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DELIVERY ON THE HANDS AND KNEES

A Case Study Approach

Authors

  • Jane M. Gannon cnm, msn

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    • Jane M. Gannon, cnm, msn, is currently a nurse-midwife working with University Associates in Obstetrics and Gynecology in Burlington, Vermont. She received her B.N. degree from Dalhousie University, Nova Scotia, in 1982 and her M.S.N. from the University of Miami in 1987


University Associates in Obstetrics and Gynecology, 1 South Prospect Street, Burlington, VT 05401

ABSTRACT

This article uses a case study approach to describe two deliveries on the hands and knees. This alternative birthing position is suggested as a means of preserving the perineal floor at the time of delivery. Explicit instruction in the conduct of a hands and knees delivery position is offered. Both advantages and disadvantages of this birth position are outlined. The primary advantage of preserving the perineum may come at the expense of the vulvar structures. Further study is urged on the use of alternative birthing positions and their effect on the birthing process

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