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FALLING OVER BACKWARDS IN CHILDBIRTH CLASS - THE GREAT SQUAT ROBBERY
PREGNANT WOMEN: Obstetricians are routinely closing birth canals up to 30%. You do NOT have to squat to allow your birth canal to open the "extra" up to 30%. See below. (Archived for global access in the Google usenet archive, http://groups.google.com) I wrote to Surgeon Commodore Grant McMillan, MD (UK): I suspect that many "squatting" workers in chairdwelling cultures aren't actually squatting (because they can't). Rather, they are crouching on their toes. Did you classify crouching on the toes as "squatting"? Was the distinction made in the papers you studied? Surgeon Commodore McMillan just responded: "I believe from miners' demonstrating the squatting position and other sources that, for miners, this was flat foot squatting." Grant, Many chairdwellers have lost the ability to squat flat-footed COMFORTABLY for prolonged periods quite early in life. (The British obstetrician Jason Gardosi, MD designed a special "squatting" birth cushion where the woman is not squatting! See the postscript.) Doctors I have interested in looking into this loss of squatting ability have found children as young as 12 who CAN'T squat flat-footed - they fall over backwards. They don't fall over backwards though if they have heels on their shoes - or if they are squatting on an incline - or if they are holding onto something. But even under these circumstances - they still can't squat flat-footed COMFORTABLY for prolonged periods. I personally did not notice that I had lost the ability to flat-footed squat until age 26 while taking childbirth classes with the mother of my eldest. Even with heels on my shoes, I fell over backwards. If I remember correctly, in general, the men at the childbirth class had a more difficult time than the women. I worked gradually to regain my COMFORTABLE prolonged flat-footed squatting ability - but never did - though I did build up the time I was able to TOLERATE the position - say on an incline with shoes on. I think I was robbed by my culture. I think a LOT of children are robbed by their culture. I call it The Great Squat Robbery. Canadian orthopedic surgeon W. Harry Fahrni, MD wrote about it Orth Clin N Am 1975 and hypothesized that the robbery is causing low back pain. Regardless whether The Great Squat Robbery is causing low back pain, it seems to me very wrong for a culture to rob its young of an innate rest and labor posture - esp. given The (related) Great Birth Robbery - upon which you did not comment. If I am right about many chairdwellers being robbed, a significant number of the subjects studied ("miners and other sources") may have started work TOLERATING squatting - perhaps with heels on their shoes - and they likely got better at it. But people who have been robbed of their innate squatting ability are not engaging in COMFORTABLE flat-footed squatting - and engaging in work that requires squatting may cause musculoskeletal problems over and above the loss of a fundamental human rest posture. I am, of course, interested in any verbiage from the studies you reviewed which demonstrates that all the chairdwellers studied had not first lost their COMFORTABLE prolonged squatting ability before starting work which required squatting. I am also interested in why you were silent about the squatting-related massive obstetric crime I mentioned - not to mention the other massive obstetric crimes I mentioned. If you are simply embarrassed that your fellow MDs are committing mass (sometimes fatal) child abuse, your silence about the obstetric crimes is understandable - but unconscionable. Thanks for responding though, to the extent that you did. Sincerely, Todd Dr. Gastaldo Hillsboro, Oregon USA PS I say again... See British obstetrician Jason Gardosi et al.'s 1989 Lancet "randomised controlled trial of squatting" where nobody squatted because - ostensibly - sedentary Western women cannot squat well enough to deliver squatting. NOTE #1: It took some time, but Gardosi now RECOMMENDS squatting at delivery - this after assuring me in a personal letter in 1990 that two British trials had demonstrated that squatting delivery is "definitely NOT an option." (Emphasis Gardosi's - LOL!) NOTE #2: Women do NOT have to squat to allow their birth canals to open the "extra" up to 30%. See ACOG's 2005 edition: How NOT to birth http://health.groups.yahoo.com/group...t/message/3606 I forgot to mention that for use in circumstances when babies' shoulders get stuck - Gardosi (just mentioned) created a novel version of McRoberts maneuver - pulling the woman's buttocks over the edge of the delivery table so her sacrum can move back... But women shouldn't be ON their buttocks in the first place as they push their babies out. Women shouldn't have to ASK for the "extra" up to 30% - indeed - most women don't KNOW to ask. So Grant, I urge you to at least speak out about the obstetric crime of your fellow medical doctors KEEPING birth canals closed the "extra" up to 30% when babies get stuck. (Imagine you are the baby in the birth canal again and your birth canal is being senselessly closed up to 30% - and the obstetrician is pulling on your head "wrenching"/stretching your neck - ripping spinal nerves out of your spinal cord - or perhaps "just" wrenching your neck.) You might also speak out in protest about the common obstetric practice of immediately clamping umbilical cords - temporarily asphxiating babies - forcing them to breathe through their lungs before they are ready - as they are robbed of up to 50% of their blood volume. BRAIN DAMAGE - minor damage may not be evident until later in life... From an occupational medicine perspective, it is interesting to ponder how many people have problems in their occupations because of what went on at birth. in article , Todd Gastaldo at wrote on 8/3/05 5:05 PM: PREGNANT WOMEN: OBSTETRICIANS ARE DOING TERRIBLE (EASILY AVOIDED) THINGS TO BABIES. See my note to Surgeon Commodore McMillan at the very end of this post. PROLONGED SQUATTING BAD? (#2): WERE THEY ALL REALLY SQUATTING? Surgeon Commodore Grant H McMillan, QHP MD MSc FRCP FRCP Glasg, FFOM FIOSH Royal Navy (and Nichols^^^) studied the medical literature and found evidence that: "[F]requent or prolonged...squatting doubles the general risk of osteoarthritis of the knees found in the general population...[L]ifting, in combination with...squatting...is associated with an excess risk of osteoarthritis above that attributed to...squatting alone." ^^^McMillan G, Nichols L. Occup Environ Med. 2005 Aug;62(8):567-75. PubMed abstract http://oem.bmjjournals.com/cgi/conte...tract/62/8/567 OPEN LETTER (archived for global access at http://groups.google.com) Grant H McMillan, QHP MD MSc FRCP FRCP Glasg, FFOM FIOSH Surgeon Commodore Royal Navy Consultant in Occupational Medicine Grant, Assuming your "general population" was chair-dwellers... It is bad (perhaps actionable?) to rob children of opportunities to squat and then later in life subject them to work where frequent or prolonged squatting is required. (I wonder if it is actionable because you mentioned your "squatting" findings being "of particular importance in welfare and medico-legal situations.") I suspect that many "squatting" workers in chairdwelling cultures aren't actually squatting (because they can't). Rather, they are crouching on their toes. Did you classify crouching on the toes as "squatting"? Was the distinction made in the papers you studied? Kevin Shelburne, PhD and Marcus Pandy, PhD wrote in 2002: "[S]quatting is a relatively safe exercise for [anterior cruciate ligament] rehabilitation..." --Kevin Shelburne, PhD and Marcus Pandy, PhD [Comput Methods Biomech Biomed Engin 2002 Apr;5(2):149-59, PubMed abstract] In October 2002, I telephoned Kevin asked if by "squatting" he meant flat-footed squatting. He said yes. I expressed puzzlement. Because of The Great Squat Robbery, I said, most Westerners CAN'T flat-footed squat - at least not comfortably. Kevin indicated he hadn't given The Great Squat Robbery much thought. He wasn't aware that Westerners lose bony "squatting" facets. (See the 1995 edition of the British Gray's Anatomy.) Ultimately he clarified regarding his usage of the word "squatting"... He said flat-footed squatting in the medical literature might be better characterized as squatting "exercise," which (he said) is not (generally) the same flat-footed squatting performed by most humans on the planet - or words to that effect. Anyway, Grant... I am concerned that Western culture is spreading prolonged use of the chair and whole populations of chair-dwelling children are losing their easy prolonged squatting ability by adulthood. I hope you will write and let me know whether you distinguished between crouching on the toes and true squatting in arriving at your conclusions. Whether or not it is actionable, we do rob children of opportunities to squat and then later in life subject them to work where frequent or prolonged squatting is required. Since "welfare and medico-legal situations" are being discussed, we should always mention The Great Squat Robbery. We should also mention The (related) Great Birth Robbery - the bizarre spectacle of obstetricians closing birth canals up to 30% and keeping birth canals closed the "extra" up to 30% when babies get stuck. More on The Great Birth Robbery in the postscript. Sincerely, Todd Dr. Gastaldo Hillsboro, Oregon USA PS GRANDMA'S HIP OSTEOARTHRITS COULD IT HAVE BEEN PREVENTED? "Acetabular Rim Syndrome in Young Adults: A Major Cause of Osteoarthritis of the Hip..." --Warren Hammer, MS, DC, DABCO http://www.chiroweb.com/columnist/hammer/index.html OPEN LETTER (archived for global access at http://groups.google.com) Warren Hammer, MS, DC, DABCO Norwalk, Connecticut Warren, In 1953, Harrison et al. called hip osteoarthritis "the commonest clinical site of severe osteoarthritis." [Harrison et al. J Bone Joint Surg 1953;35B(4):598-626]... You say of hip osteoarthritis that it "may be crucial" to recognize "acetabular rim syndrome" before development of hip osteoarthritis. You write: "Acetabular dysplasia causes secondary osteoarthritis in 25 percent to 50 percent of patients by the age of 50 years...recognizing what is sometimes called 'acetabular rim syndrome' before the development of this disease may be crucial..." http://www.chiroweb.com/columnist/hammer/index.html You indicate that the hip motions of "flexion, adduction and internal rotation" will cause early acetabular rim symptoms "due to overload of the acetabular rim." Aren't flexion, adduction and internal rotation the hip motions of the fundamental human rest posture called squatting? See the photos of two different flat-footed squats in Fahrni WH. Orth Clin N Am 1975;6(1):93-103. In one photo (p. 94), the feet and knees are adjacent. In another (p. 95), the feet are shoulder-width apart and the knees are spread wide. Can it be that people in squatting cultures are somehow paradoxically AVOIDING "overload of the acetabular rim" by squatting daily - i.e. - by daily PERFORMING hip "flexion, adduction and internal rotation"? I ask because in 1974, orthopedic surgeon DR Gunn exclaimed "Don't sit: Squat!" in an article in which he noted "the virtually complete absence of primary degenerative arthritis of the hip" in Southeast Asians... [Gunn DR Don't sit: Squat! Clin Orth Rel Res 1974(103):104-5. Taken from a larger article by Gunn in the Indian Journal of Orthopaedic Surgery] In 2002, Nevitt et al. studied Chinese elderly in Beijing, China and wrote: "[H]ip OA was 80-90% less frequent than in white persons in the US." See Nevitt MC, Xu L, Zhang Y, Lui LY, Yu W, Lane NE, Qin M, Hochberg MC, Cummings SR, Felson DT. Very low prevalence of hip osteoarthritis among Chinese elderly in Beijing, China, compared with whites in the United States: the Beijing osteoarthritis study. Arthritis Rheum. 2002 Jul;46(7):1773-9. PubMed abstract] Nevitt et al. concluded: "Identification of the genetic and environmental factors that underlie these differences may help elucidate the etiology and prevention of hip OA." What if (as suggested by Gunn and others) the etiology of much hip osteoarthritis is the fact that we chair-dwellers - as a consequence of our chair-dwelling - fail to take our hips through the full range of motion - as we lose a fundamental human rest posture? See Biomechanics experts to help babies? http://health.groups.yahoo.com/group...t/message/1693 Canadian orthopedic surgeon W. Harry Fahrni (citied above) recommended allowing and encouraging children to maintain their innate flat-footed squatting ability into adulthood. Fahrni's recommendation accords with your "conservative treatment" for acetabular rim syndrome. ("Conservative treatment, consisting of flexibility stretching and strengthening of the pelvic and lower extremity muscles, should be attempted.") Warren, thank you for your article, "Acetabular Rim Syndrome in Young Adults: A Major Cause of Osteoarthritis of the Hip..." Sincerely, Todd Dr. Gastaldo Hillsboro, Oregon PS As an aside, Grandma's stroke risk is the same as baby granddaughter's stroke risk... See Baby stroke risk = elderly stroke risk (Lee et al. UCSF) http://health.groups.yahoo.com/group...t/message/3728 I believe obstetricians are causing strokes in babies via gruesome spinal manipulation - closing birth canals up to 30% (semisitting and dorsal delivery) and KEEPING birth canals closed the "extra" up to 30% (keeping women semisitting or dorsal) when babies get stuck - as they pull with hands, forceps and vacuums - sometimes pulling so hard they rip spinal nerves out of tiny spinal cords. It's a chiropractic emergency, Warren. I mention the chiropractic emergency for obvious reasons - but also because it's relevant to this post: Obstetricians have blamed their bizarre practice of closing birth canals up to 30% on our culture-wide loss of the easy squatting ability. See British obstetrician Jason Gardosi et al.'s 1989 Lancet "randomised controlled trial of squatting" where nobody squatted because - ostensibly - sedentary Western women cannot squat well enough to deliver squatting. NOTE #1: It took some time, but Gardosi now RECOMMENDS squatting at delivery - this after assuring me in a personal letter in 1990 that two British trials had demonstrated that squatting delivery is "definitely NOT an option." (Emphasis Gardosi's - LOL!) NOTE #2: Women do NOT have to squat to allow their birth canals to open the "extra" up to 30%. See ACOG's 2005 edition: How NOT to birth http://health.groups.yahoo.com/group...t/message/3606 I may as well mention UNNECESSARY C-SECTIONS and UNNECESSARY EPISIOTOMIES... As noted at the just cited URL, obstetricians are slicing vaginas and abdomens en masse (episiotomy/c-section) - surgically/fraudulently inferring they are doing/have done everything to open birth canals - even as they close birth canals up to 30%. Of course, compelling obstetricians to allow birth canals to open maximally will not prevent all c-sections or episiotomies or forceps use - but obstetricians have no business keeping birth canals closed the "extra" up to 30% when babies get stuck. Similarly, Western culture has no business robbing children of their innate, comfortable prolonged flat-footed squatting ability - regardless whether squatting prevents hip osteoarthritis. Warren, feel free to reproduce this email, in its entirety, anywhere you like. This Open Letter to Warren Hammer, MS, DC, DABCO will be archived for global access in the Google usenet archive. Search http://groups.google.com for "Grandma's hip osteoarthritis" One last matter, Grant... Your phrase, "of particular importance in welfare and medico-legal situations" reminds me of another aspect of The Great Birth Robbery: Obstetricians are strangling babies and robbing them of up to 50% of their blood volume. This is happening to EVERY CESAREAN BABY, according to retired obstetrician George Malcolm Morley, MB ChB FACOG... Regarding routine baby strangling...here is something I emailed recently to Oregon Attorney General Hardy Myers... ....AMERICAN MEDICINE¹S **MOST** FREQUENT SURGICAL BEHAVIOR IS OBVIOUS CHILD ABUSE THE WAY OBSTETRICIANS PRACTICE IT... Retired obstetrician George Malcolm Morley, MB ChB FACOG is recommending that his fellow obstetricians temporarily strangle babies - to help obstetricians learn why they should not immediately clamp/cut umbilical cords thereby PERMANENTLY strangling babies/robbing them of up to 50% of their blood volume. Dr. Morley indicates that EVERY CESAREAN BABY is being robbed of up to 50% of his/her blood volume. HERE IS DR. MORLEY RECOMMENDING THE **TEMPORARY** BABY STRANGLING ON THE WEB... "[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 Hardy [Oregon Atty Genl Hardy Myers], some OREGON obstetricians may be going to Dr. Morley's website and experimenting with his temporary baby strangling - as they engage in PERMANENT baby strangling - robbing babies of up to 50% of their blood volume. Dr. Morley MEANS well * but it is simply (obviously) illegal for him to encourage obstetricians to commit ³lesser² child abuse in order to encourage them to stop committing greater child abuse - robbing babies of up to 50% of babies¹ blood volume. See Michigan Baby Strangler George Malcolm Morley, MB ChB FACOG http://health.groups.yahoo.com/group...t/message/3739 Again Hardy, I know that you may be unable to investigate MDs because you part of the medico-"legal" "just us" system... But at least offer assistance to pregnant women in your circle of family and friends, OK? Grant, if British babies are being strangled and robbed of massive amounts of blood - not to mention being robbed of up to 30% of pelvic outlet area (I suspect both robberies are occurring in Britain), I encourage you to get on your horse and do something about it immediately. These are EASILY avoided robberies. See above. Of course, I am also interested in whether you distinguished between crouching on the toes and "squatting" - but that is not nearly so urgent. Sincerely, Todd Dr. Gastaldo Hillsboro, Oregon USA This Open Letter to Surgeon Commodore Grant H McMillan, QHP MD MSc FRCP FRCP Glasgow will be archived for global access in the Google usenet archive. Search http://groups.google.com for "Prolonged squatting bad? (#2): Were they all really squatting?" |
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