literature that demonstrates that some brachial plexus injuries are unrelated to birth or shoulder dystocia.) I must say that we counsel *all* our women to eat in much the same manner that gestational diabetics are counselled to eat, but right from the get-go (i.e. several small meals a day, complex CHO over simple sugars, etc). AND, I go into a *big* rant about staying away from fruit juices, and excess fruit in general. You'd be surprised how many woman get real quiet when I talk about this, and admit that they're drinking a litre or more of fruit juice a day (in the belief that it's good for them). Water, I tell 'em. Stick to water (and some low-fat milk, if they can tolerate it). Had a woman couple of years ago, who, when I booked her into care, told me her last birth "they'd" tried to break the baby's clavicles to get the 10 pound kid out. "Oh?" said I (the sweat running between my shoulder blades). "Tell me about your diet". "Oh, I eat *very* healthily" said the woman proudly "I have 6 different kinds of fruit for breakfast" (not to mention what she ate the rest of the day). Well, in short, I got her to clean up her act *big time*. This baby was 1/2 pound smaller, but more importantly, was long and proportional, actually had a neck and slender shoulders. Slid out like a bar of soap. The woman, interestingly enough, said she felt much better during this pregnancy, too.
-- Kathi Wilson BHSc RM Thames Valley Midwives London, Ontario, Canada http://tvm.on.ca mailto:wilsonk@gtn.net
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