Anyone with info on Compound Deliveries and BPI's?

[admin]

I've tried pubmed, but unable to locate anything....not sure if I am categorizing it correctly.
Trying to find a correlation between to the two for a potential lawsuit. I am aware if a hand is presenting on the side of the face during delivery, there needs to be specific precautions taken to prevent an injury, but I need actual literature to support this.

If anyone out there can help, I'd greatly appreciate it!

Thanks

[UK Mum]

Very quick reply as on my way to get my daughter from school

have you looked up anything reference

"nuchal hand"

If not might be worth a try

J

[admin]

J, I tried it but couldn't find any results even with a few different key words.

Thanks though!

[katep]

I couldn't find anything, either. Have you looked at any Ob/Gyn textbooks/manuals?

Kate

[UK Mum]

Hi

Had a little more time to have a look.

The most info i've found seems to be on midwifery sites. Might be worth looking up malpresentation/ Malposition. One site I found stated the midwife had used the same procedure to deal with a "nuchal arm/compound presentation that she would use for a nuchal cord presentation.

Heres the ones I found

http://www.radmid.demon.co.uk/presentation.htm
http://www.radmid.demon.co.uk/hand.htm
http://www.gentlebirth.org/archives/position.html
http://www.plus-size-pregnancy.org/malpositions.htm
http://www.gentlebirth.org/archives/nuchlcrd.html

All the best

Jayne

ps we were led to believe our dd had a compound presentation hence the interest

[admin]

Thanks Jayne,

I will check those sites you listed.

Kate, I don't have any access to any books at the moment.

The reason I posted this question is because K. Levine once told me, a compound presentation will result in a BPI if not handled properly. Of course, I have tried to contact him, but have been unsuccessful due to his busy schedule. Therefore, I thought I would search on my own, but as my post suggests.....unsuccessful!

Thanks again!

[admin]

null,

i would love info on this exact subject if you find it. my son came out with his hand on his face,too, and was injured by the doc as he tried to corkscrew him. please share any info you find. thanks.

[jennyb]

null,
I have emailed questions to the radmid website listed by Jayne above, and had back extremely long and detailed answers including book references. The midwives that run this site are very helpful, might be worth mailing them.
Jen NZ

[admin]

Thanks everyone for the info....I did email someone at the RAD- midwife site and hopefully will hear something back with some added info.

To the other "null", I keep you updated as to what I find, hoping I do find something valuable!

Thanks again and God bless our little ones

[admin]

Wow,

So I contacted the mid-wife site and was basically told that my child's injury most likely was caused in utero by the hand pressing on the brachial plexus!

I never knew an infant hand could exert 30-100lbs of pressure on the brachial plexus when it is actually resting against the face! Funny how that works!!

Yeah, I was just a little miffed by this response!

Needless to say, my response to that wasn't the most cordial!

And the search continues.......