-Caveat Lector- <A HREF="http://www.ctrl.org/"> </A> -Cui Bono?- Forwarded without comment. Any comments or questions should be taken up with Todd Gastaldo ([EMAIL PROTECTED]) In a message dated 1/14/00 2:56:19 GMT Standard Time, [EMAIL PROTECTED] writes: << Subj: Erb's/Cerebral Palsy EASILY preventable some of the time? Date: 1/14/00 2:56:19 GMT Standard Time From: [EMAIL PROTECTED] (Todd Gastaldo) ATTENTION parents of children with unexplained Erb's palsy, unexplained Cerebral Palsy, unexplained motor and sensory deficits, unexplained low APGARs, unexplained stillbirth, etc. See my list of questions put to "Quackbuster" Fox toward the end of this post... Regarding the following four points, PLEASE read Point 4 carefully. 1. MDs indirectly ADMIT that the most common delivery positions (dorsal and semisitting) jam mothers' sacral tips up to 4.0 cm into their pelvic outlets (4.O cm is about 1.5 inches)... See below. 2. MDs indirectly admit that dorsal and semisitting delivery positions cause up to 4.0 cm of fetal skull distortion... See below. 3. MDs claim that 0.5 to 1.0 cm of distortion can KILL... See below. 4. MDs DIRECTLY admit that, in semisitting delivery, after the fetal head is born (squashed up to 4 cm) - the shoulders can get stuck via the same mechanism - thereby causing SHOULDER DYSTOCIA... "[F]actors tending to cause SHOULDER DYSYTOCIA...CREATED BY THE DORSAL LITHOTOMY POSITION...the sacrum...[is] the main pressure point of the pelvis in the lithotomy position..." (emphasis added) [Smeltzer. Clin Obstet Gynecol 1986;29(2):299-308] British obstetrician Jason Gardosi, MD says in effect that the bizarre obstetric delivery method called semisitting causes "many" cases of "so-called" shoulder dystocia... http://home1.gte.net/gastaldo/part2ftc.html Here is Dr. Gardosi informing thousands of obstetricians - to no avail... "The anterio-posterior [OUTLET] diameter is reduced in recumbent and lithotomy positions where the weight is taken on the sacrum. The sacrum is capable of rotational movement through an axis at the upper part of the sacro-iliac joint..." Jason Gardosi MD FRCS MRCOG Queen's Medical Centre, Nottingham NG7 2UH, U.K. <http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9705/0002.html> Dr. Gardosi wrote further: "There have been several radiological studies suggesting that recumbent and lithotomy positions reduce the pelvic outlet. Ironically, this is the position in which many women end up for instrumental delivery due to failed progress - a particularly high risk situation for real shoulder dystocia!" [EMAIL PROTECTED] Ob/Gyn, Queen's Medical Centre University of Nottingham, UK <http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9510/0015.html> And finally, Dr. Gardosi wrote: "Many so called 'shoulder dystocias' are just difficult deliveries caused by a recumbent position. Apart from the sacrum being pushed upward, reducing the AP diameter, it is difficult to allow lateral flexion when the presenting shoulder abuts on the mattress...." <[EMAIL PROTECTED]> Ob/Gyn, Queen's Medical Centre University of Nottingham, UK <http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9510/0015.html> Shoulder dystocia can be fatal. Shoulder dystocia can also cause Brachial Plexus Palsy crippling children temporarily - or for life. Shoulder dystocia is understandably the condition that obstetricians fear most... See... “MDs fear this/OBs on shoulder dystocia”… http://www.deja.com/getdoc.xp?AN=329325910 Incredibly, Dr. Gardosi, just mentioned, is said to think I am a "malicious nutcase" for protesting routine fetal skull squashing/shoulder trapping... British obstetrician Malcolm Griffiths, MD wrote: “I think it's clear that Jason & I consider this guy a malicious nutcase.” http://forums.obgyn.net/ob-gyn-l/OBGYNL.9707/0159.html (Dr. Griffiths was referring to the fact that, in 1997, when I came onto OB-GYN-List to notify obstetricians of these facts, I was censored by OB-GYN-Listowner Geffrey Klein, MD - but not before two of my posts were automatically archived in the OB-GYN-List archive... I had pointed out that Dr. Griffiths had his biomechanics backwards. See... http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9707/0128.html http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9707/0153.html ) In response to my OB-GYN-List posts, Dr. Gardosi indicated he had made "corrections" of my "various misquotes and misinterpretations" back in 1990 when we first corresponded: >Just for the record, I have responded to Mr Gestaldo's comments when he >first wrote to me several years ago, and have nothing to add here. I >failed to make any headway then, and am not likely to succeed now, in >correcting his various misquotes and misinterpretations. > Dr. Griffiths replied: >>>>Jason, Thanks for this mail and the one to the list on the subject. He's mad ! Malcolm <<<< http://forums.obgyn.net/ob-gyn-l/OBGYNL.9707/0158.html Neither Gardosi nor Griffiths pointed out any misquotes or misinterpretations or corrections! I *am* mad! But who *wouldn't* be mad - angry about MDs telling lies and perpetuating a bizarre obstetric practice they they ADMIT can kill???!!!! Why aren't "quackbusters" angry? More about "quackbusters" - specifically "Quackbuster" Aaron A. Fox, Phd - below... HOW I GOT INVOLVED... In the early 90s, I found a MAJOR "dorsal widens" lie which first appeared in Williams Obstetrics in the 70s... (Dorsal delivery is where the mother is on her back - resting on her buttocks.) I confronted Williams Obstetrics about its 70s "dorsal widens" bald lie. I asked that Williams Obstetrics publish the extremely relevant biomechanical (fetal skull squashing/shoulder trapping) TRUTH about dorsal lithotomy (and semisitting) delivery... In 1993 (and again in 1997), Williams Obstetrics KEPT the 70s "dorsal widens" bald lie - but published the extremely relevant biomechanical truth... Williams Obstetrics now says: "It should be noted...that the increase in the diameter of the pelvic outlet occurs *only* if the sacrum is allowed to rotate posteriorly, that is, only if the sacrum is not forced anteriorly by the weight of the maternal pelvis against the delivery table or bed." [Cunningham, MacDonald, Leveno, Gant and Gilstrap, Williams Obstetrics Appleton-Lange 1993:285, original italics] THE SACRUM. The sacrum is the last bone in the spine. It is a rather long curved bone - part of the birth canal - and it is *supposed* to move back to let the baby pass - but it *can't* move back if the mother is sitting or lying on it - as in semisitting and dorsal delivery. How far does the sacral tip move? How much fetal skull squashing occurs? Please read the following quotes, keeping in mind that the authors of Williams Obstetrics claim that 0.5 to 1.0 cm of fetal skull distortion can KILL... In 1911, Johns Hopkins obstetrician J. Whitridge Williams, MD (original author of Williams Obstetrics) clinically documented 4 cm of sacral tip excursion. (Herbert Thoms, MD, also of Johns Hopkins, later documented 3.5 cm of sacral tip excursion. In 1957, Williams' and Thoms' average sacral tip excursion was documented radiographically by Borell and Fernstrom)... In 1913, Harvard obstetrician/anthropologist Arthur Emmons, MD noted: "[M]oving backward of the tip of the sacrum...enlarges the available space not merely directly in proportion to the distance backward, but more nearly by the square of that distance." [Emmons, AB. A study of the variations in the female pelvis, based on observations made on 217 specimens of the American Indian squaw. Biometrika 1913; 9:34-47.] THE GRISLY KICKER... "The sacrum...[is]...the main pressure point of the pelvis in the lithotomy position" [Smeltzer JS. Prevention and management of shoulder dystocia. Clin Obstet Gynecol (Jun)1986;29(2):306] NOTE: Semisitting delivery jams the sacral tip into the pelvic outlet with more force than dorsal lithotomy - i.e., in semisitting MORE FORCE distorts the fetal skull up to 4 cm. [Gastaldo. Letter. BIRTH. 1992;19:230] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=2285447&dopt=Abstract http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=1472275&dopt=Abstract (I include the just cited PubMed URLs for my letters to BIRTH to underscore the FACT that this information is in the medical literature. Actually, it was there before I discovered it and made it part of my life's work to disseminate it.) Brains *are* being pinched. And, when shoulders are trapped, nerves *are* being stretched... Babies are being crippled and sometimes killed - unnecessarily. Parents, PLEASE ask yourselves - why *ARE* most MD-obstetricians routinely narrowing the pelvic outlet? Why are MDs routinely squashing fetal skulls/trapping fetal shoulders - and THEN offering mothers and babies maximal pelvic outlet diameter? When the shoulders get stuck, MDs use the "McRoberts maneuver" - rolling the woman off her sacrum. Some MDs now use the "Gaskin maneuver" - placing the woman on her hands and knees. WHY do MDs let fetal skulls get squashed and shoulders stuck before getting women off their sacra? Again, dorsal and semisitting delivery place women on their sacra. ("Sacra" is the plural of sacrum.) <A HREF="http://www.ctrl.org/">www.ctrl.org</A> DECLARATION & DISCLAIMER ========== CTRL is a discussion & informational exchange list. Proselytizing propagandic screeds are not allowed. Substancenot soap-boxing! These are sordid matters and 'conspiracy theory'with its many half-truths, misdirections and outright fraudsis used politically by different groups with major and minor effects spread throughout the spectrum of time and thought. That being said, CTRL gives no endorsement to the validity of posts, and always suggests to readers; be wary of what you read. CTRL gives no credence to Holocaust denial and nazi's need not apply. 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