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Dr. Horkel's vagina stretcher (the EPI-NO)
DR. HORKEL'S VAGINA STRETCHER (the EPI-NO)... See below.
First this WARNING... Obstetricians are *knowingly* closing birth canals up to 30%. See PROOF at the very end of this post. PREGNANT WOMEN: It's EASY to allow your birth canal to OPEN the "extra" up to 30%. See the very end of this post. PRE-STRETCHED VAGINA LADIES A pre-stretched vagina is no doubt nice at birth - your vagina is going to have to stretch anyway - but it makes NO sense to pre-stretch your vagina and then let your MD close your birth canal! Again: It's EASY to allow your birth canal to OPEN the "extra" up to 30%. See the very end of this post. So maybe pre-stretch AND open your pelvic outlet the "extra" up to 30%?... (I wonder how daily perineal massage in the last trimester compares with the EPI-NO.) DR. HORKEL'S VAGINA STRETCHER (the EPI-NO)... Andrea Robertson wrote of the EPI-NO: "...users of the vaginal dilator had lower episiotomy rates than women generally...this device may have its uses, particularly for women who fear second stage and face birth in a climate of routine episiotomy. It is expensive and takes time and commitment to use...it seems to provide a useful alternative to routine perineal surgery. Reference: Siome Cohain J. MIDIRS Midwifery Digest. vol 14, no 1, March 2004, pp 37-41. http://www.birthinternational.com/di...es/000365.html EPI-NO inventor Wilhelm G. Horkel, MD replied: "...It took about 3 years to develop the device and I made first EPI-NO experiences with mothers to be in my gynecological and obstetrical clinic and praxis in Bavaria...I trusted my idea and I started the first study worldwide at the University Hospital in Munich together with Prof. Schneider in 1997. The results of this first study and the acceptance by the women in my praxis were so overwhelming that I patented the device and started the production at Tecsana GmbH in Munich. Now a couple of years later EPI-NO is available in over 21 countries in 5 continents. I am shure that EPI-NO will start a revolution in birth and after birth treatment and that it will become standard in birth worldwide in a couple of years..." --Wilhelm G. Horkel, MD http://www.birthinternational.com/di...es/000365.html OPEN LETTER Wilhelm Horkel Maximilianstr. 5 82319 Starnberg Tel.: 08151-746 555 Fax: 08151-2031 www.dr-horkel.de Wilhelm, First a little trivia just in case you haven't heard... A DO-IT-YOURSELF C-SECTION! "She took three small glasses of hard liquor and, using a kitchen knife, sliced her abdomen in three attempts...and delivered a male infant that breathed immediately and cried," said Dr R.F. Valle, of the Dr Manuel Velasco Suarez Hospital in San Pablo, Mexico." http://www.cnn.com/2004/HEALTH/04/06...eut/index.html See: http://health.groups.yahoo.com/group...t/message/2462 Onward... I wrote: OBs are knowingly closing birth canals up to 30%... Aribert Deckers (also from Germany) responded: "That is a blatant lie." I responded to Aribert as follows... Aribert is sort of right. 1. Not all OBs know they are closing birth canals; and 2. In some women OBs are closing birth canals MORE than 30%. Here's my source for the 30% figure... "[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. NOTE: In 1973, Ohlsen verified Russell's 20% figure on Borell and Fernstrom's 1957 intrapartum x-rays. Ohlsen pointed out that the authors of Williams Obstetrics were claiming that the pelvic diameters don't change during delivery - so the authors of Williams Obstetrics decided (erroneously) that dorsal delivery widens! See: http://home1.gte.net/gastaldo/part2ftc.html MORE THAN 30%... SOME BABIES ARE **REALLY** GETTING HAMMERED Check out the following "head must rotate around a line joining the ischial tuberosities" quote from the 21st (2001) edition of Williams Obstetrics: "In obstructed labor caused by a narrowing of the...pelvic outlet, the prognosis for vaginal delivery often depends on the length of the posterior sagittal diameter of the pelvic outlet (p. 56)...The posterior triangle [of the pelvic outlet]...is limited at its apex by the tip of the last sacral vertebra (not the coccyx) (p. 437)...With increasing narrowing of the pubic arch, the occiput cannot emerge directly beneath the symphysis pubis but is forced increasingly farther down...the ischiopubic rami. In extreme cases, the head must rotate around a line joining the ischial tuberosities [!] (p. 438)..." Stated another way, if the mother has a narrow pubic arch, the baby's head doesn't go into the arch very far - which greatly increases the influence of sacro-iliac motion. Again, some babies are REALLY getting hammered. In such women the pelvic outlet is likely closed WAY more than 30% if sacroiliac motion is denied. MDs knew about what I am talking about early last century.... Harvard obstetrician Arthur B. Emmons, MD wrote in 1913 "[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.] WEIRD! ######### In the 70s, why *was* Williams Obstetrics saying that the pelvic diameters don't change? See Ohlsen discussion at: http://home1.gte.net/gastaldo/part2ftc.html ######### After all, J. Whitridge Williams, MD, the original author of Williams Obstetrics clinically demonstrated truly MASSIVE changes in AP pelvic outlet diameter in 1911! ######### How could MD-obstetricians get something so very important so very wrong? ######### What if MD-obstetricians INTENTIONALLY got it wrong? Anyway... Here's what was added to Williams Obstetrics at my request: "It should be noted...that the increase in the diameter of the pelvic outlet occurs **only** if the sacrum is allowed to rotate posteriorly, that is, only if the sacrum is not forced anteriorly by the weight of the maternal pelvis against the delivery table or bed." [Cunningham, MacDonald, Leveno, Gant and Gilstrap, Williams Obstetrics Appleton-Lange 1993:285, **italics in original] Unfortunately, the authors of Williams Obstetrics left in their text - in the same paragraph (!) the "dorsal widens" bald lie that first called my attention to their text)!! http://home1.gte.net/gastaldo/part2ftc.html I had discovered the "dorsal widens" bald lie that Ohlsen (see above) stimulated... It is still in the latest (2001) edition of Williams Obstetrics! Thanks for reading, Sincerely, Todd Dr. Gastaldo PS1 Wilhelm, there is now MRI evidence that OBs are denying "significant" outlet area... But they could have demonstrated MUCH more! See Flip women over, reach in vagina, *pull* on sacrum during MRI! http://groups.yahoo.com/group/chiro-list/message/2136 PS2 Andrea, thank you for writing about Wilhelm's vagina stretcher... I didn't see anything on your website about OBs knowingly closing birth canals up to 30%. I note that ACE Graphics (UK) is part of www.birthinternational.com... Maybe ACE Graphics (UK) could do medical illustrations that attorneys could use to show how MDs are closing birth canals up to 30%? See Medical illustrators: Global effort for babies... http://health.groups.yahoo.com/group...t/message/2499 It occurred to me to write to you when I read the following: "We would also welcome your feedback on our web site, our services and products, or anything else that comes to mind..." http://www.birthinternational.com/contact/index.html A website named Birth International should be telling women that OBs internationally are knowingly closing birth canals - and that it is EASY for women to offer their babies the "extra" up to 30%... Copied to: Birth International (Australia) PO Box 366 Camperdown NSW 1450 Phone: (02) 9564 2322 Fax: (02) 9564 2388 ACE Graphics (UK) PO Box 173 Sevenoaks Kent TN14 5ZT Phone: (01959) 524 622 Fax: (01959) 525 800 Matty van Oosterom (New Zealand Agent) Birds & Bees NZ Ltd PO Box 34 406, Birkenhead, Auckland Phone: (09) 480 1491 Fax: (09) 480 1451 Email: Web: www.cbe.co.nz PROOF that OBs are knowingly closing birth canals up to 30%... According to the Merck Manual: "When shoulder dystocia occurs...the mother's thighs are hyperflexed to increase the diameter of the pelvic outlet..." http://www.merck.com/mrkshared/mmanu...er253/253g.jsp WHY are OBs and CNMwives (nurse midwives) waiting until the head is out and shoulders get stuck before giving the baby maximum pelvic outlet diameter? WHY are we letting OBs and CNMwives force babies' heads through birth canals senselessly closed up to 30%? OBs and CNMwives are SLICING vaginas (euphemism "routine episiotomy") - surgically/FRAUDULENTLY inferring everything possible is being done to OPEN birth canals - even as they CLOSE birth canals - up to 30%! See Criminal medical CAM at Hawai'i's John A Burns School of Medicine http://health.groups.yahoo.com/group...t/message/2256 PREGNANT WOMEN: 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 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! Talk to your MD or MB about this TODAY. (For further details see the "Criminal medical CAM" URL above.) MDs/MBs: If you must push or pull - and sometimes you must - first get the woman off her sacrum - off her back/butt. My thanks to Bryna for mentioning Dr. Horkel's EPI-NO on the usenet (misc.kids.pregnancy). Thanks for reading, everyone. Sincerely, Todd Dr. Gastaldo This post will be archived for global access in the Google usenet archive. Search http://groups.google.com for "Dr. Horkel's vagina stretcher (the EPI-NO)" |
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Dr. Horkel's vagina stretcher (the EPI-NO)
Hee hee, I inspired a Gastaldo post -- this is a big moment in my newsgroup
career! Be well, Bryna Mommy to Yosef, 3 & Temima, 1 |
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Did Naomi ignore 'crazy' Todd? Bryna inspires *another* Gastaldo post
DID NAOMI IGNORE "CRAZY" TODD?
See PS2 First this... Bryna wrote: "Hee hee, I inspired a Gastaldo post -- this is a big moment in my newsgroup career! " http://groups.google.com/groups?selm...&output=gplain Bryna, THANK YOU for your EPI-NO post! You did indeed inspire me to write: "Dr. Horkel's vagina stretcher (the EPI-NO)." http://health.groups.yahoo.com/group...t/message/2504 (You are mentioned at the very end.) Upon reading your humorous "Hee hee" and "big moment in my newsgroup career" comments, it occurred to me that I did not inspire you to allow your birth canal open the "extra" up to 30%... I searched for and found little Yosef's birth story online (excerpt below)... Correct me if I am wrong Bryna, but it looks like your little Yosef was vacuum extracted/pulled through a birth canal closed up to 30%. : ( MOST vacuum births are done with the mother on her back or semisitting, closing her birth canal up to 30%. Same with shoulder dystocia. OBs: If you must pull - and sometimes you must - you do NOT have to keep the mother's birth canal closed up to 30%. Assuming you were on your back or semisitting, maybe you birthed Yosef before you saw one of my posts? Yosef's Apgars were 9/9 and he grabbed the doctor's pen (again, see the excerpt below). It sounds like he did fine. Then again, an estimated 4.6% of "healthy" term neonates suffer unexplained brain bleeds and pediatricians find unexplained motor and perceptual deficits later in life. KATE ELLIOTT, MD Another misc.kids.pregnancy subscriber - a medical student - now an MD - apologized to me in her birth story... If she knowingly allowed her OB to close her birth canal, she apologized to the wrong person. But maybe I am wrong... Maybe she didn't birth on her back, closing her birth canal up to 30%? See Do-it-yourself C-section! http://health.groups.yahoo.com/group...t/message/2462 Whenever I discuss the majority of births - with birth canal senselessly closed - I usually always mention that like most of us I too was born through a birth canal senselessly closed up to 30%. I also attempt humor, saying something like: Incredible as it may seem I might have been more intelligent! : ) All joking aside though... Why *are* an estimated 4.6% of "healthy" term babies suffering unexplained brain bleeds? Why are some babies manifesting unexplained motor and perceptual deficits later in life? Why the unexplained DEATHS of babies at birth? Australian obstetrician Norman Beischer, MD once guessed that 10 to 15% of stillbirths were just fine right before delivery. Fortunately, most babies do fine - but maybe doing "fine" at birth is not the best measure of future maximum human potential? (Those unexplained brain bleeds in "healthy" term babies really bother me.) Bryna, I'm hoping you simply did not see my posts until after Yosef's birth. (Again, I'm assuming that your vacuum birth was done on your back - or perhaps semisitting - closing your birth canal up to 30%. My sincerest apologies if I am wrong - if you insisted on getting off your sacrum as the OB vacuumed your baby out.) I am writing this primarily because of your sister's upcoming birth... You wrote: "I think my sister's OB does lots of episiotomies, so I don't have much hope for her avoiding one. Darn it, I *told* her to go with a midwife! Little sisters, they never listen. Thanks for responding." http://groups.google.com/groups?selm...&output=gplain Most episiotomies constitute obvious mass assault and battery against women. OBs are slicing vaginas en masse - surgically/FRAUDULENTLY inferring they are doing everything possible to OPEN birth canals - even as they CLOSE birth canals - up to 30%. As always, I am in favor of pardons in advance for MDs. MDs are just academic prime cuts forced through this culture's most powerful mental meat grinder - medical school. Bryna, please make sure your sister knows that OBs are knowingly closing birth canals - and that it is easy for her to OPEN her birth canal the "extra" up to 30%. Maybe your sister could read this post and/or the first post of mine that you inspired? See again: "Dr. Horkel's vagina stretcher (the EPI-NO)." http://health.groups.yahoo.com/group...t/message/2504 Just a thought. Thanks. Sincerely, Todd Dr. Gastaldo PS1 Here is that excerpt of little Yosef's birth story I mentioned above... You wrote: "My doctor wasn't much help...his idea of encouragement was 'You can push harder! Come on!'" If your doctor was indeed closing your birth canal up to 30% - he wasn't much help at all - indeed he was hindering little Yosef's progress... "Bryna729" wrote in message ... Hee hee, I inspired a Gastaldo post -- this is a big moment in my newsgroup career! Be well, Bryna Mommy to Yosef, 3 & Temima, 1 ...I started pushing. The first few pushes weren't bad. After an hour, I was getting pretty tired. Also a bit discouraged. But still hopeful that I would be a mother in another half an hour or so. Nope. I tried to visualize his head coming down the birth canal to inspire me, but after a while I didn't really believe that he was ever coming out and I began to feel really exhausted and hopeless. My doctor wasn't much help, since his idea of encouragement was "You can push harder! Come on!" It took three hours of pushing and a vacuum extraction to produce my son. I had hoped to avoid an episiotomy, but once we decided to go with the vacuum, an episiotomy became a must. By then, of course, I didn't care anymore. I just wanted this baby OUT.... As the doctor handed him to the nurse, my mischievous newborn grabbed the pen out of the doctor's pocket and wouldn't give it back. It was so cute! His Apgars were 9/9. http://groups.google.com/groups?selm...&output=gplain END excerpt of little Yosef's birth story Again Bryna, please make sure your sister knows that OBs are knowingly closing birth canals - and that it is easy for her to OPEN her birth canal the "extra" up to 30%. Thanks for reading. Sincerely, Todd Dr. Gastaldo PS2 DID NAOMI IGNORE GASTALDO? When Jamie Clark asked: "Is Sheila the new Todd Gastaldo?" Naomi Rivkis replied: "No. Unlike Todd, Sheila has *admitted* that she's crazy." http://groups.google.com/groups?hl=e...ts%404ax.co m See Christina! What about the PELVIS?! http://health.groups.yahoo.com/group...t/message/2303 I replied: "OK, I'll admit I'm crazy - if it's crazy for a doctor of chiropractic to persistently protest MDs senselessly closing birth canals and gruesomely manipulating most babies' spines...This obvious spinal manipulation crime is happening in MOST births!" http://health.groups.yahoo.com/group...t/message/2304 Naomi replied: "It's crazy for anybody to be that persistent about anything, Todd. http://groups.google.com/groups?hl=e...2d%404ax.co m NAOMI! SORRY TO BE PERSISTENT BUT... It looks to me like an MD committed the obvious spinal manipulation crime once again - and you and your baby were the victims. (Arrgghhh.) It looks to me like your baby was violently pushed (oxytocin) and vacuum extracted through - a birth canal senselessly closed up to 30%... I'm HOPING that I am wrong... I'm hoping that you were ACTUALLY squatting (see your text below) - actually up OFF your tailbone/sacrum - and not "sort of squatting"/semisitting directly ON your tailbone/sacrum as the OB pulled your baby out by her scalp! But I think I am right. : ( Excerpts of little Grace's birth story... NAOMI GETS TO THE HOSPITAL HAS "MANIA" PROBLEMS DUE TO PAIN "MY BODY HAD JUST GONE WEIRD" "There was almost no break by now in between very hard contractions, and I was getting mania problems from the trigger of pain. I literally, physically, *couldn't* stay still. They finally put me in a rocking chair...I pushed the rocking chair so hard, trying to work off the manic energy that Manny had to stand behind it and make sure I didn't tip it over...I didn't know gliders *could* tip over...I couldn't slow down the rocking because of the mania. Finally, somebody got across to the doctor on call from my practice that I was a danger to myself and the baby if the mania was not stopped. The doctor...ordered Ativan when it became clear I wasn't just whining, I was careening off walls. The Ativan helped with the mania; I asked for a half-dose of Stadol, which was what I'd decided earlier would be my first fallback if I needed pain medication...It took the edge off fairly well and Ann and Manny helped me cope for a somewhat surreal few more hours. Between the medications and the focus, I wasn't too aware of time passing, especially since there was still no break between contractions -- none at all, at this point. They just *stayed*. "...They told me later that I was having transition-like contractions from about 2cm on, and they didn't know why; my body had just gone weird that way... I COULDN'T CHANGE POSITION "...changing position -- I couldn't change position; I never had a moment when I wasn't hurting so much that movement was awful. So I mostly stayed sitting on the edge of the bed...and then after a while curled up in bed on my side. Sometime in the middle of this my water broke on its own; I wanted them to change the wet sheets but it took quite a while for me to be able to face moving far enough that they could get the things out from under me. GRACE'S HEART RATE DROPPED NASTILY SO THE DOCTOR GAVE ME SOMETHING TO PAUSE LABOR... "After that things started getting scary. The doctor came in on a fast call from a nurse who spotted Grace's heart rate dropping nastily. They rolled me around into various positions, pain or no, to try and rearrange her into someplace that would let it come back up, and eventually it did... GRACE GETS AN INTERNAL MONITOR^^^ ^^^internal monitors used to be corkscrews that screwed into the baby's scalp - anyone know if this is still the case? "...[T]hey installed an internal monitor at that point. I didn't object; I had mostly not wanted an internal monitor because I wanted the ability to move around during labor. I clearly was not interested in moving around at this point, and I was scared about the heartrate. The doctor gave me something to pause labor for a while, believing that the dipping heartrate, which was still in fluctuation, was basically a result of the very hard continuous labor stressing her out.... THE DOCTOR SAID IT WAS TIME TO START THINGS UP AGAIN... "[T]he doctor said...it was time to start things up again. This was going to take PITOCIN...If I was going to have pitocin-induced [contractions], reputed to be tougher, I wanted an EPIDURAL...So they gave me the epidural and the pitocin...The doctor...thought it was necessary to get Grace out quickly. VACUUM was the least intrusive of the possibilities for that, so she'd like to try that one first; other possibilities were foreceps or Caesarean...I...said I'd accept the vacuum. Let's get this over with... [emphasis added] VACUUM DELIVERY SORT OF SQUATTING OVER THE BED... "ARCH YOUR TAILBONE BACK..." "A lot of people gave me very specific instructions on positioning to push, and it really helped. I don't just mean big things like which way around I was -- basically vertical, sort of squatting over the bed with its back all the way up to support mine -- but stuff like 'arch your tailbone back a little more.' When I got it right I *knew* it; she started sliding very perceptibly right away [presumably vacuum still attached to Grace's scalp, doctor pulling - TDG], and came out in two more pushes through one contraction... [GASTALDO REMARKS: I like this "arch your tailbone back" advice **IF** it was meant to get Naomi off her sacrum. The problem is - if the baby's head slides into the outlet - and the mother let's herself down - she jams her sacral tip sudden-like into her baby's skull. Naomi was leaning back against the bed "with its back all the way up to support mine." If she lifted off her sacrum, I hope she STAYED off it! I've noted before this possible mechanism of "pingpong" skull fractures in relation to GOOD/BAD McRoberts maneuver application before the baby's head is out. Most of them likely pop out spontaneously.] GRACE IS BORN NOT BREATHING ON HER OWN... "Grace wasn't breathing on her own, and she spent her first several minutes over on the other side of the room with the neonatologist and a few other people working over her...The doctors thought [the baby not breathing] might have been related to the Ativan I'd taken earlier for the mania...[O]r it might have just been that she was exhausted by the exceptionally stressful labor... TOUCHING GRACE - REASSURANCE SHE IS NOW BREATHING... "Manny came briefly in from the nursery to report that she was breathing on her own now and the neonatologist said she was going to be just fine, that she'd just been a bit worn out. They didn't want her held or fed for 24 hours because she could use a while without overstimulation, but we could visit her and touch her....We touched her and petted her and I reassured myself that she was breathing..She was born at 11:31 AM Monday the 23rd, about 16 hours after the very beginning of labor and 12 hours after I got to the hospital. It probably would've been 5 hours shorter or so if they hadn't stopped it in the middle because of the heart rate issues. I settled down to sleep around 4:30 that afternoon." http://groups.google.com/groups?selm...&output=gplain "...It was a rough, though not long, labor, with a lot more in the way of medical interventions than I'd hoped for, but since they were actually necessary..." http://groups.google.com/groups?selm...&output=gplain One last note about Naomi's "Todd is crazy" sentiment... Daye was glad to hear me admit I'm crazy - but - she added: "I did learn about why you shouldn't labor on your back. That was thanks to Todd." http://groups.google.com/groups?selm...&output=gplain I'M GLAD SOME ARE LEARNING!! About four years ago, Naomi suggested I am not interested in the welfare of babies... See 'Nice' doesn't work/RivkisClark mistaken/Gastaldo to 'chill' on valium? http://health.groups.yahoo.com/group...st/message/689 My sincerest apologies to Naomi if she ended up closing her birth canal because my style of presentation kept her from grokking my message. Allowing the birth canal won't solve all birth problems... But with OBs themselves indicating that closing the birth canal FAR LESS than 30% can KILL... I think 100% of babies would agree: Do NOT let the OB close the birth canal up to 30%! I *am* interested in the welfare of babies. I am SO relieved that the neonatologists and staff were able to get Naomi's little Grace breathing again! Thanks for reading everyone. Sincerely, "Crazy" Todd Dr. Gastaldo PS Neonatologists successfully resuscitating little Grace reminds me... "10 percent [of babies]...more than four hundred thousand babies a year...find out the hard way that some hospitals boasting state-of-the-art facilities for delivering babies are not so good at handling them once they've been born." --Edward Humes in Baby ER (p. 13) "Many hospitals market their luxurious birth suites...neglecting to mention that they have little to offer the one out of ten babies who ends up needing an NICU. Those children will have to waste precious minutes or hours being transported [to a tertiary care facility] by ambulance...bumping through traffic instead of receiving lifesaving care right where they were born...[M]any small patients arrive...[in tertiary care facility NICUs]...via ambulance from other hospitals...their parents pale and terrified in the car behind them, unable to comprehend...why they made the mistake of starting out at the wrong hospital in the first place..." [Humes E. Baby ER: The Heroic Doctors and Nurses Who Perform Medicine's Tiniest Miracles. NY: Simon & Schuster. 2000:12-13] |
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