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What is the Gaskin Maneuver?

What is the Gaskin Maneuver?

Rolling the patient onto her hands and knees, known as the all-fours or Gaskin maneuver, is a safe, rapid, and effective technique for the reduction of shoulder dystocia. Once the patient is repositioned, the physician provides gentle downward traction to deliver the posterior shoulder with the aid of gravity.

How do you do a Gaskin maneuver?

Gaskin Maneuver: with the patient on her hands and knees (all fours position) or in a racing start or sprinter position, gentle downward traction is applied to the posterior shoulder (the shoulder against the maternal sacrum), or upward traction is applied on the anterior shoulder (the shoulder against the maternal …

How does the Gaskin Maneuver help?

During the Gaskin maneuver, the mother moves onto her hands and knees so that gravity can help release the baby’s posterior arm from the birth canal, leaving more space for the baby’s shoulders to pass through. This maneuver can also help widen the pelvic outlet.

What happened to Ina May Gaskin?

As of 2019, Gaskin lives at the Farm in Summertown, Tennessee, and frequently travels to promote low-intervention methods that made the Farm Midwifery Center successful to midwives and physicians around the world.

How do you perform a Zavanelli maneuver?

The Zavanelli maneuver is generally performed only after other attempts to free the child have failed. In this maneuver, the baby’s head is first rotated into position and then flexed. The doctor applies constant, firm pressure, pushing the head back into the birth canal.

How many babies has Ina May Gaskin delivered?

A certified professional midwife who has attended more than 1,200 births, Ina May Gaskin is known as the “mother of authentic midwifery.”

What is shoulder dystocia in a baby?

Shoulder dystocia is a birth injury that happens when one or both of a baby’s shoulders get stuck inside the mother’s pelvis during labor. In most cases of shoulder dystocia, babies are born safely. But it can cause problems for both mom and baby.

Why do baby shoulders get stuck?

Shoulder dystocia occurs unexpectedly during childbirth and happens when the baby’s head has been born but one of the shoulders becomes stuck behind the mother’s pelvic bone, preventing the birth of the baby’s body. Shoulder dystocia can occur during any vaginal birth.

What was the purpose of the Gaskin Maneuver?

What is the Gaskin Maneuver? The Gaskin Maneuver, also called all fours, is a technique to reduce shoulder dystocia, a specific type of obstructed labour which may lead to fetal death. Gaskin introduced it in the U.S. in 1976 after learning it from a Belizean woman who had, in turn, learned the maneuver in Guatemala, where it originated.

What is the Gaskin Maneuver for shoulder dystocia?

Gaskin maneuver involves moving the mother to an all fours position with the back arched, widening the pelvic outlet. Abdominal rescue, described by O’Shaughnessy, where a hysterotomy facilitates vaginal delivery of the impacted shoulder.

How is the Gaskin Maneuver an example of medical colonialism?

The Gaskin Maneuver. In a classic example of medical colonialism, Gaskin appropriated a shoulder dystocia maneuver from Guatemalan midwives; then in the tradition of Columbus “discovering” America, she named it for herself. Natural childbirth is a philosophy of privilege.

What did Ina May Gaskin do out of hospital?

There, she and the midwives of the Farm created The Farm Midwifery Center, one of the first out-of-hospital birthing centers in the United States. Family members and friends are commonly in attendance and are encouraged to take an active role in the birth.