Doesn't "everyone know" that lithotomy is narrow? - Page 2

[momongeon]

I have helped with suspected SD. Mostly we use McRoberts but we also use suprapubic pressure in the event that McRoberts does not help clear the shoulder. This is usually done during McRoberts with the fist or palm just above the pubic bone toward the baby's back pushing laterally to try to roll the shoulder closer to the breast bone. We always start with the least invasive first unless the baby is severely compromised. Usually we do the cork screw or arm sweep next.

[mama to 2 girls]

With my ds I was not in a good position at all but couldn't move and it didn't feel wrong so I just went with it....I was sitting up resting back on dh on the bed....the pushing urge just came out of nowhere and I just couldn't move....He ended up with SD (or at least what I think and my m/w called it) I took 3 or 4 pushes to fully birth his head....he came out to his forehead on one push then out to his nose/ears and then 1 or 2 more (I don't remember clearly) to get his head out all the way....pushed again and he didn't even budge...m/w tried to gently move his head up and down while I pushed this did nothing....then she had me lay flat on my back with legs flexed back to my ears practically (mcrobert's) and then she actually reached in and unhooked his shoulder, i actually felt a pop. He ended up being a big little guy though.

Now, my m/w called it only a mild-moderate SD. I think she obviously used this manuever instead of hands and knees because it was the easiest position change. I never asked her though....but it worked!

[Kidzaplenty]

I am glad I read this thread. My former OB labeled my son as having shoulder dystocia. So now it is in my medical records. Even though she did absolutely NOTHING to resolve it, and it resolved itself the next contraction (meaning head birthed one contraction, I felt him hit my bone, next contraction he "popped" under it and came out).

I have tried to explain this to my new OB, but she is really afraid of shoulder dystocia and since I have a "history" of it, she just knows I am going to have it again.

[honeybee]

Here's a video of using McRoberts to unstick a shoulder dystocia.

http://www.youtube.com/watch?v=VVkRr...layer_embedded

[Youngfrankenstein]

Originally Posted by Kidzaplenty

I am glad I read this thread. My former OB labeled my son as having shoulder dystocia. So now it is in my medical records. Even though she did absolutely NOTHING to resolve it, and it resolved itself the next contraction (meaning head birthed one contraction, I felt him hit my bone, next contraction he "popped" under it and came out).

I have tried to explain this to my new OB, but she is really afraid of shoulder dystocia and since I have a "history" of it, she just knows I am going to have it again.

This is EXACTLY what is happening to me. I am having a hb but doing parallel care and my hb mw told me I didn't have a SD. But on that OB chart, first page, SD is the first thing listed. I think they did that McRoberts thing (didn't know it at the time) but he came right out. No big deal but now they want me to have an ultrasound at 39 weeks and they'll offer me a C/S. The CNM said it's their policy because I had SD and "big babies".

[Peace+Hope]

Originally Posted by honeybee

Here's a video of using McRoberts to unstick a shoulder dystocia.

http://www.youtube.com/watch?v=VVkRr...layer_embedded

intense! thank you! i wasn't really getting it.