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Re: What is a Shoulder (GIRDLE) Dystocia

From: Kim (anonymous@obgyn.net)
Tue, 19 Dec 2000 20:44:48 -0600 (CST)


At Tue, 19 Dec 2000, William McIntosh, MD wrote: >
>At Tue, 19 Dec 2000, Kim wrote:
>>
>>I was told I had a Shoulder (Girdle) Dystocia, during my delivery of my
>>daughter. What is this ??
>> Thank you and Happy Holidays
>
>A dystocia translates as "difficult childbirth", and has come to mean
>that something got stuck, in this case, the shoulders, while coming
>through the birth canal. Shoulder dystocias are scarry for everyone
>involved, as the head is out of the vagina, but the rest of the baby
>doesn't follow. This can lead to fetal and maternal injury in bad
>cases. More commonly, your OB tries one of a series of "tricks" to
>persuade the shoulders to come on out anyway. I hope that you and your
>daughter are OK. I hope your OB is OK as well. I know that every
>dystocia I have takes about a year off my life. It is the longest
>minute (3 minutes, 5 minutes, 10 minutes) that you will ever know.
>
>-- Dr. McIntosh -- Thank you for answering my question.

My daughter weighed 7lbs 12ozs and I had the shoulder dystocia with her 5 years ago- I also got a 4th degree tear, The doctor spent almost 2 hours sewing me back up--what a wonderful job she did I had NO PROBLEMS. My son was born 7 months ago he weighed 10lbs 12ozs and I suffered a shoulder dystocia with him that has left both of us in pretty bad shape. We are flying to Texas in Jan to the Texas Children's Hospital's Briachel Plexus Clinic for treatment to his left arm. I was just sent to a colorectal surgeon who gave me awful news--my nerves are gone in my rectum and the spintzer muscle has been torn away it is now in a C shape-- He wants to do an ultra sound on me to see how much muscle is left to see if theres enough to sew it back into a circle (I HOPE SO)-- The Colorectal surgeon told me I will also have to make the 100 meter run for the toliet or I will mess my pants and he said I will always leak like Im doing now BUT he thinks he can make it less ( I hope so I'm so chaff and sore I cant take it anymore) the thin wall and the fistulas I have wont be a problem because he will remove that part of the wall and sew the thicker parts together. I'm sorry to hear how scary it is for you-- I only wish I had it to do over again I would have begged harder for a c-section -- after 2 hours of pushing I was so tired I was begging and begging but she let me push for almost another hour, and finally I had my son. Dr. McIntosh THANK YOU so much for caring enough to take the time to answer my questions.

>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is neither designed nor intended to replace consultation with and examination by a licensed medical professional.
>
>Please, no private e-mails. I will not be able to answer them.
>






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