PushPalT ="SEMI-LITHOTOMY"...

From: Todd Gastaldo (tgastaldo_at_earthlink.net)
Date: 08/31/04 

Date: Tue, 31 Aug 2004 03:09:11 GMT

ATTENTION PushPalT inventor JU C. RHEE, MD, FACOG via
customerservice@clinitype.com

Ju,

I never heard back from you.

If you aren't advising women to roll off their sacra, you are in effect
advising them to keep their birth canals closed up to 30%.

Even if you are advising wommen to roll off their sacra, you are failing to
tell them not to roll back onto their sacra to rest.

Again, please change your web page.

Thanks.

Todd

Dr. Gastaldo
todd@chiromotion.com

PS My thanks to Jo for reminding me to touch base with Ju again...

----- Original Message -----
From: "Jo" <breastisbest@portjackson.net>
Newsgroups: misc.kids.pregnancy
Sent: Monday, August 30, 2004 6:19 PM
Subject: Gastaldo - get a load of this!

> Todd, I thought you might be interested in this.
> http://www.clinitype.com/productinfo.html
>
> I really think on of your 30% spiels would do well in this instance!!
> The email for feedback is customerservice@clinitype.com
>
> cc us please!
>
> Jo (RM)
>
>
> --
> Babies are Born... Pizzas are Delivered.

REPOST

From: todd@chiromotion.com
Date: Sat Dec 20, 2003 7:55 pm
Subject: Dents in baby skulls (also: PushPal = 'Semi-lithotomy')

PushPalT ="SEMI-LITHOTOMY"...

"PushPalT is a breakthrough device designed to aid pregnant women during the
pushing stage of labor. It allows a woman to more easily bring her knees up
toward her shoulders to properly position herself for pushing (called the
semi-lithotomy position)."
http://www.pushpal.com/productinfo.html

ATTENTION PushPalT inventor JU C. RHEE, MD, FACOG via
customerservice@clinitype.com

Dr. Rhee, please see my note to you below.

Sam,

THANKS for sending me URL for the Dr. Rhee's PushPalT ("semi-lithotomy")
site.

THE KEY QUESTION: When the woman pulls on her knees with PushPalT , does she
come off her sacrum?

If not, using PushPalT is just another version of "proper" (bad) McRoberts
maneuver - it helps with efficiency of pushing but does not allow the birth
canal to open maximally.

Looking at the graphic on Dr. Rhee's PushPalT ("semi-lithotomy") site...the
device *may* keep the birth canal closed up to 30% - just like semisitting
and
dorsal lithotomy!

Even if PushPalT does NOT keep the birth canal closed up to 30%, Dr. Rhee's
INSTRUCTIONS close the birth canal between contractions (see below).

With Dr. Rhee's instructions (see below), if the baby's head is at the
outlet at
the time the birth canal is closed ("legs lowered"; see below), the baby's
head
can become dented ("pingpong" compression fracture).

John Ogden, MD writes:

"The developing skull, especially in an infant, may be deformed
substantially without (italics in original) sustaining an OBVIOUS (emphasis
added) fracture
when...compressed (p. 78)...
[Ogden J. Skeletal Injury in the Child. Third Edition, NY: Springer 2000]

These non-obvious "ping-pong" skull fractures usually pop right back out...

"[Elasticity of the skull]...allows significant temporary indentation of the
skull toward the brain, with restoration of the contour after 'release' of
the deforming force (p. 79)....

The good news...

"Despite considerable depression of the bone, there may be little brain
injury (p. 79)."

The bad news...

"[D]espite the seeming absence of specific osseous injury, severe injury to
the brain may occur...(p. 79)"
[Ogden J. Skeletal Injury in the Child. Third Edition, NY: Springer 2000]

SKULL DENTS INCREASING...

"[F]ivefold increase in the number of serious complications, such as
[neonatal] skull fractures...reported to the FDA between 1989 and
1995....The FDA believes that the rise in serious complications can be
explained in part by the increase in the rate of vacuum-assisted delivery,
from 3.5 percent of all deliveries in 1989 to 5.9 percent in 1995."
The New England Journal of Medicine -- January 7, 1999 -- Vol. 340, No. 1
The Risks of Lowering the Cesarean-Delivery Rate
Benjamin P. Sachs, M.B., B.S., D.P.H.
Cindy Kobelin, M.D.
Beth Israel Deaconess Medical Center
Boston, MA 02215
Mary Ames Castro, M.D.
Fredric Frigoletto, M.D.
Massachusetts General Hospital
Boston, MA 02114
http://www.nejm.org/content/1999/0340/0001/0054.asp

The FDA is guessing.

Here is my guess...

MDs and CNMwives have LONG been placing women in semisitting and dorsal
delivery positions - routinely closing birth canals up to 30% - senselessly
distorting fetal skulls...

Recently, MDs and CNMwives have been using McRoberts maneuver more and
more...

During a wrong/IMPROPER McRoberts maneuver (see URL below) women are being
INADVERTENTLY
rolled off
their buttocks (into Extreme Lithotomy - opening the birth canal; this is
good)...

But when women are rolled back onto their buttocks (see Dr. Rhee's PushPalT
instructions below) -
CRUNCH - the mother's sacral tip is jammed into the fetal skull - and a
"ping pong" skull fracture occurs...

USUALLY, these "ping pong" skull fractures pop right back out (see Ogden
[2000]
above)...

But with the more frequent use of the ill-advised "proper" McRoberts
maneuver (which
closes the birth canal) after inadvertent placement into Extreme
Lithotomy (IMPROPER McRoberts) - there are going to be more skull
fractures - more "ping pong" skull fractures that DON'T pop right back
out...

Dr. Rhee's PushPalT instructions would have the same effect - assuming using
PushPalT gets the woman off her sacrum - which it may not.

Again Sam, thanks for sending the PushPal URL.

Sincerely,

Todd

Dr. Gastaldo

Copied to:

Ju C. Rhee, M.D., FACOG
customerservice@clinitype.com

POSTSCRIPT

Ju,

You write:

'[G]rab the [PushPalT] straps with each hand and pull your legs toward your
shoulders. This will help position your legs for pushing. When you are told
to
stop pushing, you may lower your legs and relax until the next contraction.
Repeat the process each time you are instructed to push until the baby is
delivered."
http://www.pushpal.com/productinfo.html

If PushPalT allows the woman to roll herself off her sacrum thereby allowing
her
birth canal to open maximally, that is good.

But telling a woman that she may "lower her legs and relax until the next
contraction" is WRONG: it places the woman on her sacrum
thereby closing her birth canal (up to 30%)...

CHIROPRACTIC EMERGENCY: In addition to routinely closing birth canals up to
30%, MDs often gruesomely manipulate babies' spines (push with oxytocin;
pull with forceps/vacuums) with the birth canal senselessly closed up to
30%.

(ALL spinal manipulation is gruesome with the birth canal senselessly closed
up
to 30%.)

An estimated six babies per day DIE from vacuum-assisted spinal manipulation
alone - with birth canals senselessly closed up to 30%.

For documentation of this latter fact - and for details on how EASY it is
for pregnant women to allow their birth canals to OPEN the "extra" up to
30%...

See How NOT to do McRoberts maneuver...
http://health.groups.yahoo.com/group/chiro-list/message/2258

Ju, I urge you to add this CHIROPRACTIC EMERGENCY to your PushPalT site.

INFORM pregnant women that MD-obstetricians are senselessly closing birth
canals
and
gruesomely (sometimes fatally) manipulating most babies' spines at birth.

Tell pregnant women how EASY it is for them to allow their birth
canals to OPEN the "extra" up to 30%.

See again: How NOT to do McRoberts maneuver, URL above.

Ju, unless you see significant error above, please do NOT advise women to
lower
their legs between contractions; and, of course, if your PushPalT invention
does
not allow women to roll themselves off their sacra, please immediately take
it
off the market.

Help me work to stop MDs from using semisitting and dorsal delivery.

MDs should not be closing birth canals.

Thanks,

Sincerely,

Todd

Dr. Gastaldo

This post re PushPalT will be instantly archived for global access at:
http://health.groups.yahoo.com/group/chiro-list/message/2264

Eventually, this post re PushPalT will appear in the Google groups archive.
Search http://groups.google.com for "Dr. Rhee: Does your PushPalT get the
woman
off her sacrum? Even if it does - your instructions close the birth canal up
to
30%."