OB/GYN: An unsafe medical specialty

OB/GYN: AN UNSAFE MEDICAL SPECIALTY

Attention 2007 Sixth Quality Colloquium at Harvard: By using
semisitting and dorsal delivery, OB/GYNs are senselessly closing birth
canals up to 30%. Please help stop this obvious obstetric crime. See
below.

I am hoping Harvard Law Professor ARTHUR MILLER, ESQ. will use his
influence to cause law enforcement to stop all the obvious MD
crimes/"medical errors" prior to the Colloquium.

PREGNANT WOMEN: It is easy to offer your baby the "extra" up to 30%.
See the very end of this post.

OPEN LETTER (archived for global access; see below.)

Julie K. Johnson, MSPH, PhD
Director of Research
American Board of Medical Specialties
Chicago, IL
Via

Julie,

OB/GYN is an unsafe specialty.

By using semisitting and dorsal delivery, OB/GYNs are closing birth
canals up to 30% and KEEPING birth canals closed the "extra" up to 30%
when babies get stuck.

(For the simple biomechanics and for clinical and radiographic
references from the medical literatu See Gastaldo TD. Birth.
1992;19(4):230-1.)

Incredibly, OB/GYNs are being TAUGHT to keep the birth canal closed
when babies get stuck:

The American College of Obstetricians and Gynecologists'/ACOG's
Shoulder Dystocia video purports to teach obstetricians how to allow
the birth canal to open maximally when babies get stuck - AN INDIRECT
ADMISSION that obstetricians are routinely closing birth canals the
"extra" up to 30%.

But the method purported in the ACOG video to allow the birth canal to
open maximally (McRoberts with the mother on her sacrum) actually
keeps the birth canal closed the "extra" up to 30%. Again, for the
simple biomechanics, see Gastaldo [1992, cited above].

To order ACOG's indirect video admission that obstetricians are
routinely closing birth canals the "extra" up to 30%...

Shoulder Dystocia Drill
Description
William Young, MD
Time: 18 minutes/1995 (Reviewed 2001)
Item #AVL103
Price: $85
ACOG members: $55
http://sales.acog.com/acb/stores/1/p...Product_ID=370

Incidentally, the ACOG Shoulder Dystocia video encourages viewers to
read Gonik's inlet dystocia fraud. Gonik mysteriously went from
calling shoulder dystocia an OUTLET problem (correct) to calling
shoulder dystocia an INLET problem.

For my discussion of Gonik and the biomechanical impossibility of
inlet shoulder dystocia...

See Wayne State Emergency/Gastaldo maneuver, Jan. 19, 2001...
http://groups.google.com/group/misc....8bb9229722ce80

Alternate URL: http://groups.yahoo.com/group/chiro-list/message/1051

IMPORTANT NOTE FOR BIRTH TRAUMA ATTORNEYS:

In 2000, the 1995 ACOG shoulder dystocia video mentioned above was
ruled exempt from the hearsay rule - admissible in court - in
Costantino v. Herzog...

See James Nocon, MD, JD (Also: Dateline NBC: Marsden Wagner, MD
v. ACOG (Sunday, Sept. 16)
http://groups.yahoo.com/group/chiro-list/message/1291

All birth trauma attorneys should be presenting this information to
juries.

If anyone knows of a birth trauma attorney presenting this
information
to a jury - please contact me.

ALSO NOTEWORTHY: Operative vaginal births (forceps/vacuum) occur in
an estimated 1 in 10 deliveries according to ACOG - with obstetricians
routinely KEEPING women semisitting or dorsal - keeping their birth
canals closed the "extra" up to 30% as they pull with forceps or
vacuum...

With birth canals senselessly kept closed the "extra" up to 30%,
obstetricians sometimes pull so hard they rip spinal nerves out of
tiny spinal cords.

Some babies die - some babies are paralyzed - most "only" have their
spines gruesomely manipulated.

ALL spinal manipulation (w/ hands, forceps or vacuum) is gruesome with
the birth canal senselessly closed the "extra" up to 30%.

"GENEROUS EPISIOTOMIES": MASS SEXUAL ASSAULT BY OB/GYNs...

OB/GYNs often perform "generous episiotomies" - surgically/
fraudulently inferring they are doing everything possible to open the
birth canal even as they keep it closed the "extra" up to 30%.

It's mass sexual assault and law enforcement is looking the other way
- ignoring
obvious MD lies.

Steve Harris, MD arrogantly BOASTS about law enforcement looking the
other way:

"Without enforcement, there is no law. Without law, there is no crime.
These are elementary principles. Get an adult to explain them to you."
http://groups.google.com/group/misc.kids.pregnancy/msg/
28866f3384801ae9

DISTRICT ATTORNEY/DAs COULD SAVE AMERICA BILLIONS PER YEAR

According to NIH research (Shiono et al.), mass vagina
slicing/routine episiotomy is known to increase severe perineal
tears by 50X.

MDs don't charge to slice vaginas.

Perhaps MDs don't charge to slice vaginas because they know that
sliced
vaginas are 50X more likely to rip clear to the anus (severe tear)
thereby causing MORE "trauma to
the perineum" - thereby sending women back to the hospital after
birth, as
in,

"The most common diagnosis for hospitalization among all women is
trauma to perineum due to childbirth."
http://www.ahcpr.gov/data/hcup /factbk3/factbk3.htm

TRAUMA TO THE PERINEUM CAN BE **VERY** BAD WITH VACUUMS...

"Vacuum extraction performed with the woman in a semi-recumbent
position was
associated with an increased risk of rupture of the anal
sphincter..."
[Parnell C, Langhoff-Roos J, Moller H. Conduct of labor and rupture of
the
sphincter ani.Acta Obstet Gynecol Scand 2001 Mar;80(3):256-61]

American MDs could make birth much better - and save America billions
- just by stopping their senseless birth-canal-closing/routine vagina
slicing.

THE LAW ENFORCEMENT PATIENT SAFETY METHOD

District attorneys could get the job done immediately, as closing the
birth canal without consent is obviously illegal mass child abuse.

Attention California DAs who might be reading...

IN CALIFORNIA: Prosecution of child abuse "does not require any
intent to
violate law, or to injure another, or to acquire any
advantage." [People v.
Pointer (App. 1 Dist. 1984) 199 Cal. Rptr. 357 cited/quoted under
California
Penal Code Section 273a]

I am in favor of pardons in advance for MDs. As medical students, MDs
are TRAINED to perform the obvious felonies discussed herein.

CHIROPRACTIC SILENCE AND THE FEDERAL CAM SCAM

Chiropractic organizations are remaining silent about the gruesome
spinal
manipulation crime of OB/GYNs - perhaps because of federal rules -
something I call
the Federal CAM scam...

See AMI OB/GYNs: Are they 'true CAM providers'?
http://groups.google.com/group/sci.m...6475211e7e2368

THE FRAUDULENT VACCINATION PROMOTION CRIME

This last post discusses the massive fraudulent vaccination promotion
crime that elicited Dr. Harris' arrogant boast quoted above.

Vaccinations are only ATTEMPTED immunizations - many children are not
immunized by their vaccinations; yet MDs tell parents seeking vaccine
exemptions that only THEIR children will be sent home/protected during
disease outbreaks. ALL children need to be sent home/protected during
disease outbreaks. MDs are being allowed to fraudulently promote
their vaccinations as being 100% effective to parents seeking
exemptions - as they - in effect - fail to protect vaccinated-but-not-
immunized children during disease outbreaks. All state vaccination
laws should be changed immediately.

In addition to fraudulently promoting vaccinations, MDs are mostly
ANTI-IMMUNIZATION - lying by omission to (in effect) deny massive
numbers of babies massive numbers of free daily immunizations.

MDs are failing to explicitly inform the world that pregnant women
automatically scan their environments for pathogens and manufacture
specific IMMUNIZATIONS which they "inject" with their breasts via
daily breastfeedings.

The kicker: Immunizations (breastfeedings) reportedly make MD-needle-
vaccinations work better.

What woman - informed that she can IMMUNIZE her baby daily (and
perhaps make MD-needle vaccinations work better) - is going to fail to
at least ATTEMPT to breastfeed?

MDs are ignoring a simple way to make both the immunization
(breastfeeding) rate and the vaccination rate skyrocket.

It's mass IMMUNOLOGIC child abuse to go with the mass PHYSICAL (birth-
canal-closing/spinal manipulation) child abuse discussed in this post.

ANOTHER OBVIOUS OB/GYN CRIME: MASS BABY ASPHYXIATION/MASS BABY BLOOD
ROBBERY

In medicine's most frequent surgical
behavior, as it is commonly performed, OB/GYNs are temporarily
asphyxiating
babies, robbing them of up to 50% of their blood volume. The medical
euphemism is "immediate cord clamping." Retired obstetrician George
Malcolm
Morley, MB ChB FACOG indicates that this crime is committed in every
cesarean delivery and in most cord blood banking births.

See Dr. Morley's website www.cordclamp.com.

See also: Dents in babies' skulls"
http://groups.google.com/group/
misc.kids.pregnancy/msg/08abfc7ff242150e

Alternate URL:
http://health.groups.yahoo.com/group...t/message/3897

Julie, these last MD crimes encompass medical specialties besides
obstetrics. For example, pediatricians stand at the ready to run the
baby across the delivery room to resuscitate babies after
obstetricians amputate nature's resuscitation/transfusion device (mom
and the placenta). Why not keep baby attached to nature's
resuscitation/transfusion device as MDs make their resuscitation
efforts?

I hope you will urge the American Board of Medical Specialties/ABMS to
help stop these obvious MD crimes.

REMIND MDs...

MDs have "an ethical obligation to prevent harm."
--Clarence Braddock III, MD, MPH
http://www.ama-assn.org/ama/pub/category/4382.html

PATIENT SAFETY CERTIFICATE PROGRAM

Julie, I note from the Medical NewsWire that you will be speaking at
the 2007 Sixth Quality Colloquium at Harvard University.

The 2007 Colloquium has just announced a Patient Safety Certificate
Program. (CAMBRIDGE, MA -- MAY 29, 2007: The Sixth Quality Colloquium,
www.qualitycolloquium.com, August 19 - 22, 2007, on the campus of
Harvard University today announced its Patient Safety Certificate
Program. Medical NewsWire Announcement dated 5/30/07)

The LAW ENFORCEMENT method of patient safety that I propose should be
part of EVERY Patient Safety Certificate Program. (See again
discussion of the arrogant boast of Steve Harris, MD, quoted above.)

I will copy the Colloquium via .

ATTENTION 2007 Sixth Quality Colloquium at Harvard: Julie is not
listed as a speaker yet at your website http://www.qualitycolloquium.com/.
If Julie is not a speaker - or if she does not present this
information, I am available to present it. I need 4 hours. Send two
roundtrip airline tickets from Portland, Oregon and sufficient funds
for accomodations and meals at The Inn at Harvard.
http://www.qualitycolloquium.com/travel.html

HARVARD LAW PROFESSOR ARTHUR MILLER, ESQ

2007 Sixth Quality Colloquium's Arthur Miller, Esq (Harvard Professor
of Law) says:

"It is my pleasure to welcome attendees of the Quality Colloquium to
the campus of Harvard University. I hope that you will take advantage
of this unique experience to contemplate strategic issues in patient
safety, health care quality enhancement and medical errors reduction
with the assistance of the first rate Colloquium faculty."
http://www.qualitycolloquium.com/

I am hoping Harvard Law Professor Miller will use his influence to
cause law enforcement to stop all the obvious MD crimes/"medical
errors" prior to the Colloquium.

One 2007 Sixth Quality Colloquium speaker is RICHARD LILFORD, PhD,
FRCOG, FRCP, MFPHM
Professor, Department of Public Health and Epidemiology, Director,
Patient Safety Research Programme, University of Birmingham,
Birmingham, UK
http://www.qualitycolloquium.com/

This might be the same Richard Lilford who - with Gupta - committed
rather obvious birth fraud....

BEGIN excerpt of Grisly Gardosi (and Gupta) squatting skullduggery (2001)...
http://groups.yahoo.com/group/chiro-list/message/1201


In 1989, Lilford and Gupta *claimed* they performed an "Experiment of
squatting birth" [Eur J Obstet Gynecol Reprod Biol 1989;30:217-20]...

In fact, they asked women "to recline into a semi-dorsal position at
the
moment of crowning."


The "moment of crowning" - and minutes before - is
when the fetal skull is traversing the outlet - the time when AP
outlet
diameter is most crucial to mother and fetus!


SOMEHOW, with all women in the study placed "semi-dorsal" in the
expulsive
stage of labor, "senior author" Lilford was able to make "the
informal
observation that women may feel more in control when they squat during
the
expulsive stage of labour."!!!!


....


[In 2001, Lilford's colleague Gupta] (and Nikodem) STILL failed to
mention that
the most common delivery positions (semisitting and dorsal) close the
birth
canal up to 30%!


See Gupta JK , Nikodem VC. Woman's position during second stage of
labour
(Cochrane Review). In: The Cochrane Library, 2, 2001. Oxford: Update
Software.
http://www.cochrane.org/cochrane/revabstr/ab002006.htm

END excerpt of Grisly Gardosi (and Gupta) squatting skullduggery (2001)...
http://groups.yahoo.com/group/chiro-list/message/1201

IN 2006, in South African Hospitals...

97% OF WOMEN DELIVERED ON THEIR BACKS?

G. JUSTUS HOFMEYR, MD and colleagues (including Nikodem) allowed women
to be "restricted to a supine position"...
http://www.biomedcentral.com/content...1-7015-5-7.pdf

"97%...were restricted to a supine position during second stage of
labour..."
http://www.biomedcentral.com/content...1-7015-5-7.pdf

This happened years after I informed Nikodem and Hofmeyr that supine
position closes the birth canal up to 30%...

I will copy Dr. Hofmeyr and colleagues via...

Heather Brown )
Justus G Hofmeyr )
Cheryl V Nikodem )
Helen J Smith )
Paul Garner )

ODDLY, G. Justus Hofmeyr, MD and colleagues indirectly indicate that
it is HUMANE for obstetricians to close the birth canal the "extra" up
to 30%.

They say shouting at or slapping a woman is "inhumane"; but (in
effect) senselessly slicing her vagina (as it is being closed up to
30%, surgically/fraudulently inferring that her birth canal is being
opened maximally) is humane...

"The primary outcome was whether a woman was allowed a companion with
her during childbirth. Secondary outcomes were a) other beneficial
policies
(being allowed to move around in the 1st and in the 2nd stage of
labour); b)
painful obstetric policies where benefit doubtful (routine episiotomy,
routine
enema) and c) indicators of humane care (being offered food, being
offered
water); and d) indicators of inhumane care (being shouted at; being
slapped
or struck; and left alone)."
http://www.biomedcentral.com/content...1-7015-5-7.pdf

OBSTETRICIANS CAN'T BE "EASILY" STOPPED?

Dr. Hofmeyr and colleagues indicate that it is not easy to stop
obstetricians or midwives from closing birth canals the "extra" up to
30%, as in,

"Practice change was consistently more likely for
procedures that could be stopped easily (routine enemas and perineal
shaving) and less likely for procedures that required additional
resources or
time to implement (reducing use of supine position...)."

It will NEVER be easy to stop supine delivery - not as long as it is
never mentioned that supine delivery closes the birth canal.

And I do mean supine delivery "closes the birth canal."

To a breech baby with a trapped after-coming head, the birth canal is
in effect closed. Also, the Mauriceau breech maneuver employs an
assistant to in effect help KEEP the birth canal closed. See recent
editions of Williams Obstetrics for an illustration of the Mauriceau
breech maneuver...

Hannah et al. studied breech births mostly with the birth canal closed
up to 30% and concluded (predictably) that breech babies should be
taken by cesarean section.

Hannah et al. "specially" thanked Dr. Hofmeyr...

"Interpretation...Planned caesarean section is better than planned
vaginal birth for the term fetus in the breech presentation...We thank
the 2088 women who participated in this research and thus helped to
answer this important clinical question. We specifically wish to thank
JUSTUS HOFMEYR for his invaluable help..." [Emphasis added]
--Mary E Hannah, Walter J Hannah, Sheila A Hewson, Ellen D Hodnett,
Saroj Saigal, Andrew R Willan, for the Term Breech Trial Collaborative
Group. Planned caesarean section versus planned vaginal birth for
breech presentation at term: a randomised multicentre trial. Lancet
2000; 356: 1375-83. z

Later, Hofmeyr himself rubberstamped the Hannah et al. breech fraud:
"Breech presentation places a fetus at increased risk. The
outcome for the baby is improved by planned caesarean section compared
with
planned vaginal delivery." [Hofmeyr G. Cochrane Database Syst Rev.
2004;1:CD000184.]

PREGNANT WOMEN: MDs and MBs and nurse midwives are closing birth
canals up to 30% by using dorsal and semisitting delivery.

And they are KEEPING birth canals closed the "extra" up to 30% when
babies get stuck.

It is EASY for you to allow your birth canal to OPEN the "extra" up to
30%.
Just roll onto your side as you push your baby out - or deliver on
hands-and-knees, kneeling, standing, squatting, etc.

BEWARE though: Some MDs and MBs and nurse midwives will let you "try"
"alternative"
delivery positions but will move you back to dorsal or semisitting
(close
your birth canal!) as you push your baby out!

AS NOTED ABOVE...

In 1989, Lilford and Gupta *claimed* they performed an "Experiment of
squatting birth" [Eur J Obstet Gynecol Reprod Biol 1989;30:217-20]...

In fact, they asked women "to recline into a semi-dorsal position at
the
moment of crowning."

The "moment of crowning" - and minutes before - is
when the fetal skull is traversing the outlet - the time when AP
outlet
diameter is most crucial to mother and fetus!

SOMEHOW, with all women in the study placed "semi-dorsal" in the
expulsive
stage of labor, "senior author" Lilford was able to make "the
informal
observation that women may feel more in control when they squat during
the
expulsive stage of labour."!!!!

Also, Nikodem (one of Hofmeyr's colleagues; see above) wrote in 1995:

"Some women will start bearing down instinctively while in the
lateral
position but are then asked to turn into the dorsal position for the
delivery." [Nikodem C. Lateral tilt vs. dorsal position for second
stage The
Cochrane Pregnancy & Childbirth Database (1995, Issue 2, Pre-Cochrane
Reviews)]
http://groups.google.com/groups?hl=e...7de4b56ad54cf6...
ekm=378c8656.16246470%40news.wlg.ihug.co.nz#p

LADIES: Talk to your MD or MB or nurse midwife about this TODAY.

Thanks for reading everyone.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA


Copied to: Chad Whelan -

Copied also to: 2007 Sixth Harvard Colloquium co-speakers:

Paul Barach, MD, MPH, Maj (ret.)
Associate Professor, University of South Florida, Former Associate
Dean for Patient Safety, and Director Center for Patient Safety,
University of Miami, Tampa, FL
Paul Barach, MD, MPH, University of Miami Medical School, North Wing
109, 1611 Northwest 12th Avenue, Miami, FL 33136; e-mail,


Davis Balestracci, MS
Harmony Consulting, LLC, Portland, ME via

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medical specialty.