anyone seeing this maneuver?

  1. We have recently seen an increase in a maneuver where the doctor will use an SVE to push upward on the chin of an OA presentation baby to increase descent in the birth canal.

    Unfortunately I can't remember the name of the manuever at this time.
    •  
  2. 30 Comments

  3. by   Mrs.S
    I'm having a hard time visualizing that :uhoh21:
  4. by   CMCRN
    It makes them flex their chin towards their chest. Better position to deliver, called deflexed
  5. by   Mrs.S
    but I mean, how do you actually push on the chin??
  6. by   CMCRN
    You don't push on the chin, you push on the head
  7. by   ragingmomster
    I will have to talk to my fellow nurses some more, but the discussion we had was regarding pressure on the actual CHIN, not the head. I'm going in tomorrow or Monday and will get back with more info as soon as I can.
  8. by   ragingmomster
    Finally back at work and finding more info.

    Apparently some of our residents have been inserting 1 or 2 fingers into the rectum in order to apply pressure to the fetal chin or mouth to assist with descent by pulling/pushing upward with their fingers.

    After doing a small amount of research I am finding that Ritgen's maneuver is intended to be done with a gloved hand under a sterile towel and pressure is supposed to be applied through both the rectal and vaginal wall i.e. completely exterior.

    Sorry about the confusion, anyone seeing this done?
  9. by   CEG
    1 or 2 fingers in the rectum? Yikes! Why can't they just wait? When are they using this maneuver? Is it used prior to vacuum/forceps if baby is not desceding or when they are impatient? I am assuming these women have epidurals.
  10. by   Mrs.S
    [QUOTE=ragingmomster]Apparently some of our residents have been inserting 1 or 2 fingers into the rectum in order to apply pressure to the fetal chin or mouth to assist with descent by pulling/pushing upward with their fingers.

    After doing a small amount of research I am finding that Ritgen's maneuver is intended to be done with a gloved hand under a sterile towel and pressure is supposed to be applied through both the rectal and vaginal wall i.e. completely exterior.
    QUOTE]

    either way, sounds unpleasant
  11. by   CEG
    I looked up Ritgen's maneuver in my Maternal-Child nursing text and found it to be applying downward pressure to the chin after the head had been born. Perhaps these residents are confused? Nothing a couple of fingers in their rectums wouldn't help clear up I am sure... the things people will do to women in labor.
  12. by   SmilingBluEyes
    I have to confess, with 9 years in OB, no, I Have never seen this manuever employed by any practioner.
  13. by   HairCanada
    Your residents better be careful! A texas nurse got 20 years in prison for inserting a rectal thermometer into a patients rectum. Two fingers, might get em 40 years!

    :spin:
  14. by   SmilingBluEyes
    Got a link for THAT story? wow.

close