Baby strangling: Dr. Perlman, don't forget POSTpartum asphyxia!

BABY STRANGLING: DR. PERLMAN, DON'T FORGET **POST**PARTUM ASPHYXIA!

OPEN LETTER archived for global access, see below.

Jeffrey M. Perlman, M.B.Ch.B., FAAP
Director
Attending Neonatologist
Professor of Pediatrics
Cornell University
Division of Neonatal-Perinatal Medicine
Research interests: Newborn Neurologic problems, Newborn Resuscitation
Telephone: (212) 746-3530
VIA

Jeff,

You recently asked whether there is a link between INTRApartum asphyxia
and cerebral palsy. [Intrapartum asphyxia and cerebral palsy: is there
a link? Perlman JM. Clin Perinatol. 2006 Jun;33(2):335-53. PubMed
abstract.]

George Malcolm Morley, MBChB, FACOG thinks there is a link between
cerebral palsy and blood loss/hypovolemia caused by POSTpartum
asphyxia/amputation of the placenta ("immediate cord clamping"):

"Cerebral Palsy (CP) is only the tip of an enormous iceberg of
birth-brain injury."
http://www.cordclamp.com/HyperbaricLect-2.htm

George once wrote to me: "...you want me to report child abuse, when
strangling has been immediately
corrected and prevented in every case by lung ventilation?" (Hey, WAIT
a minute - maybe George does NOT think immediate cord clamping is
causing cerebral palsy? See George's incredible post, reproduced
below.)

Jeff, I think infliction of asphyxiation/blood loss on a baby should be
reported as suspected child abuse REGARDLESS whether "the strangling
has been immediately corrected and prevented in every case by lung
ventilation."

And I don't think George should be encouraging obstetricians to
temporarily
strangle babies (without cutting the cord) - to help them understand
that they shouldn't rob babies of
up to 50% of their blood volume. See below.

What do you think?

Please help stop the mass baby blood robbery by MD-obstetricians.

Thanks.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA


PS George may still be encouraging his baby strangling experiment (no
blood loss). Anyone know?

BEGIN excerpt of Michigan Baby Strangler George Malcolm Morley, MB ChB FACOG
http://groups.google.com/group/misc....9cc63d40e93ef8

MICHIGAN BABY STRANGLER GEORGE MALCOLM MORLEY, MB ChB FACOG

GEORGE IS A "NICE" BABY STRANGLER - HE MEANS WELL...


George Malcolm Morley, MB ChB FACOG admitted strangling babies (see
below) -
but said it was OK because he only TEMPORARILY strangled babies...


Michigan Baby Strangler George encourages OTHER obstetricians to
temporarily
strangle babies - to help them understand that they shouldn't rob
babies of
up to 50% of their blood volume.


HERE IS MICHIGAN BABY STRANGLER GEORGE RECOMMENDING **TEMPORARY** BABY
STRANGLING...


"[T]he umbilical cord [is] immediately closed between finger and
thumb...The
[fetal heart rate/FHR] will decelerate quickly to about 60 bpm...the
color
will change from purple-pink (normal at birth) to pallid blue
(vaso-constriction and asphyxia.)...Few midwives or obstetricians will
be
able to observe, without interference, a deep, prolonged FHR
deceleration on
a non-breathing newborn for a period of 60 seconds. Common sense will
soon
release the finger and thumb."
http://www.cordclamping.com/acog-cp.htm

[Common sense should stop this bizarre child abuse experiment.]

EARTH TO MICHIGAN BABY STRANGLER GEORGE: Please apologize on your
www.cordclamping.com website for encouraging the temporary strangling
of
babies. (You might also apologize to Kelly for that insensitive
abomination
you sent her.)


George, encouraging the temporarily strangling of babies was SORT of a
nice
thing to do - but the acceptable (MANDATORY) way to stop your fellow
obstetricians from robbing babies of up to 50% of blood volume is to
REPORT
IT AS CHILD ABUSE - AND ENCOURAGE OTHER MEDICAL DOCTORS TO REPORT.


Same goes for the OTHER mass child (and adult) abuse being committed by
your
fellow obstetricians - like senselessly slicing infant penises en masse
and
seneslessly slicing adult vaginas en masse - and closing birth canals
up to
30% and keeping birth canals closed the "extra" up to 30% when babies
get
stuck, etc.


See ACOG's 2005 edition: How NOT to birth
http://health.groups.yahoo.com/group...t/message/3606


See also: RNs: 'Stitches, episiotomy, and postpartum complications'
(Maternal care
learning needs)
http://health.groups.yahoo.com/group...t/message/3725


(Note: If the URLs don't work, make sure there are no spaces.)


USENETTERS: Here is Michigan Baby Strangler George's admission of baby

strangling....


Note how Michigan Baby Strangler George admits he is protecting his
fellow
obstetricians - as he in effect accuses ME of perpetuating baby
strangling
(and baby blood robbery) because I want to use the child abuse laws to
stop
it...


Most bizarre....


My comments are interspersed #####




----- Original Message -----

From:
To: ; ;
; ;
Sent: Thursday, June 17, 2004 1:55 PM
Subject: Michigan baby 'stranglings': Dr. Morley to benefit
sheriffs'
babies? (by ...


snip


Can YOU describe and define the different types of fetal heart rate
decelerations to the Michigan Sheriff's Association so that they can
understand what they mean before they do their child abuse raid?...Can
YOU
defend the use of the word "strangling" to the agencies to which
you want me to report child abuse, when strangling has been immediately

corrected and prevented in every case by lung ventilation?


#### Simple. When you are pinching off the cord with thumb and
finger -
THAT is strangling off BLOOD - albeit temporarily.


#### When OBs and CNMwives CLAMP the cord - and cut it - they
strangle
off blood PERMANENTLY. This can cause hypo-tension/hypo-perfusion -
and as
you say: "Hypo-perfusion of brain tissue due to hypotension causes
brain
damage. I know that..."


For your information, My publications are just that, PUBLIC, and the
Michigan Attorney's General Office and the Michigan Community Health
Department are thus well informed regarding the matter of immediate
cord
clamping, and its ethical and legal implications. They do not need
your
reckless nonsense.


#### You are FAILING to make MANDATORY public documents. My
"reckless
nonsense" is [publicly pointing out] that you suspect child abuse is
occurring - yet you are failing
to do the MINIMUM required by law to stop it. See Michigan child abuse

reporting law quoted below. You are a mandatory reporter.


Your attempts to turn the Michigan Sheriff's association into a
blind,
misinformed lynch mob do not promote the cause of sensible umbilical
cord
management and the prevention of cerebral palsy; indeed, they seem to
be
aimed at promoting cerebral palsy as do your crude attempts to
discredit and
disparage me...


There are some professions that profit immensely from injured and
brain
damaged children [for example]...
chiropractors who treat spastic children with physical therapy for
ever....[ Dr Gastaldo, do you do physical therapy on brain damaged
children?]


You accuse me of "protecting" obstetricians; I do.... I try my best to
prevent them from causing brain damage; their main danger
is from trial lawyers.


#### No, the main danger for obstetricians is doing senseless things
that
cause brain damage - trial lawyers are just a symptom.


....Now, Dr, Gastaldo, why would you want OB's to lose that protection
and
produce cerebral palsied babies?


#### OBs are producing cerebral palsied babies WITH your protection -
you
are failing to do the MINIMUM required by law to protect babies!


END excerpt of Babies gasping: Michigan sheriffs to do "child abuse raid" on
hospitals?
http://groups-beta.google.com/group/
misc.kids.pregnancy/msg/db8a9fddeb3d3f7a?



BACK TO JEFFREY M. PERLMAN, M.B.Ch.B., FAAP

Jeff, you wrote in your PubMed abstract [Clin Perinatol. 2006
Jun;33(2):335-53] about,

"THE DELIVERY OF A DEPRESSED ACIDEMIC INFANT," as in,

"The ability to link an intrapartum event to subsequent [cerebral
palsy] CP should include a history of a sentinel event during labor,
followed by the delivery of a depressed acidemic infant, and the
subsequent evolution of neonatal encephalopathy, systemic organ injury,
and acute neuroimaging abnormalities."

I think I remember George writing that obstetricians were immediately
clamping cords/asphyxiating babies to get/store blood samples - just in
case someone sued later.

I hope this isn't what you recommended in your article.

Thanks for reading.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA


PS

This post will be archived for global access in the Google usenet
archive. Search http://groups.google.com for "Baby strangling: Dr.
Perlman, don't forget POSTpartum asphyxia!"