Dear Pete The simplest way is a VE, but clinical signs of asynclitism will show long before this, and should lead to you suspect it and thus validate the need for a VE to confirm your suspicions. It is possible to feel it abdominally on mums with soft tummies and next to no adipose tissue to confound the hands/fingers! But slow progress and sometimes pain which is more severe and felt by women on or against the pubic bone (rather than above it, where the majority of women sense contractions) can be signs. Sometimes earlier pressure sensations are described by the mother, and you know it is not because the babe is OP because you have attended an abdominal examination. Sometimes clients describe the feeling that they are not getting anywhere (always listen to the client and take notice of what she says). Ve will confirm this as the saggital suture will be off centre, whichever way the babe presents, as asynclitism is not "confined" to anterior positions. It can be seen in transverse and OPs. Care to correct it is to move the pelvic bones strongly - going up stairs two at a a time during contractions works well, as does skewing the pelvis from side to side using a one sided kneeling squat and changing legs each contraction. Deep, energetic lunges with each contraction also help, as does dancing. You won't find any of this is a textbook - it comes from my work with birthing women over the years. Hope this helps. Lynne Staff -----Original Message----- From: Pier_Leone Malavisi <[EMAIL PROTECTED]> To: [EMAIL PROTECTED] <[EMAIL PROTECTED]> Date: Monday, 2 August 1999 23:23 >Thanks for all your comments on "urge to push". I now have another query, >asynclitism of presenting part. How difficult is it to diagnose and what is >the management of the same? > >Regards Pete Malavisi > > >______________________________________________________ >Get Your Private, Free Email at http://www.hotmail.com >-- >This mailing list is sponsored by ACE Graphics. >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
