anyone seeing this maneuver? - page 2

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... Read More

  1. by   tinyscrafts
    I had this unpleasant experience when i had my first.

    All i could do was yell WHAT IS HE DOING WITH MY BUTT! He never asked, never explained. :angryfire Untill i asked him much later at an office visit. I also believe it's what bought my my second degree up the clitoris tear.

    I agree, just wait.
  2. by   MuddaMia
    Quote from CEG
    I 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.
  3. by   Harparia
    I looked this up in my 20th Ed. Taber's Cyclopedic Medical Dictionary, and it said:
    Ritggen's Maneuver
    "A manual method of controlling the delivery of the fetal head. The non-dominant hand exerts pressure against the fetal chin through the perineum. At the same time, the dominant hand exerts pressure against the fetal occiput...."

    I just got my medical dictionary yesterday.
  4. by   babyktchr
    We have a doc who started doing this THING when he got to us after his residency. He used it on any presentation. Not only would he put his gloved fingers in there, he would wrap them in one of those blue surgical towels FIRST. I asked him why he was doing that and he replied that they "did it all the time in residency, it speeds things up". Needless to say, I had a few choice words for him after that delivery, and went straight to the head of OB with my concerns. Patients were complaining about rectal pain after delivery and stuff, and it just wasn't necessary. Impatience is YOUR problem, not the patient's problem. And doing because everyone was doing it is not a valid reason for me. I told him to let me stick two towel wrapped fingers into his rectum and see how he likes it. It was a big to-do about it, and we ended up writing him up everytime he did it, and safety tracking tools when patients complained of rectal pain.
  5. by   rnheart
    I have seen this done and it is very brutal almost to the point of rape wait until you witness a Dr forget the pt is going natural and does it. I am talking nightmares to this day.
  6. by   jenrninmi
    Quote from 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!

    What?! Why?
  7. by   HazeKomp
    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.
    this manuever, done properly, does assist with delivery in a very controlled manner (i.e. avoiding tears from suddenly popping the head through the perineum), facilitates delivery and is not very bothersome to epidural'd patients.

    tell your idiot residents to get their fingers out of rectums (except, perhaps, their own) and learn how to do this maneuver properly! Where are their teachers? Holy Cow!!!
  8. by   mitchsmom
    YES!!! We have one MD who uses it all the time (thru the rectum).
  9. by   mitchsmom
    This link show a diagram (thru perineum):

    It is also described in Varney's Midwifery.
  10. by   klemenu
    A modified Ritgen's is palation of the fetal chin through the perineum and applying pressure upward. The real Ritgen's accomplishes this through the rectum.
  11. by   OzMW
    Quote from 319wnvt
    A modified Ritgen's is palation of the fetal chin through the perineum and applying pressure upward. The real Ritgen's accomplishes this through the rectum.
    Ughghghg.............someone tell em to keep there bloody hands off altogether and leave the woman to push at her own pace...yuck quote the HOOP trial......poking and prodding vagina's, labia, perineum and descending heads does jack ***** (except maybe get doc a potential kick in the gonads).........................:chuckle Remember doctors once believed that all women should be knocked out and babys lifted out with forceps
    Ritigen probably comes from that era!! Wheres the ether nurse????????????????????????????????????????????? ???????
    Last edit by ElvishDNP on Jun 26, '08 : Reason: TOS
  12. by   3Angels
    My arse clinches just thinking about it.:angryfire
  13. by   christine_chapel
    If this maneuver were performed on me without both the presence of fetal distress AND informed consent, then I think I would end up "accidentally" kicking someone in the face. :angel2:

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