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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Description of this bibliographical database (AFAR website)
Currently 3059 records
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Created on : 26 Jul 2004
Modified on : 01 Dec 2007

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Bibliographical entry (without author) :

Shoulder dystocia: when to use suprapubic or fundal pressure. MCN Am J Matern Child Nurs. 1992 Jan-Feb;17(1):34-6.

Author(s) :

Penney DS, Perlis DW.

Year of publication :


URL(s) :…

Résumé (français)  :

Abstract (English)  :

"The delivery of the head with or without forceps may have been quite easy, but more commonly there has been a little difficulty in completing the extension of the head. The hairy scalp slides out with reluctance. When the forehead has appeared it is necessary to press back the perineum to deliver the face … time passes. The child’s head becomes suffused. It endeavors unsuccessfully to breathe. Abdominal efforts by the mother or by her attendants produce no advance; gentle head traction is equally unavailing. Usually equanimity forsakes the attendants. They push, they pull. Alarm increases. Eventually by greater strength of muscle or by some infernal juggle, the difficulty appears to be overcome, and the shoulders and trunk of a goodly child are delivered. The pallor of its body contrasts with the plum-colored cyanosis of the face, and the small quantity of freshly expelled meconium about the buttocks. It dawns upon the attendants that their anxiety was not ill-founded, the baby lies limp and voiceless, and too often remains so despite all efforts at resuscitation".

Sumário (português)  :

Comments :

Argument (français) :

L’expression abdominale en cas de dystocie des épaules laisse trop souvent un bébé gisant flasque et sans voix.

Argument (English):

Argumento (português):

Keywords :

➡ dystocy ; fundal pressure

Author of this record :

Cécile Loup — 26 Jul 2004

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