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REPOST: Dr. McGann has stepped down as chiro-listowner; so this should reach chiro-list...
Law enforcement addressees: Please end the mass child abuse by MDs. See MY
PETITION at the URL below.
**TWO** McROBERTS MANEUVERS
ONE KEEPS THE BIRTH CANAL CLOSED UP TO 30% (see below)
1. First, the McRoberts version that OPENS: This early version of McRoberts
maneuver rolled the woman off her sacrum and allowed the birth canal to open
maximally:
James Smeltzer, MD wrote in 1986:
"[McRoberts] simultaneously reverses
almost all of the factors tending to cause shoulder dystocia CREATED BY THE
DORSAL LITHOTOMY POSITION... (emphasis added) [Smeltzer. Clin Obstet Gynecol
1986;29(2):299-308]
Dr. Smeltzer continued:
"...the maneuver removes all weight-bearing forces from the sacrum, the main
pressure point of the pelvis in the lithotomy position..."
Dorland's Illustrated Medical Dictionary (29th ed.) says of the lithotomy
position, "also called dorso-sacral."
2. Here's the version that CLOSES: This later
woman-on-her-sacrum/BIRTH-CANAL-CLOSING version of McRoberts maneuver is
demonstrated in ACOG's Shoulder Dystocia training video.
NOTE: ACOG's Shoulder Dystocia training video is an indirect VIDEO ADMISSION
that MD-obstetricians know they are routinely closing birth canals up to
30%. The video purports to demonstrate how to allow the birth canal to open
maximally on the rare occasions when baby shoulders get stuck - which is the
indirect admission that MD-obstetricians know they are routinely closing
birth canals up to 30%. For more info about ACOG's Shoulder Dystocia
training video, see MY PETITION, at the URL below.
HYPOTHESIS #1: Using the early version of McRoberts maneuver - rolling women
off their sacra thereby letting the fetal skull into the pelvic outlet -
then letting women roll back onto their sacra to rest between contractions
might account for the increase in dents in fetal skulls/"ping-pong skull
fractures" noted a few years back...
See Dents in babies' skulls"
http://groups.google.com/group/
misc.kids.pregnancy/msg/08abfc7ff242150e
Alternate URLs: http://health.groups.yahoo.com/group/chiro-list/message/3897
http://health.groups.yahoo.com/group/chiro-list3/message/16
WARNING: FATAL fetal skull distortion: MDs are closing birth canals up to
4 cm - causing "molding" of fetal skulls...
According to the 1993 edition of Williams Obstetrics, more than 0.5 to
1.0 cm of molding of the fetal skull "may make the difference between
successful vaginal delivery and a major obstetrical operation (p.
369)...[and]...when distortion is marked, molding may lead to tentorial
tears, laceration of fetal blood vessels, and FATAL intracranial
hemorrhage." (Williams Obstetrics 1993:524, emphasis added.)
HYPOTHESIS #2: NUFFIELD-related. Introduction of the later ACOG
woman-on-her-sacrum/birth-canal-closing version of McRoberts maneuver might
account for the recent conclusion of MacKenzie et al.^^^ that "introduction
of the McRoberts' maneuver has not improved outcomes compared with the
earlier results." [Obstet Gynecol. 2007 Nov;110(5):1059-68. PubMed abstract]
^^^Copied to NUFFIELD DEPT. OF OBSTETRICS AND GYNAECOLOGY: I. Z. MacKenzie,
FRCOG, Mutayyab Shah, MRCOG, Katie Lean, RM, Susan Dutton, MSc, Helen
Newdick, BEd and Danny E. Tucker, MRCOG, Nuffield Department of Obstetrics
and Gynaecology, University of Oxford, John Radcliffe Hospital, Oxford,
United Kingdom, via ian.mackenzie@...
NUFFIELD...
JASON GARDOSI, MD USED TO BE AT NUFFIELD...
Jason Gardosi, MD and his pal Malcolm "Big Malc" Griffiths, MD helped to get
me censored from the global OB/GYN-List some years ago.
Here again (from so many years ago) are my quotes from Drs. Gardosi and
Griffiths which go to the
crux of the matter of diameter changes with McRoberts maneuver:
Obstetric professional Gardosi claims in the obgyn-list archive that
McRoberts "does not alter the dimensions of the pelvis" - and that it
does - or at least "may" alter the dimensions ("it may make the subpubic
angle even smaller...")
http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9601/0442.html
Obstetric professional Griffiths, on the other hand, suggests in the
obgyn-list archive that McRoberts "may" widen the pelvic inlet - by more
than 2.5 cm...
http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9610/0507.html
One would think that obstetric specialists would know FOR SURE whether
the diameters of the true pelvis may be altered - and for sure HOW they
may be altered.
Given the fear expressed by obstetric specialists in cases of shoulder
dystocia (this fear is expressed in obstetric texts and in the
obgyn-list archive), one would expect more than disparagement and
disrespect - even if the dogcatcher presented compelling evidence that
McRoberts DOES widen the outlet and "European" (and American) "inlet"
shoulder dystocia is a fiction.
No one has addressed my question:
With the shoulders ostensibly impacted at the INLET, just exactly what
force stretches the neck and pushes the head out of the vagina?
Finally, I must address Dr. Gardosi's claim that he tried and failed to
make me understand something (or things) years ago...
I am afraid Dr. Gardosi has the situation exactly backwards... As I
noted in my post,
<<<<When Gastaldo suggested to Gardosi, who had personally witnessed a
few of C. Paciornik's thousands of squatting deliveries using BRIEF
squatting periods (see Paciornik M. Birth 1992;19(4):230-1), that
perhaps he had now changed his mind - and that perhaps "Western" women
in England COULD squat - Gardosi replied, "I have, incidentally, never
changed my stance on whether unsupported squatting was a viable option
here; two randomised controlled trials performed in English hospitals
have clearly shown that it is not." [Personal communication, Gardosi to
Gastaldo, Sept. 30, 1990, emphasis Gardosi's. Jason Gardosi, FRCS,
MRCOG, Director, Perinatal Research and Monitoring Unit, Floor D, East
Block, Queen's Medical Centre, University of Nottingham, NG7 2UH
ENGLAND, tel: 44-60-270-9240]
<<<<...Dr. Gardosi is now telling obygyn-list that squatting IS
a viable option...>>>>
I noted in my post that Gardosi, Sylvester and B-Lynch (1989a) ignored
Borell and Fernström's radiographic evidence and made the following
rather grisly "important compromise" with the "fully trained" midwives
who conducted the 1989a trial: To "win the[ir] cooperation," they
allowed midwives the option of moving women to "an accustomed
semi-recumbent position" at the moment of crowning.
[Gardosi, Sylvester and B-Lynch. Alternative positions in the second
stage of labour: a randomised controlled trial. Brit J Obstet Gynaecol
1989a;96:1290-6]
And now Dr. Gardosi tells obgyn-list:
"I think the first and best maneuvre in any suspected [shoulder
dystocia] is to get the mother squatting or kneeling. Many good midwives
already do this, before (and usually instead of) hitting the panic
button."
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
I say again: I have always wondered why Gardosi et al. [1989a] made
their fetus squashing "important compromise" with the "fully trained"
midwives - in a paper in which they so clearly stated the biomechanics
demonstrated radiographically by Borell and Fernstrom in 1957...
This "important compromise" - which jams sacral tips up to 4 cm into
fetal skulls [Gastaldo Birth 1992;19:230] - is ROUTINELY made in the
Western world...as 4.6% of term neonates suffer unexplained brain bleeds
and up to 10% suffer unexplained neonatal encephalopathy..
As I noted in effect in my post, this grisly "important compromise"
appears to amount to obstetric gross negligence...
<<<<<<<<<<<< BEGIN excerpt from Gastaldo's [first] obgyn-list post >>>>>>>
According to Operative Obstetrics by O'Grady et al. [Williams and
Wilkins 1995]:
"If a medical judgement falls below the standards of ordinary knowledge,
skill, care and diligence required of an obstetric specialist, such
judgement will be considered negligence." (p. 352)
The authors of the Operative Obstetrics' chapter on shoulder dystocia
(two attorneys, one an obstetric specialist) offer not one word about
how to open the pelvic outlet up to 4 cm... (!)
Shouldn't obstetric specialists know how to open the pelvic outlet up to
4 cm?
I suspect that a reasonable person would say yes. Paraphasing the
non-obstetric specialist attorney who co-authors O'Grady et al.'s 1995
effort, res ipsa loquitur - if the thing itself speaks - you don't need
an expert for this one.
Robert Wooley, M.D. recently turned a doctor's own word (incompetence)
against him:
<<<<I think I am quite justified in concluding that your continuing to
perform episiotomies is a demonstration of professional ignorance or
obstinacy, either one of which is a pretty good indicator of
"incompetence", as you phrase it.>>>>
According to the attorney authors of Operative Obstetrics - James
J.Nocon and Les Weisbrod (Nocon is the MD obstetric specialist):
"Make a big episiotomy. Although there is no evidence that it does
anything other than enhance the ability to insert one's hand in the
vagina, it will indicate that the operator is functioning in a logical
and systematic manner. Again, the failure to perform an episiotomy has
not been shown to contribute to any injury." (p. 349)
Is an obstetric specialist who performs an episiotomy as he jams the
sacral tip up to 4 cm into the outlet really "functioning in a logical
and systematic manner?"
How many obstetric specialists on the obgyn-list read Dr. Gardosi's
opinion that "Many so called 'shoulder dystocias' are just difficult
deliveries caused by a recumbent position...the sacrum being pushed
upward, reducing the AP diameter..." - and still do recumbent
and, worse, semisitting deliveries?
<<<<<<<<< END excerpt from Gastaldo's obgyn-list post >>>>>>>>
KEEPING THE BIRTH CANAL CLOSED THE "EXTRA" UP TO 30%...
OXYTOCIN CHILD ABUSE
Semisitting and dorsal delivery close the birth canal up to 30%.
Last century, Russell [1969] used Borell and Fernstrom's intrapartum x-rays
[1957] to derive the 30% figure.
See Gastaldo TD. Letter. Birth. 1992;19(4):230-1.
http://www.blackwell-synergy.com/toc/bir/19/4 FREE ACCESS
AT THE END OF DELIVERY - as the fetus
courses the pelvic outlet - it is obvious OXYTOCIN CHILD ABUSE for
physicians and nurses to KEEP birth canals closed the "extra" up to 30%
(keep women semisitting or dorsal) and whip the uterus with oxytocin.
Of course, keeping women semisitting or dorsal - keeping their birth canal
closed the "extra" up to 30% - is obvious child abuse with or without
whipping the uterus with oxytocin.
PLEASE SIGN MY PETITION: Hospital Child Abuse: DAs and AGs should end it
immediately...
http://www.thepetitionsite.com/1/hospital-child-abuse-das-and-ags-should-end-it-immediately
BIZARRELY, UCLA POLICE DID NOT ACCEPT SUSPECTED CHILD ABUSE REPORTS
Gary S. Goldman, PhD, editor-in-chief of the peer-reviewed medical
journal Medical Veritas, corroborated with
physicians info about the birth "atrocities" (his word) and reported
suspected child abuse - only to have UCLA police deem his
suspected child abuse reports deemed "not acceptable."
Two years later, UCLA Compliance Officer William Cormier
offered the blather that it was "appropriate" for UCLA police to have
ignored Dr. Goldman's suspected child abuse reports...
Dr. Goldman suddenly decided that his suspected child abuse reporting had
been
"ludicrous." He indicated publicly that reporting is a "DEAD-END."
When I pointed out that Dr. Goldman had just promoted the
child-abuse-perpetuating crime of failure to report child abuse, he quickly
deleted his signature and "DEAD-END" comment from my petition. (Dr. Goldman
was signatory number two - there is still evidence that he signed - but his
name and "DEAD-END" crime promotion comment are gone.)
Dr. Goldman also suddenly decided not to publish my Open Letter to British
Gray's Editor-in-Chief Susan Standring, PhD or contact the law enforcement
cc addressees for verification of
receipt and comment on the Four OB Lies....
See UTERINE RUPTURE! Attn: British Gray's (Dr. Standring):
Misuse-of-oxytocin child abuse
http://health.groups.yahoo.com/group/chiro-list/message/4897
Alternate URL: http://health.groups.yahoo.com/group/chiro-list3/message/3
British Gray's Editor-in-Chief Susan Standring, PhD has been silent. I will
cc her via: susan.standring@...
At one point, Dr. Goldman threatened to sue me for criticizing him - which
may account for Kevin Thos. McGann, DC owner of this list adopting Dr.
Goldman's promotion of the child-abuse-perpetuating crime of failure to
report child abuse.
KEVIN THOS. McGANN, DC
Kevin Thos. McGann, DC recently publicly echoed Dr. Goldman's sentiment that
suspected child abuse reporting is "ludicrous" as he censored me from his
"open and uncensored list."
See Chiropractor promotes child-abuse-perpetuating crime...
http://health.groups.yahoo.com/group/chiro-list3/message/15
Dr. McGann now describes his list as follows: "Chiro-list is an open,
uncensored list. Only spammers and Todd get rejected."
http://health.groups.yahoo.com/group/chiro-list/
Dr. McGann appears to be attempting after-the-fact ad populum intellectual
dishonesty to retroactively justify his decision to censor his own
uncensored list.
He writes:
"If anyone actually reads this, I would be very interested in your opinion
as to
whether or not the decision to reject Todd Gastaldo was justified. If you
send
me your thoughts let me know if you want it kept private, or if I can post
them
here, with or without attribution."
http://health.groups.yahoo.com/group/chiro-list/message/4912
Hmmm - "with or without attribution" - Dr. McGann can make up comments
supportive of his decision to censor his own uncensored list.
I hope people reading this will join me in pointing out the obvious to Dr.
McGann: He should not have censored his uncensored list. By doing this, he
makes himself into a liar AND a censor.
TRULY BIZARRE is the sordid spectacle of Dr. McGann echoing Dr. Goldman's
"ludicrous" promotion of the child-abuse-perpetuating crime of failure to
report suspected child abuse.
MY SINCERE HOPE: I am HOPING to read (soon) that Dr. McGann pulled this
stunt to stimulate me to contact the California Chiropractic Board of
Examiners to ask about their failure to answer my SIMPLE QUESTION as to
whether the man calling himself Mike Schroeder, attorney for the Board, was
correct in telling me that a big part of my life's work - telling pregnant
women that MDs are closing birth canals up to 30% - is outside the
California scope of practice.
See again: Chiropractor promotes child-abuse-perpetuating crime...
http://health.groups.yahoo.com/group/chiro-list3/message/15
I will cc this post to the California Board (via because I forgot to
mention that the Board used to require that California DCs attend a birth -
but now the Board's Rule 302 (authored by Attorney Schroeder) explicitly
places severing the umbilical cord outside the scope of chiropractic
practice.
Given that most medical umbilical cord severing (euphemism "immediate cord
clamping") is baby strangulation followed by robbery of up to 50% of the
baby's blood, it is conceivable that Attorney Schroeder's Rule 302 was
intended to keep California DCs out of court should mass baby strangulation
by MDs ever be prosecuted. (If something is explicitly outside the
chiropractic scope of practice, DCs cannot testify.
Attorney Schroeder reportedly earned hundreds of thousands of dollars in DC
licensing fees as his Rule 302 was - in effect - judicially rubberstamped by
10 MD-obstetricians.
AGAIN: MY SINCERE HOPE: I am HOPING to read (soon) that Dr. McGann pulled
this stunt to stimulate me to contact the California Chiropractic Board of
Examiners to ask about their failure to answer my SIMPLE QUESTION as to
whether the man calling himself Mike Schroeder, attorney for the Board, was
correct in telling me that a big part of my life's work - telling pregnant
women that MDs are closing birth canals up to 30% - is outside the
California scope of practice.
Dr. McGann is asking for input regarding his censorship of his own
uncensored list. His email address is: avtar@...
REMEMBER: There are TWO McRoberts maneuvers - one keeps the birth canal
closed up to 30%.
REMEMBER ALSO: Babies are being subjected to sometimes FATAL birth
"atrocities" (Dr. Goldman's word).
MD-obstetricians are pushing and pulling with birth canals senselessly KEPT
closed the "extra" up to 30%.
Sometimes they pull so hard they rip spinal nerves out of tiny spinal cords.
Some babies die - some babies are paralyzed - most "only" suffer GRUESOME
spinal manipulation.
ALL spinal manipulation is gruesome with the birth canal senselessly closed
the "extra" up to 30%.
SIGNIFICANTLY...
DR. McGANN - A CHIROPRACTOR - IS SILENT ABOUT MASS
BIRTH-CANAL-CLOSING/SPINAL MANIPULATION...
Dr. McGann's silence - indeed ALL "chiropractic" silence - is most bizarre
given the recent
MD-pediatrician call for collaboration - "particularly" with chiropractors -
to investigate and report harms of spinal manipulation of children:
"'Patient safety demands a greater collaboration between the medical
community and other health care professionals, particularly
chiropractors,
such that we can investigate and report harms related to spinal
manipulation
together.'
--Sunita Vohra, MD FRCPC MSc et al.^^^ Pediatrics. 2007 Jan;
119(1):e275-83.
Epub 2006 Dec 18. PubMed abstract
See The Silence of Kevin Thos. McGann, DC
http://health.groups.yahoo.com/group/chiro-list/message/4906
Alternate URL: http://health.groups.yahoo.com/group/chiro-list3/message/1
I'll copy chiros and peds via Pediatrics Editor Jerold Lucey, MD and Ron
Kirk, DC via jpuskarz@...,
rperelman@...,jerold.lucey@...,rkirk@...; cocsa@...
I SAY AGAIN: Babies are being subjected to sometimes FATAL birth
"atrocities" (Dr. Goldman's word).
It is NOT "ludicrous" to report suspected child abuse - it's the LAW.
I urge everyone: Please report - and PLEASE SIGN MY PETITION: Hospital
Child Abuse: DAs and AGs should end it
immediately...
http://www.thepetitionsite.com/1/hospital-child-abuse-das-and-ags-should-end-it-immediately
Thanks for reading.
Sincerely,
Todd
Dr. Gastaldo
Hillsboro, Oregon
USA
todd@...
THE ARCHIVES
This post will be archived for global access. Search for it at
http://health.groups.yahoo.com/group/chiro-list/ (currently being censored
by Dr. McGann)
OR search for it at http://health.groups.yahoo.com/group/chiro-list3/
(my uncensored version of chiro-list)
PETITION at the URL below.
**TWO** McROBERTS MANEUVERS
ONE KEEPS THE BIRTH CANAL CLOSED UP TO 30% (see below)
1. First, the McRoberts version that OPENS: This early version of McRoberts
maneuver rolled the woman off her sacrum and allowed the birth canal to open
maximally:
James Smeltzer, MD wrote in 1986:
"[McRoberts] simultaneously reverses
almost all of the factors tending to cause shoulder dystocia CREATED BY THE
DORSAL LITHOTOMY POSITION... (emphasis added) [Smeltzer. Clin Obstet Gynecol
1986;29(2):299-308]
Dr. Smeltzer continued:
"...the maneuver removes all weight-bearing forces from the sacrum, the main
pressure point of the pelvis in the lithotomy position..."
Dorland's Illustrated Medical Dictionary (29th ed.) says of the lithotomy
position, "also called dorso-sacral."
2. Here's the version that CLOSES: This later
woman-on-her-sacrum/BIRTH-CANAL-CLOSING version of McRoberts maneuver is
demonstrated in ACOG's Shoulder Dystocia training video.
NOTE: ACOG's Shoulder Dystocia training video is an indirect VIDEO ADMISSION
that MD-obstetricians know they are routinely closing birth canals up to
30%. The video purports to demonstrate how to allow the birth canal to open
maximally on the rare occasions when baby shoulders get stuck - which is the
indirect admission that MD-obstetricians know they are routinely closing
birth canals up to 30%. For more info about ACOG's Shoulder Dystocia
training video, see MY PETITION, at the URL below.
HYPOTHESIS #1: Using the early version of McRoberts maneuver - rolling women
off their sacra thereby letting the fetal skull into the pelvic outlet -
then letting women roll back onto their sacra to rest between contractions
might account for the increase in dents in fetal skulls/"ping-pong skull
fractures" noted a few years back...
See Dents in babies' skulls"
http://groups.google.com/group/
misc.kids.pregnancy/msg/08abfc7ff242150e
Alternate URLs: http://health.groups.yahoo.com/group/chiro-list/message/3897
http://health.groups.yahoo.com/group/chiro-list3/message/16
WARNING: FATAL fetal skull distortion: MDs are closing birth canals up to
4 cm - causing "molding" of fetal skulls...
According to the 1993 edition of Williams Obstetrics, more than 0.5 to
1.0 cm of molding of the fetal skull "may make the difference between
successful vaginal delivery and a major obstetrical operation (p.
369)...[and]...when distortion is marked, molding may lead to tentorial
tears, laceration of fetal blood vessels, and FATAL intracranial
hemorrhage." (Williams Obstetrics 1993:524, emphasis added.)
HYPOTHESIS #2: NUFFIELD-related. Introduction of the later ACOG
woman-on-her-sacrum/birth-canal-closing version of McRoberts maneuver might
account for the recent conclusion of MacKenzie et al.^^^ that "introduction
of the McRoberts' maneuver has not improved outcomes compared with the
earlier results." [Obstet Gynecol. 2007 Nov;110(5):1059-68. PubMed abstract]
^^^Copied to NUFFIELD DEPT. OF OBSTETRICS AND GYNAECOLOGY: I. Z. MacKenzie,
FRCOG, Mutayyab Shah, MRCOG, Katie Lean, RM, Susan Dutton, MSc, Helen
Newdick, BEd and Danny E. Tucker, MRCOG, Nuffield Department of Obstetrics
and Gynaecology, University of Oxford, John Radcliffe Hospital, Oxford,
United Kingdom, via ian.mackenzie@...
NUFFIELD...
JASON GARDOSI, MD USED TO BE AT NUFFIELD...
Jason Gardosi, MD and his pal Malcolm "Big Malc" Griffiths, MD helped to get
me censored from the global OB/GYN-List some years ago.
Here again (from so many years ago) are my quotes from Drs. Gardosi and
Griffiths which go to the
crux of the matter of diameter changes with McRoberts maneuver:
Obstetric professional Gardosi claims in the obgyn-list archive that
McRoberts "does not alter the dimensions of the pelvis" - and that it
does - or at least "may" alter the dimensions ("it may make the subpubic
angle even smaller...")
http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9601/0442.html
Obstetric professional Griffiths, on the other hand, suggests in the
obgyn-list archive that McRoberts "may" widen the pelvic inlet - by more
than 2.5 cm...
http://forums.obgyn.net/forums/ob-gyn-l/OBGYNL.9610/0507.html
One would think that obstetric specialists would know FOR SURE whether
the diameters of the true pelvis may be altered - and for sure HOW they
may be altered.
Given the fear expressed by obstetric specialists in cases of shoulder
dystocia (this fear is expressed in obstetric texts and in the
obgyn-list archive), one would expect more than disparagement and
disrespect - even if the dogcatcher presented compelling evidence that
McRoberts DOES widen the outlet and "European" (and American) "inlet"
shoulder dystocia is a fiction.
No one has addressed my question:
With the shoulders ostensibly impacted at the INLET, just exactly what
force stretches the neck and pushes the head out of the vagina?
Finally, I must address Dr. Gardosi's claim that he tried and failed to
make me understand something (or things) years ago...
I am afraid Dr. Gardosi has the situation exactly backwards... As I
noted in my post,
<<<<When Gastaldo suggested to Gardosi, who had personally witnessed a
few of C. Paciornik's thousands of squatting deliveries using BRIEF
squatting periods (see Paciornik M. Birth 1992;19(4):230-1), that
perhaps he had now changed his mind - and that perhaps "Western" women
in England COULD squat - Gardosi replied, "I have, incidentally, never
changed my stance on whether unsupported squatting was a viable option
here; two randomised controlled trials performed in English hospitals
have clearly shown that it is not." [Personal communication, Gardosi to
Gastaldo, Sept. 30, 1990, emphasis Gardosi's. Jason Gardosi, FRCS,
MRCOG, Director, Perinatal Research and Monitoring Unit, Floor D, East
Block, Queen's Medical Centre, University of Nottingham, NG7 2UH
ENGLAND, tel: 44-60-270-9240]
<<<<...Dr. Gardosi is now telling obygyn-list that squatting IS
a viable option...>>>>
I noted in my post that Gardosi, Sylvester and B-Lynch (1989a) ignored
Borell and Fernström's radiographic evidence and made the following
rather grisly "important compromise" with the "fully trained" midwives
who conducted the 1989a trial: To "win the[ir] cooperation," they
allowed midwives the option of moving women to "an accustomed
semi-recumbent position" at the moment of crowning.
[Gardosi, Sylvester and B-Lynch. Alternative positions in the second
stage of labour: a randomised controlled trial. Brit J Obstet Gynaecol
1989a;96:1290-6]
And now Dr. Gardosi tells obgyn-list:
"I think the first and best maneuvre in any suspected [shoulder
dystocia] is to get the mother squatting or kneeling. Many good midwives
already do this, before (and usually instead of) hitting the panic
button."
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
I say again: I have always wondered why Gardosi et al. [1989a] made
their fetus squashing "important compromise" with the "fully trained"
midwives - in a paper in which they so clearly stated the biomechanics
demonstrated radiographically by Borell and Fernstrom in 1957...
This "important compromise" - which jams sacral tips up to 4 cm into
fetal skulls [Gastaldo Birth 1992;19:230] - is ROUTINELY made in the
Western world...as 4.6% of term neonates suffer unexplained brain bleeds
and up to 10% suffer unexplained neonatal encephalopathy..
As I noted in effect in my post, this grisly "important compromise"
appears to amount to obstetric gross negligence...
<<<<<<<<<<<< BEGIN excerpt from Gastaldo's [first] obgyn-list post >>>>>>>
According to Operative Obstetrics by O'Grady et al. [Williams and
Wilkins 1995]:
"If a medical judgement falls below the standards of ordinary knowledge,
skill, care and diligence required of an obstetric specialist, such
judgement will be considered negligence." (p. 352)
The authors of the Operative Obstetrics' chapter on shoulder dystocia
(two attorneys, one an obstetric specialist) offer not one word about
how to open the pelvic outlet up to 4 cm... (!)
Shouldn't obstetric specialists know how to open the pelvic outlet up to
4 cm?
I suspect that a reasonable person would say yes. Paraphasing the
non-obstetric specialist attorney who co-authors O'Grady et al.'s 1995
effort, res ipsa loquitur - if the thing itself speaks - you don't need
an expert for this one.
Robert Wooley, M.D. recently turned a doctor's own word (incompetence)
against him:
<<<<I think I am quite justified in concluding that your continuing to
perform episiotomies is a demonstration of professional ignorance or
obstinacy, either one of which is a pretty good indicator of
"incompetence", as you phrase it.>>>>
According to the attorney authors of Operative Obstetrics - James
J.Nocon and Les Weisbrod (Nocon is the MD obstetric specialist):
"Make a big episiotomy. Although there is no evidence that it does
anything other than enhance the ability to insert one's hand in the
vagina, it will indicate that the operator is functioning in a logical
and systematic manner. Again, the failure to perform an episiotomy has
not been shown to contribute to any injury." (p. 349)
Is an obstetric specialist who performs an episiotomy as he jams the
sacral tip up to 4 cm into the outlet really "functioning in a logical
and systematic manner?"
How many obstetric specialists on the obgyn-list read Dr. Gardosi's
opinion that "Many so called 'shoulder dystocias' are just difficult
deliveries caused by a recumbent position...the sacrum being pushed
upward, reducing the AP diameter..." - and still do recumbent
and, worse, semisitting deliveries?
<<<<<<<<< END excerpt from Gastaldo's obgyn-list post >>>>>>>>
KEEPING THE BIRTH CANAL CLOSED THE "EXTRA" UP TO 30%...
OXYTOCIN CHILD ABUSE
Semisitting and dorsal delivery close the birth canal up to 30%.
Last century, Russell [1969] used Borell and Fernstrom's intrapartum x-rays
[1957] to derive the 30% figure.
See Gastaldo TD. Letter. Birth. 1992;19(4):230-1.
http://www.blackwell-synergy.com/toc/bir/19/4 FREE ACCESS
AT THE END OF DELIVERY - as the fetus
courses the pelvic outlet - it is obvious OXYTOCIN CHILD ABUSE for
physicians and nurses to KEEP birth canals closed the "extra" up to 30%
(keep women semisitting or dorsal) and whip the uterus with oxytocin.
Of course, keeping women semisitting or dorsal - keeping their birth canal
closed the "extra" up to 30% - is obvious child abuse with or without
whipping the uterus with oxytocin.
PLEASE SIGN MY PETITION: Hospital Child Abuse: DAs and AGs should end it
immediately...
http://www.thepetitionsite.com/1/hospital-child-abuse-das-and-ags-should-end-it-immediately
BIZARRELY, UCLA POLICE DID NOT ACCEPT SUSPECTED CHILD ABUSE REPORTS
Gary S. Goldman, PhD, editor-in-chief of the peer-reviewed medical
journal Medical Veritas, corroborated with
physicians info about the birth "atrocities" (his word) and reported
suspected child abuse - only to have UCLA police deem his
suspected child abuse reports deemed "not acceptable."
Two years later, UCLA Compliance Officer William Cormier
offered the blather that it was "appropriate" for UCLA police to have
ignored Dr. Goldman's suspected child abuse reports...
Dr. Goldman suddenly decided that his suspected child abuse reporting had
been
"ludicrous." He indicated publicly that reporting is a "DEAD-END."
When I pointed out that Dr. Goldman had just promoted the
child-abuse-perpetuating crime of failure to report child abuse, he quickly
deleted his signature and "DEAD-END" comment from my petition. (Dr. Goldman
was signatory number two - there is still evidence that he signed - but his
name and "DEAD-END" crime promotion comment are gone.)
Dr. Goldman also suddenly decided not to publish my Open Letter to British
Gray's Editor-in-Chief Susan Standring, PhD or contact the law enforcement
cc addressees for verification of
receipt and comment on the Four OB Lies....
See UTERINE RUPTURE! Attn: British Gray's (Dr. Standring):
Misuse-of-oxytocin child abuse
http://health.groups.yahoo.com/group/chiro-list/message/4897
Alternate URL: http://health.groups.yahoo.com/group/chiro-list3/message/3
British Gray's Editor-in-Chief Susan Standring, PhD has been silent. I will
cc her via: susan.standring@...
At one point, Dr. Goldman threatened to sue me for criticizing him - which
may account for Kevin Thos. McGann, DC owner of this list adopting Dr.
Goldman's promotion of the child-abuse-perpetuating crime of failure to
report child abuse.
KEVIN THOS. McGANN, DC
Kevin Thos. McGann, DC recently publicly echoed Dr. Goldman's sentiment that
suspected child abuse reporting is "ludicrous" as he censored me from his
"open and uncensored list."
See Chiropractor promotes child-abuse-perpetuating crime...
http://health.groups.yahoo.com/group/chiro-list3/message/15
Dr. McGann now describes his list as follows: "Chiro-list is an open,
uncensored list. Only spammers and Todd get rejected."
http://health.groups.yahoo.com/group/chiro-list/
Dr. McGann appears to be attempting after-the-fact ad populum intellectual
dishonesty to retroactively justify his decision to censor his own
uncensored list.
He writes:
"If anyone actually reads this, I would be very interested in your opinion
as to
whether or not the decision to reject Todd Gastaldo was justified. If you
send
me your thoughts let me know if you want it kept private, or if I can post
them
here, with or without attribution."
http://health.groups.yahoo.com/group/chiro-list/message/4912
Hmmm - "with or without attribution" - Dr. McGann can make up comments
supportive of his decision to censor his own uncensored list.
I hope people reading this will join me in pointing out the obvious to Dr.
McGann: He should not have censored his uncensored list. By doing this, he
makes himself into a liar AND a censor.
TRULY BIZARRE is the sordid spectacle of Dr. McGann echoing Dr. Goldman's
"ludicrous" promotion of the child-abuse-perpetuating crime of failure to
report suspected child abuse.
MY SINCERE HOPE: I am HOPING to read (soon) that Dr. McGann pulled this
stunt to stimulate me to contact the California Chiropractic Board of
Examiners to ask about their failure to answer my SIMPLE QUESTION as to
whether the man calling himself Mike Schroeder, attorney for the Board, was
correct in telling me that a big part of my life's work - telling pregnant
women that MDs are closing birth canals up to 30% - is outside the
California scope of practice.
See again: Chiropractor promotes child-abuse-perpetuating crime...
http://health.groups.yahoo.com/group/chiro-list3/message/15
I will cc this post to the California Board (via because I forgot to
mention that the Board used to require that California DCs attend a birth -
but now the Board's Rule 302 (authored by Attorney Schroeder) explicitly
places severing the umbilical cord outside the scope of chiropractic
practice.
Given that most medical umbilical cord severing (euphemism "immediate cord
clamping") is baby strangulation followed by robbery of up to 50% of the
baby's blood, it is conceivable that Attorney Schroeder's Rule 302 was
intended to keep California DCs out of court should mass baby strangulation
by MDs ever be prosecuted. (If something is explicitly outside the
chiropractic scope of practice, DCs cannot testify.
Attorney Schroeder reportedly earned hundreds of thousands of dollars in DC
licensing fees as his Rule 302 was - in effect - judicially rubberstamped by
10 MD-obstetricians.
AGAIN: MY SINCERE HOPE: I am HOPING to read (soon) that Dr. McGann pulled
this stunt to stimulate me to contact the California Chiropractic Board of
Examiners to ask about their failure to answer my SIMPLE QUESTION as to
whether the man calling himself Mike Schroeder, attorney for the Board, was
correct in telling me that a big part of my life's work - telling pregnant
women that MDs are closing birth canals up to 30% - is outside the
California scope of practice.
Dr. McGann is asking for input regarding his censorship of his own
uncensored list. His email address is: avtar@...
REMEMBER: There are TWO McRoberts maneuvers - one keeps the birth canal
closed up to 30%.
REMEMBER ALSO: Babies are being subjected to sometimes FATAL birth
"atrocities" (Dr. Goldman's word).
MD-obstetricians are pushing and pulling with birth canals senselessly KEPT
closed the "extra" up to 30%.
Sometimes they pull so hard they rip spinal nerves out of tiny spinal cords.
Some babies die - some babies are paralyzed - most "only" suffer GRUESOME
spinal manipulation.
ALL spinal manipulation is gruesome with the birth canal senselessly closed
the "extra" up to 30%.
SIGNIFICANTLY...
DR. McGANN - A CHIROPRACTOR - IS SILENT ABOUT MASS
BIRTH-CANAL-CLOSING/SPINAL MANIPULATION...
Dr. McGann's silence - indeed ALL "chiropractic" silence - is most bizarre
given the recent
MD-pediatrician call for collaboration - "particularly" with chiropractors -
to investigate and report harms of spinal manipulation of children:
"'Patient safety demands a greater collaboration between the medical
community and other health care professionals, particularly
chiropractors,
such that we can investigate and report harms related to spinal
manipulation
together.'
--Sunita Vohra, MD FRCPC MSc et al.^^^ Pediatrics. 2007 Jan;
119(1):e275-83.
Epub 2006 Dec 18. PubMed abstract
See The Silence of Kevin Thos. McGann, DC
http://health.groups.yahoo.com/group/chiro-list/message/4906
Alternate URL: http://health.groups.yahoo.com/group/chiro-list3/message/1
I'll copy chiros and peds via Pediatrics Editor Jerold Lucey, MD and Ron
Kirk, DC via jpuskarz@...,
rperelman@...,jerold.lucey@...,rkirk@...; cocsa@...
I SAY AGAIN: Babies are being subjected to sometimes FATAL birth
"atrocities" (Dr. Goldman's word).
It is NOT "ludicrous" to report suspected child abuse - it's the LAW.
I urge everyone: Please report - and PLEASE SIGN MY PETITION: Hospital
Child Abuse: DAs and AGs should end it
immediately...
http://www.thepetitionsite.com/1/hospital-child-abuse-das-and-ags-should-end-it-immediately
Thanks for reading.
Sincerely,
Todd
Dr. Gastaldo
Hillsboro, Oregon
USA
todd@...
THE ARCHIVES
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