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View Full Version : Migraine after childbirth (also: Altered taste and an epilepsy/bipolar/migraine/obesity drug)


Todd Gastaldo
July 10th 03, 12:31 AM
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 (P<0.0001)...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=&hl=en&lr=&ie=UTF-8&oe=UTF-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=en&lr=&ie=UTF-8&oe=UTF-8&selm=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=en&lr=&ie=UTF-8&oe=UTF-8&selm=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/articles/june01/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=en&lr=&ie=UTF-8&oe=UTF-8&selm=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_docs/common/guide/pdfs/healthybegeng.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=en&lr=&ie=UTF-8&oe=UTF-8&selm=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=en&lr=&ie=UTF-8&oe=UTF-8&selm=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


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to help stop MDs from closing birth canals up to 30%?"