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Re: shoulder dystociaFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Tue, 26 Oct 1999 20:51:49 -0500 (CDT)
At Tue, 26 Oct 1999, vicki wrote: > >dr marchbein, >i recall at a midwifery conference ina may gaskin speaking about dealing >with shoulder dystocia by reaching in and rotaing the arms to come down >before the shoulders (as if the baby had his/her hands above its head) >of course this was doen gently and working with the shoulder joint. >seems she said it would help to narrow the shoulders and open the >outlet. have you ever heard of this manuver and if so, does it work and >what is it called? > >thank you, >vicki There are many maneuvers used in delivery of a shoulder dystocia, the Roberts maneuver, the Woods maneuver and there are others. I'm not aware of the maneuver you describe having an official name. If I understand you correctly, with the arms coming in front of the head, it would be like a person diving - we normally call that "reducing the arms" Frequently, it is not necessary because other maneuvers allow delivery. If this maneuver is to be used, usually you do it on one arm and then, if necessary, rotate the head and shoulders to dislodge the shoulder dystocia is as gentle a way as possible.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York
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