Sitting vs. Side-lying (also: 'We have Todd...' LOL!)

"SALUTOGENESIS" IN UK MIDWIFERY See below.

PREGNANT WOMEN: OBs are closing birth canals up to 30%. See
PROOF below.

For simple instructions on how to allow your birth canal to
OPEN the "extra" up to 30%, see the very end of this post...

"SALUTOGENESIS" IN UK MIDWIFERY

Attention Downe et al. (Downe S, Gerrett D, Renfrew MJ.)
Midwifery Studies Research Unit, University of Central
Lancashire, Preston, Lancashire, UK.

via Professor Soo Downe [email hidden]

Soo,

"The overall philosophy underpinning the majority of the
research in the unit is that of salutogenesis - the creation
of well-being."
uclan.ac.ukresearchOpen ↗

Closing birth canals up to 30% in midwifery research (see
below) is obviously not the best way to accomplish
salutogenesis.

(I'm assuming "supported sitting" is semisitting -
placing the woman on her sacrum thereby closing her birth
canal up to 30%.)

Please work to stop this obstetric tomfoolery.

Sincerely,

Todd

Dr. Gastaldo [email hidden]

Quoted message said:

SITTING vs. SIDE-LYING...

According to Downe et al. [June 2004] "[In]...nulliparous
women using epidural analgesia...the lateral versus

the

Quoted message said:

supported sitting position...Lateral position was
associated with lower rates of instrumental birth [33% vs.
52%]...episiotomy [45% vs. 64%]...RECOMMENDATIONS FOR
PRACTICE:: the lateral position is likely to be at best
beneficial, and at the worst no less harmful than the
sitting position for most women and their babies..." --
Downe et al. ^^^ Midwifery. 2004 Jun;20(2):157-68. PubMed
abstract

I WONDER: When Down et al.^^^ obtained informed consent to
do this study, did they inform women that "supported
sitting" closes the birth canal up

to

Quoted message said:

30%?

^^^Downe S, Gerrett D, Renfrew MJ. Research in
Childbearing and Health (ReaCH) Group, Midwifery Studies
Research Unit, University of Central Lancashire, Preston,
Lancashire, UK.

PROOF that OBs and CNMwives are routinely closing birth
canals up to 30%...

The fact that semisitting and dorsal close the birth canal
is simple biomechanics.

See Gastaldo TD. Letter. Birth 1992;19(4):230.

Here's my source for the 30% figure...

"[T]he outlet increases with moulding by approximately 20-30
per cent." --Russell JGB. Moulding of the pelvic outlet. J
Obstet Gynaec Brit Cwlth 1969;76:817-20.

NOTE: In 1973, Ohlsen verified Russell's 20% figure on
Borell and Fernstrom's 1957 intrapartum x-rays.
Ohlsen pointed out that the authors of Williams
Obstetrics were claiming that the pelvic diameters
*don't change* during delivery (!) - so the authors
of Williams Obstetrics decided (erroneously) that
dorsal delivery widens!

Interestingly, early last century, J. Whitridge Williams,
MD, the original author of Williams Obstetrics demonstrated
MASSIVE amounts of change in pelvic outlet diameter change
at-term - and the just mentioned 1957 intrapartum x-ray
study accorded with the average amount of pelvic outlet
diameter change Williams found clinically...

See: home1.gte.netpart2ftc.htmlOpen ↗

Jason Gardosi, MD, director of the British National Health
Service/NHS West Midlands Perinatal Institute/WMPI states
the grisly biomechanics of the semirecumbent delivery
position (semisitting):

"...the weight of the mother is in part taken on the sacrum
which is therefore pushed upwards, thus decreasing the antero-
posterior diameter of the pelvic outlet..."
wmpi.netoe shoulder dystocia.htmOpen ↗

The funny thing is, Jason Gardosi, MD also *recommends*
semisitting (closing the birth canal) - or used to!

"The second stage...You might want to remain in bed with
your back propped up with pillows...As you push, try to let
yourself 'open up' below..."
preg.infochapter11.htmOpen ↗

NOTE: Jason Gardosi, MD and his fellow British OB pal
Malcolm Griffiths once got me censored from an
international OB/GYN listserv - but fortunately not
before two of my posts were archived thereon: forums.obgyn.netob gynOpen ↗
l/OBGYNL.9707/0128.html forums.obgyn.netob gynOpen ↗
l/OBGYNL.9707/0153.html

Anyone interested in some entertaining obstetric reading,
check out Jason's 1989 Lancet "randomised controlled trial
of squatting" - where nobody squatted...

See Sarah Key's huge balls (also: Kids can SQUAT motionless
for hours)... groups.yahoo.comchiroOpen ↗
list/message/2084

MORE PROOF According to the Merck Manual:

"When shoulder dystocia occurs...the mother's thighs are
hyperflexed to increase the diameter of the pelvic
outlet..." merck.comsection18Open ↗
/chapter253/253g.jsp

WHY are OBs and CNMwives (nurse midwives) waiting until the
head is out and shoulders get stuck before giving the baby
maximum pelvic outlet diameter?

WHY are OBs and CNMwives forcing babies' heads through birth
canals senselessly closed up to 30%?

WHY are OBs and CNMwives KEEPING birth canals closed when
babies' shoulders get stuck?

(Merely hyperflexing the thighs does NOT get the woman off
her sacrum. This is BAD McRoberts maneuver. ON A POSITIVE
NOTE: Gardosi et al.'s WMPI site (quoted above) recommends a
version of GOOD McRoberts if the shoulders get stuck...
wmpi.netoe shoulder dystocia.htmOpen ↗)

LADIES: HELP PROTECT YOUR VAGINAS...

OBs and CNMwives are slicing vaginas (euphemism "routine
episiotomy"😉 - surgically/FRAUDULENTLY inferring everything
possible is being done to OPEN birth canals - even as they
CLOSE birth canals - up to 30%!

See Criminal medical CAM at Hawai'i's John A Burns School of
Medicine health.groups.yahoo.comchiroOpen ↗
list/message/2256

Sorry to be repetitive but...

WEIRD: In 1993, the authors of Williams Obstetrics published
the correct biomechanics at my request but they left in
their text (in the same paragraph!) the "dorsal widens" bald
lie that first called my attention to their text.

The "dorsal widens" bald lie was created when Ohlsen
informed the authors of Williams Obstetrics in 1973 that
they were still claiming that the pelvic diameters *don't
change* at delivery!

ALSO WEIRD: Before Ohlsen stimulated their "dorsal widens"
bald lie, the authors of Williams Obstetrics were ignoring
Borell and Fernstrom's 1957 RADIOGRAPHIC demonstration that
the diameters DO change - and this MANY years after (way
back in 1911) J. Whitridge Williams, MD - the first author
of Williams Obstetrics - clinically demonstrated 4cm of AP
outlet diameter change!

For details: See my Open Letter to FTC at:
home1.gte.netpart2ftc.htmlOpen ↗

SIMPLE INSTRUCTIONS

PREGNANT WOMEN: It is EASY for you to allow your birth canal
to OPEN the "extra" up to 30%. Just roll onto your side as
you push your baby out - or deliver on hands-and-knees,
kneeling, standing, squatting, etc.

BUT BEWARE: "Midwives...encourage...semisitting." (closing
the birth canal!) --Yale CNMwifery Prof. Helen Varney.
Varney's Midwifery. Sudbury, MA: Jones and Bartlett. 4th
ed. 2004:839]

Some MDs and MBs will let you "try" "alternative" delivery
positions but will move you back to dorsal or semisitting
(close your birth canal!) as you push your baby out!

If your baby's shoulders get stuck OBs and CNMwives will
KEEP your birth canal closed!

Yale CNMwifery Prof. Varney (just cited) writes:

"In the event of...shoulder dystocia...the woman should be
in a lithotomy position..." (p. 839)

Lithotomy position keeps the birth canal closed! So does
semisitting!

Talk to your CNMwife or MD or MB about this TODAY. (For
further details see "Criminal medical CAM," URL above.)

CNMwives/MDs/MBs: If you must push or pull - and sometimes
you must - first get the woman off her sacrum - off her
back/butt.

Thanks for reading everyone.

Sincerely,

Todd

Ds. Gastaldo [email hidden]