HOME >> MEDICINE >> NEWS
Manual techniques may ease tough deliveries without need for episiotomy

In the rare but serious case of shoulder dystocia, in which an infant's shoulders get stuck in the birth canal after its head emerges, mother and baby might fare better if doctors use their hands to manipulate the baby's position to ease delivery than if they cut perineal tissue to widen the opening, a Johns Hopkins study suggests.

"Shoulder dystocia is a problem of fit," says lead author Edith Gurewitsch, M.D., assistant professor of gynecology/obstetrics. "It is an issue of bony disproportion or misalignment between the mother's pelvic bones and the infant's bony shoulders, so cutting the soft tissue is controversial. If manual techniques alone can be used to deliver the baby, the mother can be spared a significant perineal injury and there might even be fewer complications for the infant after delivery."

Shoulder dystocia occurs in about 5 percent of births, Gurewitsch estimates, and up to a quarter of these deliveries can result in an injury to the baby's brachial plexus, the nerves that control movement and sensation in the arm. Up to 10 percent of infants who sustain such an injury can wind up with permanent damage.

Gurewitsch and colleagues compared the outcomes of more severe "stuck shoulder" births at Hopkins during deliveries between 1993 and 2003, and evaluated records from legal cases nationwide in which babies sustained permanent brachial plexus damage. They compared outcomes for both mother and baby when physicians used either episiotomies (cutting a wider opening) without manual techniques or manual techniques without episiotomy to finish delivering the baby.

Of the 40 episiotomy cases, 24 babies had permanent brachial plexus damage, 12 had poor Apgar scores at birth and 20 of the mothers had severe perineal injuries involving the anal sphincter muscle. Of the 38 cases where manual techniques were employed, 15 babies had per
'"/>

Contact: Trent Stockton
tstockt1@jhmi.edu
410-955-8665
Johns Hopkins Medical Institutions
6-Feb-2004


Page: 1 2

Related medicine news :

1. The Merck Manual Turns 100
2. Fixing of the lumbar column aided by simple radiological techniques
3. Acting techniques may help doctors empathize with their patients
4. Cartilage repair techniques shown to restore patient mobility and reduce pain
5. Molecular tailoring of chemotherapy with novel imaging techniques
6. Limitations of current evaluation techniques for the cost-effectiveness of treatments
7. Several new techniques show promise for spinal cord repair
8. New hope for ALS seen with genetic techniques, growth factors
9. Modifications to body contouring techniques for post-bariatric patients
10. Virtual colonoscopy techniques and training need to be improved before widespread clinical use
11. Irvine chemist wins national award for new drug techniques

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: