Published Oct 4, 2007
agirlandherdogs
28 Posts
but need a little more information.
i am writing my family study, and i've found a quote on another forum, but i'd like to have the proper information for a reference.
if anyone has access to this book or can help me out with a similar description of this maneuver, i'd be very happy.
amy
this is the quote:
[color=midnightblue]"ritgen maneuver: the objective is to encourage extension of the fetal head and thus expedite its birth. performed ideally between contractions. the head can be delivered slowly, gradually, and under the obstetrician's complete control. [interesting word choices, no?] further, the soft tissues are more relaxed and tissue damage is less. the maneuver cannot be carried out before the occiput has come under the symphysis."
oxorn then goes on to describe how to do it in step-by-step detail:
"the operator's [lovely word] hand, covered with a towel or a pad is placed so that the fingers are behind the maternal orifice. extension of the fetal head is furthered by pressing against the baby's face, preferably the chin, through the rectum. the bregma, forehead and face are born in that order. the other hand is placed against the baby's head to control the speed of its delivery. sometimes fundal pressure is needed to deliver the head, or if the patient is awake [awake?!?!?], she can bear down gently."
beckinben, CNM
189 Posts
but need a little more information. i am writing my family study, and i've found a quote on another forum, but i'd like to have the proper information for a reference. if anyone has access to this book or can help me out with a similar description of this maneuver, i'd be very happy. amy this is the quote: [color=midnightblue]"ritgen maneuver: the objective is to encourage extension of the fetal head and thus expedite its birth. performed ideally between contractions. the head can be delivered slowly, gradually, and under the obstetrician's complete control. [interesting word choices, no?] further, the soft tissues are more relaxed and tissue damage is less. the maneuver cannot be carried out before the occiput has come under the symphysis." oxorn then goes on to describe how to do it in step-by-step detail:"the operator's [lovely word] hand, covered with a towel or a pad is placed so that the fingers are behind the maternal orifice. extension of the fetal head is furthered by pressing against the baby's face, preferably the chin, through the rectum. the bregma, forehead and face are born in that order. the other hand is placed against the baby's head to control the speed of its delivery. sometimes fundal pressure is needed to deliver the head, or if the patient is awake [awake?!?!?], she can bear down gently."
i have a copy. there is also a description of this in a couple of other books i have. what exactly are you needing?
and, fyi, oxorn is a classic, and parts are very outdated. the references to fundal pressure and the mom being awake originated in the era of "twilight sleep" where women often were not awake or at least fully conscious during their births.
Thanks!
I would basically just need a clear statement (this one, or one very similar) along with the necessary information for APA reference page.
Author, book, page number etc.
I really appreciate it.
Amy
Oxorn-Foote Human Labor and Birth, by Harry Oxorn, 5th ed. Published 1986 by Appleton-Century-Crofts in East Norwalk, CT. Page 138-139. It's a classic on the anatomy/physiology of labor, but for management, it's really outdated.