This doc makes me very uncomfortable . . .

If he is truly putting pressure on---really pulling, report this to your manager (if he/she does not know it already---and perhaps this needs to be elevated to your perinatal committee); this is very ill-advised oldschool methodology. AND IT IS VERY DANGEROUS.

Meant to say:

fundal pressure when mom is pushing the baby out is ABSOLUTELY CONTRAINDICATED!!!!

Meant to say:

fundal pressure when mom is pushing the baby out is ABSOLUTELY CONTRAINDICATED!!!!

I worked as a tech in L&D about 7.5 years ago and when the baby was in distress and needed to be delivered they had us push on the fundus to help get the baby out. Sometimes they didn't even need to be in distress, really, now that I think about it. I can recall plenty of times that fundal pressure while mom is pushing was done.

fundal pressure or suprapubic pressure?

fundal pressure or suprapubic pressure?

Fundal

Fundal

We did suprapubic as well, but for the fundal I would have to get on a chair and lean of the top of the baby and push down towards the lady parts.

i know that used to be done, but it is NOT standard correct practice NOW and we HAVE refused when a certain dr told us to do this.

i know that used to be done, but it is NOT standard correct practice NOW and we HAVE refused when a certain dr told us to do this.

What about suprapubic pressure? Is that contraindicated as well? That doesn't seem as dangerous...

no, using suprapubic pressure IS employed to relieve shoulder dystocia.

you obviously know ob cardiac!

Suprapubic is acceptable. Fundal is INEXCUSABLE in a court of law!

I loved it! If I weren't so worried about being sued 21 years later, I would go into that! I loved how autonomous the nurses were, and how they would really take care of the pt and the Dr would just come in at the last moment and do what he had to do. A nurse delivered my nephew because he couldn't wait, and she did just fine. In fact, nurses aren't in some ridiculous hurry so they won't try to rush you through your delivery. I am so excited because I rotate through OB this semester! Once upon a time I was also NRP cert.

Sounds horrible. I thank God that a nurse midwife delivered my first child and a lovely Fillopino doctor in a one woman practice delivered my second. Both were perfect labors and deliveries -- no epidural. No drugs. No brute pushing on the fundus.

My husband -- now deceased -- would have cold cocked him. He was Pakistani and would have freaked out seeing a man do anything like that.

No wonder so many women recount horror stories of childbirth. I am certain that there must be many good male obstetricians who are wonderful at childbirth.

But darn. I don't think the dude should be allowed to be birthin' no babies.

No one should have to endure that.