Re: [ozmidwifery] question

[brendamanning]

Jennifer Cameron wrote “The signs of shoulder dystocia are evident before the head is crowned.   What are these signs prior to crowning ? Crowning is before any kind of turtling, burrowing or lack of restitution may occur right? Because 'crowning' is before the head is born. I am now wondering if I've been missing something? I have practised "hand off" birthing for 15 years & see many babies corkscrew their way out, I'm often thankful I haven't had my hands on them as I would have interfered with the manoeuvres they initiate to negotiate their way out. I was taught that not waiting for restitution was a major cause of shoulder dystocia, has there been research to prove otherwise since ? I would be really interested to read it.    With kind regards Brenda Manning www.themidwife.com.au ----- Original Message ----- From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Tuesday, November 29, 2005 10:14 PM Subject: RE: [ozmidwifery] question Jennifer Cameron wrote “The signs of shoulder dystocia are evident before the head is crowned and then the 'turtle' sign appears and clinches the diagnosis so it is full steam ahead and get that baby born” My understanding is that the head retraction on the perineum is the main sign. I realize that  a large baby “could” be one, as is slow 2nd stage in the perineal phase, but these accompany many normal births too.   .  Could you please list the signs that are evident before the head is crowned and also the reference?  Thanks, MM.  PS, a grandmultip client of mine recently birthed a 5.3kg, HC 40cm, Length 60 cm, with no problems.  Had to stand up to do it tho.   Remember the placenta is beginning to separate at the point of the head being born so the baby is dying of hypoxia and acidosis. ALSO are probably correct on not waiting for restitution.. You could wait all day for restitution and end up with a dead baby.