Re: shoulder dystocia

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I haven't seen anything in the literature about a time limit. The reason I say that rather than my own "feelings" is that, with the push (and appropriately so) for evidence based medicine (practice based upon studies and not "feelings") the correct answer may not be known yet. If it is known, I haven't seen it yet.

>
>i really find this list very informative in that it offers the views of
>doctors such as yourself in connection with women.
>
>--
>vicki
>
>>>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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