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Migraine after childbirth (also: Altered taste and an epilepsy/bipolar/migraine/obesity drug)
First things first...
PREGNANT WOMEN: MDs are closing birth canals up to 30%. It's EASY to allow your birth canal to OPEN the "extra" up to 30%! Just roll onto your side as you push your baby out! BUT - see WARNING, WARNING, WARNING, below... HEADACHES... CEPHALALGIAS... ATTENTION International Headache Society ) "home of 'Cephalalgia' and all that is prominent in the world of headache..." http://www.i-h-s.org/ Please discuss MIGRAINE AFTER CHILDBIRTH (in both mothers and babies) at your upcoming September 13-16, 2003 XI Congress of the International Headache Society, Pallazo dei Congressi, Rome, Italy http://www.ihc2003.com The President of the International Headache Society is MICHEL D. FERRARI ) MICHEL! A FERTILE SUBJECT! Your XI Congress Presidential Symposium: 'Role of the brainstem in migraine' http://www.ihc2003.com (Click on "Programme") What is the role of TRAUMA to the brainstem - at birth? Whether or not birth exertion (?) or BIRTH TRAUMA trigger migraines in mothers and babies, respectively (see the postscript for discussion of both) please help stop MDs from closing birth canals up to 30%.... Onward to... MIGRAINE TREATMENT AND WEIGHT LOSS... TOPIRAMATE (Epilepsy cum Migraine med)-associated weight loss... "....The most common adverse events were paresthesias, drowsiness, diarrhea, decreased appetite, and WEIGHT LOSS. Twenty-seven patients discontinued topiramate therapy, 20 as a result of adverse events and 7 due to lack of response...Topiramate may be effective in reducing the frequency of both mild and moderate/severe migraine headaches. In particular, topiramate may offer relief to patients with moderate/severe migraines who do not respond to other treatments." --Von Seggern et al. [Headache. 2002 Sep;42(8):804-9. PubMed abstract (emphasis added)] "...Most patients tolerated topiramate well. The most common side effects reported were cognitive (12.5%), WEIGHT LOSS (5.6%), and sensory (2.8%)...Topiramate is potentially an effective prophylactic medication for children with frequent migraine." --Hershey et al. [Headache. 2002 Sep;42(8):810-8. PubMed abstract (emphasis added)] "We reviewed the electronic records of 74 migraine patients treated with topiramate for more than 6 weeks....For all patients mean headache severity (10-point scale) was reduced from 6.2 to 4.8 (P0.0001)...Adverse events were usually mild to moderate and were seen in 58.1% (paresthesias in 25%, cognitive difficulties 14.9%). Mean WEIGHT LOSS was 3.1 +/- 4 kg (3.8% of total body weight). --Young et al. [Cephalalgia. 2002 Oct;22(8):659-63. PubMed abstract (emphasis added)] Is ALTERED TASTE causing Topiramate-associated weight loss? "...Topiramate was well tolerated; 2 of 19 topiramate-treated patients discontinued treatment due to adverse events. Adverse effects that occurred more frequently in topiramate-treated patients included paresthesia, WEIGHT LOSS, ALTERED TASTE, anorexia, and memory impairment...Preventative therapy with topiramate significantly reduced migraine frequency..." --Storey et al. [Headache. 2001 Nov-Dec;41(10):968-75. PubMed (emphasis added)] "Gabapentin, topiramate, and other antiepileptic agents are being evaluated for migraine prevention and treatment....Mean reduction in migraine frequency was...significantly greater in topiramate-treated patients (P =.0037). Paresthesias, diarrhea, somnolence, and ALTERED TASTE were commonly reported adverse events in the topiramate-treated patients. Unlike some patients given divalproex or gabapentin, some given topiramate reported WEIGHT LOSS..." --Mathew NT. [Headache. 2001 Nov-Dec;41 Suppl 1:S18-24. PubMed abstract (emphasis added)] TOPIRAMATE *FOR* WEIGHT LOSS... "A 6-month randomized, placebo-controlled, dose-ranging trial of topiramate for weight loss in obesity...[Topiramate] produced significantly greater weight loss than placebo at all doses." --Bray et al. (via ) [Obes Res. 2003 Jun;11(6):722-33. PubMed abstract] TOPIRAMATE FOR BIPOLAR DISORDER? "...Recent advances in the understanding of the neurotransmitter systems and their receptors as it applies to treatment of bipolar disorder has, in part, led to progress in delineating applications of anticonvulsant/antiepileptic drugs (AEDs) in this area...Certain newer AEDs are characterized by more favorable safety and tolerability profiles that include weight loss as a desirable side effect..." --Nemeroff CB (via ) [J Clin Psychiatry. 2003 May;64(5):532-9. PubMed abstract] DO (non-anti-epilepsy) MIGRAINE MEDS CAUSE WEIGHT **GAIN**? THUMPER DOESN'T THINK SO (I'm assuming she isn't taking weight-loss-inducing AEDs)... Thumper wrote on alt.support.headaches.migraine: "I was wondering if my weight could have something to do with my headaches. My weight goes up and down. I have noticed recently that when my weight is down, I have fewer headaches and when my weight is up, I have more headaches and they are more intense. I know that it is not the meds causing the weight. I have battled my weight all my life and had headaches ever since I can remember. Any opinions on the idea would be helpful. I thought I would ask my doc at my next appt. Thanks for any opinions you give." --thumper ) http://groups.google.com/groups?dq=&...8&selm=2c5f30d 2.0307080850.25c84a5%40posting.google.com I wish I could answer Thumper's question. No doubt her doctor will have a helpful opinion... I return to one of Thumper's comments below... Onward... MIGRAINE AND EATING DISORDERS... Int J Eat Disord. 1993 Jul;14(1):75-9. Is migraine related to the eating disorders? Brewerton TD, George MS. Eating Disorders Program, Institute of Psychiatry, Medical University of South Carolina, Charleston 29425-0742. Migraine and the eating disorders, particularly bulimia nervosa, share some common demographics, phenomenology, psychopathology, and treatments. Bulimics also appear to be more sensitive to the induction of severe migrainous headaches than controls following challenge with the 5-HT agonist, m-chlorophenylpiperazine (m-CPP), but not placebo or L-tryptophan. This supports a common pathophysiological relationship involving postsynaptic 5-HT dysfunction between these disorders. In order to further explore the possible relationship between eating disorders and migraine, we administered a modified version of the Diagnostic Survey of the Eating Disorders (DSED) and the Eating Disorders Inventory (EDI) to a group of female migraine patients attending the Medical University of South Carolina (MUSC) Neurology Clinic (n = 34). Of the 34 migraine patients surveyed, 88% reported dieting behavior, 59% reported binge eating, and 26% reported self-induced vomiting during their lifetimes. Compared to the responses of a group of normal female controls (n = 577), patients with migraine had elevated scores on four of the eight subscales of the EDI: Body Dissatisfaction (p or = .02), Perfectionism (p or = .01), Interpersonal Distrust (p or = .02), and Ineffectiveness (p or = .06). These findings support the hypothesis that common pathophysiological mechanisms, perhaps involving 5-HT dysregulation, may be involved in these two disorders. MIGRAINE IN MOTHERS AFTER CHILDBIRTH... Acta Neurol Scand. 1984 Feb;69(2):74-9. Headaches after childbirth. Stein G, Morton J, Marsh A, Collins W, Branch C, Desaga U, Ebeling J. 71 women were examined daily for the presence of headache in their first post partum week. Post natal headache (PNH) occurred in 27, (39%) of the women and was most frequent on days 4-6 post partum. PNH was significantly associated with a previous or family history of migraine and pre-menstrual migraine. Although 83% of those with PNH had a migraine diathesis, they did not describe their headache as one of their usual migraines as it was considerably milder. Headaches were more frequent among multigravida but as rather more multigravida had a previous migraine diathesis this may reflect a sampling bias. PNH subjects had significantly more tension and depression suggesting that at least some PNH may be tension headache. Around 3 or 4 days post partum, women began to lose weight and the onset of headache often coincided with the start of this weight loss. 12 women with, and 12 without PNH took part in a metabolic study, and collected sequential 24 h urine samples from days 2-7 post partum. Potassium and oestrogen excretion were increased on day 3, and progesterone on days 3, 4 and 5. Differences in the excretion pattern of these hormones might reflect small changes in renal function and further work measuring plasma hormone levels could help to clarify this. PNH, like pre-menstrual headache and pill withdrawal headache may represent a further example of the triggering effect that a fall in sex hormone level has on the migraine diathesis. MIGRAINE IN BABIES AFTER CHILDBIRTH... Thumper wrote on alt.support.headaches.migraine (see quote above) that she has had headaches "ever since I can remember..." I have hypothesized that some people have had migraines since BEFORE they can remember - since immediately after birth... See Crying, 'infant colic' - and migraines at age 2... http://groups.google.com/groups?hl=e...lm=jYeOa.87238 %24Io.7660146%40newsread2.prod.itd.earthlink.net Which brings me (finally) back to my PRIORITY - stopping MDs from closing birth canals up to 30%... I say again: ATTENTION International Headache Society ) Please discuss MIGRAINE AFTER CHILDBIRTH (in both mothers and babies) at your upcoming September 13-16, 2003 XI Congress of the International Headache Society, Pallazo dei Congressi, Rome, Italy http://www.ihc2003.com The President of the International Headache Society is MICHEL D. FERRARI ) MICHEL! A FERTILE SUBJECT! Your XI Congress Presidential Symposium: 'Role of the brainstem in migraine' http://www.ihc2003.com (Click on "Programme") What is the role of TRAUMA to the brainstem - at birth? Whether or not birth exertion (?) or BIRTH TRAUMA trigger migraines in mothers and babies, respectively (see below for discussion of both) please help stop MDs from closing birth canals up to 30%.... PREGNANT WOMEN! It's EASY to open your birth canal an "extra" up to 30%! Just roll onto your side as you push your baby out! PLEASE talk to your MD about this NOW... WARNING WARNING WARNING WARNING: Some MDs will let women "try" side-lying and other "alternative" delivery positions - but they will move women back to semisitting - close their birth canals (!) at the very worst possible moment (as the baby is coming out)... See GASTALDO'S ABSTRACT - my invited poster presentation at a recent obstetric congress co-sponsored by the American College of Obstetricians and Gynecologists/ACOG. (NOTE: GASTALDO'S ABSTRACT is on the web: Search "GASTALDO'S ABSTRACT Paciornik"...) GRUESOME SPINAL MANIPULATION BY MDs (and MBs)... MDs routinely pull "gently"/gruesomely on babies' heads sticking out vaginas/birth canals senselessly closed up to 30%. (ALL spinal manipulation of fetuses is gruesome with the birth canal closed up to 30%.) UNNECESSARY EPIDURALS... MDs routinely cause uteri to PUSH with birth canals senselessly closed up to 30% and in many births MDs chemically whip uteri to push harder/VIOLENTLY - with oxytocin and Cytotec - with birth canals senselessly closed up to 30%! No wonder some women literally BEG for epidurals! UNNECESSARY FORCEPS/VACUUM EXTRACTIONS... In 10 to 15% of births MDs reach INSIDE vaginas - with forceps/vacuum extractors - and drag babies out through birth canals senselessly closed up to 30%! Sometimes MDs pull so hard they rip spinal nerves out of tiny spinal cords! HINDBRAIN HERNIATION... MDs may occasionally be pulling the brain/cerebellum into the upper cervical canal... See Gastaldo's fibromyalgia hypothesis (Chiari/birth trauma) http://groups.google.com/groups?hl=e...lm=1K0Ka.10657 %24C83.1056213%40newsread1.prod.itd.earthlink.net TRACTION OF BRAIN AND SPINAL CORD - TRACTION BIRTH TRAUMA IS COMMON! "...type 1 Arnold-Chiari malformation in six cases. A constellation of these abnormalities are best explained by traction of brain and spinal cord of the subjects exerted during breech delivery and further support the primary role of birth trauma in the genesis of 'idiopathic hypopituitarism.'" --Fujita K, Matsuo N, Mori O, Koda N, Mukai E, Okabe Y, Shirakawa N, Tamai S, Itagane Y, Hibi I. [Eur J Pediatr. 1992 Apr;151(4):266-70. PubMed abstract Comment in: Eur J Pediatr. 1993 Feb;152(2):175.] CHIARI SKULL SURGERY: FIBROMYALGICS STILL HOPING? "We're very hopeful that this will be the first real, viable treatment for many people," said Rae Gleason, director of the National Fibromyalgia Research Association (NFRA) in Salem, Oregon. The NFRA is funding a $150,000 study to determine the percentage of fibromyalgia patients who have a Chiari malformation or spinal cord compression. --Spine, skull surgery may help many with CFIDS By David Hoh http://www.cfids.org/archives/1999/1999-3-article03.asp SIDS... It has been suggested in the medical literature that a small or distorted posterior cranial fossa might be required for the Chiari malformation: "These results support the opinion, which claims the existence of underdevelopment of the occipital bone and posterior fossa in patients with Chiari type I malformation." [Karagoz F, Izgi N, Kapijcijoglu Sencer S. Acta Neurochir (Wien). 2002 Feb;144(2):165-71] "[R]elationship between the skull base and...Chiari type I malformation (CMI),*****key role in a small size of posterior cranial fossa..."[Krupina NE, Beloded VM. [Zh Nevrol Psikhiatr Im S S Korsakova. 2002;102(8):3-7. PubMed abstract] It occurs to me that MDs "spraining" brain support structures at birth PLUS iatrogenic positional plagiocephaly (to prevent SIDS^^^) - may cause a smaller or distorted posterior cranial fossa (or a smaller brain case overall) - and result in some cases of fibromyalgia (assuming some fibromyalgia is related to Chiari)... ^^^See American Academy of Pediatrics/AAP quote below... Of course, MDs "spraining" brain support structures - and mothers causing positional plagiocephaly spontaneously - could also have been causing a smaller or distorted posterior cranial fossa (or a smaller brain case overall) all along - and some cases of fibromyalgia (assuming some fibromyalgia is related to Chiari) all along... Does anyone know whether positional plagiocephaly causes a smaller or distorted posterior cranial fossa (or a smaller brain case overall)? I'll cc: who writes: "In children with positional head deformity (posterior plagiocephaly), the occiput is flattened with corresponding facial asymmetry. The incidence of positional head deformity increased dramatically between 1992 and 1999, and now occurs in one of every 60 live births. One proposed cause of the increased incidence of positional head deformity is the initiative to place infants on their backs during sleep to prevent sudden infant death syndrome. With early detection and intervention, most positional head deformities can be treated conservatively with physical therapy or a head orthosis ("helmet").[Biggs W. Am Fam Physician. 2003 May 1;67(9):1953-6. PubMed abstract] ^^^Quoting the American Academy of Pediatrics/AAP: FLAT SKULL "ALMOST ALWAYS A BENIGN CONDITION" "There is some suggestion that the incidence of babies developing a flat spot on their occiputs may have increased since the incidence of prone sleeping has decreased. This is almost always a benign condition, which will disappear within several months after the baby has begun to sit up..." http://www.aap.org/new/sids/question.htm TRACTION OF BRAIN AND SPINAL CORD - PRIMARY ROLE OF BIRTH TRAUMA... Presidential Symposium: 'Role of the brainstem in migraine' September 13-16, 2003 XI Congress of the International Headache Society, Pallazo dei Congressi, Rome, Italy http://www.ihc2003.com "...type 1 Arnold-Chiari malformation in six cases. A constellation of these abnormalities are best explained by traction of brain and spinal cord of the subjects exerted during breech delivery and further support the primary role of birth trauma in the genesis of 'idiopathic hypopituitarism.'" --Fujita K, Matsuo N, Mori O, Koda N, Mukai E, Okabe Y, Shirakawa N, Tamai S, Itagane Y, Hibi I. [Eur J Pediatr. 1992 Apr;151(4):266-70. PubMed abstract Comment in: Eur J Pediatr. 1993 Feb;152(2):175.] What if distortion of the skull for several months makes it more difficult for the brain to recover (retract fully into the brain case) following birth trauma? CAUTION ADVISED...John Oro, M.D., and Diane Mueller, N.D., who run the University of Missouri Chiari Clinic, say fibromyalgia patients should be cautious about assuming they may have Chiari malformation...First, Oro and Mueller say, people who believe they may have Chiari malformation should undergo a basic neurologic exam from a neurologist or neurosurgeon experienced at diagnosing Chiari...If someone indeed has Chiari malformation, this exam, and an MRI of the brain and brainstem, will reveal it..."I think the lay public has become a little misled," says Mueller, a nurse practitioner. "They're sure we're going to have a cure for fibromyalgia." --Fibromyalgia and Chiari Malformation By Jeff Durbin http://www.muhealth.org/~arthritis/a...01/chiari.html Copied to: Jeff Durbin "The fact that you've survived a surgery probably changes your physiology." --John Oro, MD The fact that a baby survives a TRAUMATIC TRACTION BIRTH probably changes her/his physiology! Copied to: John Oro, MD Missouri Arthritis Rehabilitation Research and Training Center 130 A P Green, DC330.00 One Hospital Drive Columbia, MO 65212 E-Mail: Also via: Diane Mueller, ND, RN, C-FNP via UNNECESSARY CESAREAN SECTIONS... MDs close birth canals - CAUSE "cephalopelvic disproportion" - then perform major abdominal surgeries called c-sections BEcause of "cephalopelvic disproportion! UNNECESSARY EPISIOTOMIES... MDs routinely slash vaginas (euphemism "routine episiotomy") - surgically/FRAUDULENTLY inferring that everything possible is being done to OPEN birth canals - even as they CLOSE birth canals up to 30%! MDs offer women "generous" episiotomies when the baby's shoulders get stuck... The American College of Obstetricians and Gynecologists/ACOG indirectly ADMITS that MDs are routinely closing birth canals - why *else* would ACOG's Shoulder Dystocia video show MDs how to OPEN the birth canal maximally when the shoulders get stuck? Unfortunately, ACOG's Shoulder Dystocia video method of "opening" the birth canal maximally - KEEPS THE BIRTH CANAL CLOSED! See Blame, Attorney Weisbrod and the 'God within' (our courts of law)... http://groups.google.com/groups?hl=e...lm=Q28K8.883%2 4NG1.312%40newsread2.prod.itd.earthlink.net CANADIAN OBs ARE AS BAD AS AMERICAN OBs... ACOG's grisly, ostensible birth canal opening method involves flexing the thighs on the abdomen. This is "proper" McRoberts maneuver - which actually closes the birth canal with more force than semisitting (!)... IMPROPER McRoberts (not pictured in the ACOG video mentioned above) involves rolling the woman *off her sacrum* which OPENS the birth canal. WHY isn't ACOG explicitly promoting IMPROPER McRoberts - and the reason it is good? For the most likely reason, see HERE'S THE PROBLEM, below. The Society of Obstetricians and Gynecologists of Canada (SOGC) claims that flexing the thighs on the abdomen (and semisitting) are biomechanically like squatting. (!) The Canadian OBs think semisitting is better than dorsal; in fact, semisitting only closes the birth canal with more force. (!) Heres the relevant SOGC quote... "UPRIGHT OR SEMI-SITTING POSTURE [retains some mechanical advantages of]...[sq]uatting [which] has...been shown radiographically to increase the pelvic outlet measurements by 0.5 to 1.5 cm. Flexing the thighs against the abdomen also contributes to increasing the diameter of the pelvis in the sagittal plane and thus the sitting, semi-sitting and exaggerated lithotomy positions retain some of these mechanical advantagesThe traditional lithotomy position commonly used in obstetric units can certainly be modified to obtain a semi-sitting posture and hence achieve the benefit derived from the upright position (p. 58)... Upright (semi-sitting, squatting) and left lateral postures have many points in their favour, and should be encouraged. In contrast, the traditional lithotomy position has distinct disadvantages and should therefore be reserved for cases of operative delivery. The lithotomy position can often be modified to a semisitting position for most purposes to avoid the adverse haemodynamic consequences of supine position and to benefit, at least in part, from a more upright posture.(p. 54)... HEALTHY BEGINNINGS: GUIDELINES FOR CARE DURING PREGNANCY AND CHILDBIRTH The just-quoted unhealthy policy statement (HEALTHY BEGINNINGS) was written and reviewed by members of the Clinical Practice- Obstetrics Committee and approved by the Executive and Council of the Society of Obstetricians and Gynaecologists of Canada (SOGC). This document supersedes the guidelines published in December 1995. Principal Authors: Nan Schuurmans, MD, FRCSC (Past Chair) (Edmonton, AB) Guy-Paul Gagné, MD, FRCSC (Chair) (LaSalle, QC) Ahmed Ezzat, MD, FRCSC (Saskatoon, SK) Irene Colliton, MD (Edmonton, AB) Catherine J. MacKinnon, MD, FRCSC (London, ON) Brenda Dushinski, RN (London, ON) Robert Caddick, MD, FRCSC (Moncton, NB) National Office: André B. Lalonde, MD, FRCSC Robert A.H. Kinch, MB, FRCSC SOGC CLINICAL PRACTICE GUIDELINES POLICY STATEMENT No. 71, December 1998 http://www.sogc.org/SOGCnet/sogc_doc...lthybegeng.pdf A few last notes about the just-quoted SOGC policy statement... Squatting has never been "shown radiographically to increase the pelvic outlet measurements by 0.5 to 1.5 cm" - but clinical and x-ray studies do indicate that semisitting and dorsal CLOSE the birth canal - up to 30%. The biomechanics are quite simple and easily detectable clinically: In 1911, J. Whitridge Williams, MD, original author of Williams Obstetrics reported a woman in whom the sacral tip moved 4 cm! In 1913, Harvard obstetrician/anthropologist Arthur B Emmons, MD noted: "[M]oving backward of the tip of the sacrum...enlarges the available space not merely directly in proportion to the distance backward, but more nearly by the square of that distance." [Emmons, AB. A study of the variations in the female pelvis, based on observations made on 217 specimens of the American Indian squaw. Biometrika 1913; 9:34-47.] In 1969, British consultant radiologist JGB Russell used an x-ray study by Borell and Fernström's [1957] and mathematically calculated that allowing the sacrum and pelvis to move affords a 20-30% potential increase in pelvic outlet area, as in, "[T]he outlet increases with moulding by approximately 20-30 per cent." [Russell JGB. Moulding of the pelvic outlet. J Obstet Gynaec Brit Cwlth 1969;76:817-20. In 1973, Ohlsén used Borell and Fernström's original AP measurements, and on Borell and Fernstrom's 1957 intrapartum films verified Russell's 20% figure. [Ohlsén H. Moulding of the pelvis during labour. Acta Radiol Diag 1973;14:417-434] This was the 1973 paper in which Ohlsén noted that Williams Obstetrics was still claiming that there were NO changes in the pelvic diameters at delivery. When I tried to get Canadian obstetrician Murray Enkin, MD to *clearly* (usefully) state the fact that clinical and x-ray evidence indicates that semisitting and dorsal close the birth canal - he censored his own book! Enkin "justified" his self-censorship by mentioning "the Lilford group" - which had conducted obviously BOGUS x-ray studies! Enkin's colleague, British evidence-based guru Sir Iain Chalmers, MD went along with the anti-scientific gag! Hopefully Lilford's colleague, BJOG International's Jim Thornton, will finally call attention to the massive grisly medical fraud. See again: Gastaldo to delight BJOG editor Thornton http://groups.google.com/groups?hl=e...lm=hCIKa.13893 %24C83.1321663%40newsread1.prod.itd.earthlink.net Rahel, I cannot believe that everyone was unaware of the massive amount of sacroiliac motion that is being routinely denied. I am in favor of pardons in advance for MDs. MDs are just academic prime cuts forced through this culture's most powerful mental meatgrinder - medical school. Rahel, I'll copy the others in Switzerland to whom I cc'd my October 2002 article "MRI sex..." , , ; ; ; ; Onward... OPEN LETTER Dr Christine Rietberg Department of Obstetrics and Gynaecology Vlietland Hospital Vlaardingen The Netherlands + 31 15 214 6391 http://www.rcog.org.uk/mainpages.asp?PageID=1109 Christine, BJOG Editor Jim said he would be "delighted" to receive a paper from me. See again: Gastaldo to delight BJOG editor Thornton http://groups.google.com/groups?hl=e...lm=hCIKa.13893 %24C83.1321663%40newsread1.prod.itd.earthlink.net As I began to read BJOG, I came across your recent study and composed the above Open Letter to BJOG... Christine, *were* any "lying on her back" (or semisitting) deliveries - included in your study? If so, you studied breech birth with birth canals senselessly closed significantly! Dutch midwives have written that semisitting and dorsal delivery positions close the birth canal significantly - but I suspect that Dutch obstetricians are not heeding this simple biomechanical message. I suspect Dutch obstetricians are closing birth canals and remaining quiet about it - just like the Swiss MRI researchers above are ignoring simple biomechanics published in a study they cited. The American obstetrician authors of Williams Obstetrics *published* the simple biomechanics at my request but left in their text (in the same paragraph) (!) the "dorsal widens" bald lie that first called my attention to their text. FINAL NOTE REGARDING BREECH BIRTH: The authors of Williams Obstetrics promote a particularly grisly "lying on her back" breech delivery maneuver called the "Mauriceau maneuver" wherein an assistant in effect helps to keep the birth canal closed and impale the after-coming fetal skull on the sacral tip. See the 1993 Williams Obstetrics. (Fig. 25-7) The grisly Mauriceau maneuver is named for the Frenchman Francois Mauriceau (1637-1709) - who apparently plagiarized the idea of semisitting delivery from Aristotle. [Dunn PM. Francois Mauriceau (1637-1709) and maternal posture for parturition. Arch Dis Child 1991;66:78-9. Address: Prof. Dunn, Southmead Hospital, Southmead Road, Bristol BS10 5NB]) BOTTOMLINE... BJOG Editor Jim, MDs are LYING and as a consequence some babies are DYING. MDs indirectly admit they are killing babies. The authors of Williams Obstetrics indicate that closing the birth canal FAR LESS than 30% can kill. Again quoting Keller et al. [2003]... "[P]elvimetric differences of just a few millimeters could have an important bearing on obstetric decision making..." YES! If the OB is senselessly closing the birth canal up to **40** millimeters - you STOP him/her! END POSTSCRIPT to Migraine after childbirth... Copied to: Stephen D. Silberstein, MD Chairman American Headache Society Thomas Jefferson University Hospital Gibbon Building, Suite #8130 111 South Eleventh Street Philadelphia, PA 19107 (215) 955-2030 (215) 955-6682 FAX Copied also to others involved in the American Headache Society: ;dpenzien@ psychiatry.umsmed.edu;capo ; http://www.ahsnet.org/committees/education2003.php I guess I don't say things "nicely" - but at least I say them... MDs are senselessly causing babies to suffer - please help stop the massive grisly obstetric travesty REGARDLESS whether it is causing headaches. Thanks for reading, everyone, Sincerely, Todd Dr. Gastaldo ***This article will be archived for global access within 24 hours. Search http://groups.google.com for "Michel Ferrari/International Headache Society to help stop MDs from closing birth canals up to 30%?" |
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