Discussion:
JIPMER! Help!: Birth crime: Failure to translate OLD research into medical practice
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Todd Gastaldo
2011-07-31 13:37:29 UTC
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JIPMER! HELP!: BIRTH CRIME: FAILURE TO TRANSLATE **OLD** RESEARCH INTO
MEDICAL PRACTICE

JIPMER = Jawaharlal Institute of Postgraduate Medical Education &
Research, Pondicherry, INDIA
MEDICAL EMERGENCY.
AN **AMAZING** SCIENTIFIC DISCOVERY FROM EARLY LAST CENTURY AWAITS TRANSLATION INTO MEDICAL PRACTICE...
In the early 1900s, obstetric researcher J. Whitridge Williams, MD (Johns Hopkins, original author of Williams' Obstetrics) clinically demonstrated that semisitting and dorsal delivery positions close the birth canal up to 30% (the 30% figure was derived from a later radiographic study).
In spite of Williams' amazing obstetric discovery, OBGYNs and midwives are still being allowed to use semisitting and dorsal delivery positions thereby closing birth canals up to 30% (most births).
WORSE: OBGYNs and midwives are being allowed to KEEP birth canals closed up to 30% - keep women semisitting or dorsal when babies get stuck as they pull with hands/forceps/vacuums (1 in 10 births) - sometimes pulling so hard they rip spinal nerves out of tiny spinal cords.
Some babies are DYING and OBGYNs are LYING to cover-up.
For the Four OB Lies (they are whoppers) - and for discussion of another obvious OBGYN/midwifery crime (mass temporary baby asphyxiation/mass permanent amputation of up to 50% of baby blood volume - happens in most c-sections and is easily avoided)...
See Dents in babies' skulls
http://groups.google.com/group/misc.kids.pregnancy/msg/08abfc7ff242150e
"DELIVERY BY TRAINED PEOPLE"

JIPMER's Haritha Sagili et al^^^ write:

"[D]elivery by trained people should improve the obstetric and
perinatal outcome in teenage pregnancies..."
--Arch Gynecol Obstet. 2011 Jul 26. [PubMed abstract. Epub ahead of
print]

^^^Sagili H, Pramya N, Prabhu K, Mascarenhas M, Reddi Rani P.

OPEN LETTER archived for global access; see below.

Haritha Sagili MD MRCOG DFFP
Assistant Professor
Department of Obstetrics and Gynaecology
http://www.jipmer.edu/departments.htm
JIPMER (Jawaharlal Institute of Postgraduate Medical Education &
Research)
Pondicherry, 605005
INDIA
Via ***@gmail.com

Haritha,

Please help me make sure that "delivery by trained people" does not
include closing the birth canal up to 30% or keeping the birth canal
closed up to 30% when babies get stuck and hands/forceps/vacuums are
used to pull.

JIPMER's obstetric faculty published a textbook in 2002 titled,
“Clinical Methods in Obstetrics and Gynaecology - A Problem Based
Approach."
http://www.jipmer.edu/departments.htm (Click on "Obstetrics")

I'm hoping JIPMER's obstetrics text warns students of obstetrics not
to KEEP birth canals closed up to 30% when babies get stuck and hands/
forceps/vacuums are used.

If not, I'm hoping a new edition can be published.

Also, I'm hoping JIPMER will join me in urging America's National
Institutes of Health/NIH to translate Williams' century-old scientific
discovery into obstetric practice.

Thanks.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA
***@chiromotion.com

PS On July 25 I wrote to NIH...

NIH! HELP! BIRTH CRIME: FAILURE TO TRANSLATE RESEARCH INTO MEDICAL
PRACTICE

No responses yet...so I'll cc everyone again...

-----Forwarded Message-----
Sent: Jul 25, 2011 3:17 AM
Subject: NIH! Help! Birth crime: Failure to translate research into medical practice
NIH! HELP! BIRTH CRIME: FAILURE TO TRANSLATE RESEARCH INTO MEDICAL PRACTICE
SPEED: The purpose of NIH's Clinical and Translational Science Awards (CTSAs) is SPEED: "to speed scientific discoveries into treatments for patients..."
http://www.nih.gov/news/health/jun2011/ncrr-14.htm
MEDICAL EMERGENCY.
AN **AMAZING** SCIENTIFIC DISCOVERY FROM EARLY LAST CENTURY AWAITS TRANSLATION INTO MEDICAL PRACTICE...
In the early 1900s, obstetric researcher J. Whitridge Williams, MD (Johns Hopkins, original author of Williams' Obstetrics) clinically demonstrated that semisitting and dorsal delivery positions close the birth canal up to 30% (the 30% figure was derived from a later radiographic study).
In spite of Williams' amazing obstetric discovery, OBGYNs and midwives are still being allowed to use semisitting and dorsal delivery positions thereby closing birth canals up to 30% (most births).
WORSE: OBGYNs and midwives are being allowed to KEEP birth canals closed up to 30% - keep women semisitting or dorsal when babies get stuck as they pull with hands/forceps/vacuums (1 in 10 births) - sometimes pulling so hard they rip spinal nerves out of tiny spinal cords.
Some babies are DYING and OBGYNs are LYING to cover-up.
For the Four OB Lies (they are whoppers) - and for discussion of another obvious OBGYN/midwifery crime (mass temporary baby asphyxiation/mass permanent amputation of up to 50% of baby blood volume - happens in most c-sections and is easily avoided)...
See Dents in babies' skulls
http://groups.google.com/group/misc.kids.pregnancy/msg/08abfc7ff242150e
NOTE: One former obstetrician, Sir Iain Chalmers, the world's foremost authority on evidence-based medicine, once indicated to me that women should not be informed that their birth canals are being closed up to 30% until there is scientific evidence that it is beneficial to inform them - which is why I call him a birth criminal.
See Birth criminal (Sir Iain Chalmers, 'Master Maverick of Medical Evidence')
http://groups.google.com/group/sci.med/msg/9811ab988daf28e6
OPEN LETTER archived for global access; see below
Francis S. Collins, MD, PhD
Director
NIH National Institutes of Health
Bethesda, MD 20892
USA
Barbara Alving, M.D.
Director
NIH National Center for Research Resources/NCRR, "a foundation for the entire National Institutes of Health (NIH) research enterprise...Supported by a $1.2 billion budget in FY 2010 — plus an additional $1.6 billion in Recovery Act funding..."
http://www.ncrr.nih.gov/about_us/program_overview/
Anthony Hayward, MD, PhD
Director
Clinical Research
NIH National Center for Research Resources/NCRR
6701 Democracy Blvd, Room 906
Bethesda, MD 20892
Phone: 301-435-0790
Fax: 301-480-3661
Francis, Barbara and Anthony,
MEDICAL EMERGENCY.
Some babies are DYING and OBGYNs are LYING to cover-up.
A REQUEST...
I am nearly out of funds, exhausted from almost two decades of unpaid work trying to overcome OBGYN abuse of science and babies. (Former OBGYN Sir Iain Chalmers' ongoing abuse of science and babies is perhaps the worst offender. See above. As usual, I will email Sir Iain and his colleagues over in Britain.)
In 1992, I published the birth-canal-closing biomechanics of semisitting delivery in the medical literature (FREE ACCESS at the URL below) and have been working tirelessly ever since.
I want to see this project through to completion.
If you could see your way clear to mail me some funding (out of the two billion+ in your budget), it would be greatly appreciated.
Thanks for your immediate attention to this matter.
Sincerely,
Todd
Dr. Gastaldo
Hillsboro, Oregon
USA
Louise E. Ramm, Ph.D.
Deputy Director
National Center for Research Resources
National Institutes of Health
31 Center Drive, Suite 3B11, MSC 2128
Bethesda, Maryland 20892-2128
Telephone: 301-435-0879
Fax: 301-480-3658
Elizabeth ("Ebbie") A. Stewart, MD
CTSA Faculty
Professor of Obstetrics and Gynecology
Mayo Clinic and Mayo Medical School
Rochester, Minnesota 55901
Ebbie,
"In June 2011, Mayo’s CTSA was renewed in 2011 for five years, receiving $64.6 million..."
http://ctsa.mayo.edu/about/index.html
Please spend some of that money SPEEDING Williams' research into medical practice to help mothers and babies.
SOME CRITICISM OF MAYO CLINIC
There is a Mayo Clinic illustration of a woman with birth canal closed up to 30% about to have her vagina sliced.
http://www.mayoclinic.com/health/medical/IM04421
(It makes no sense to close the birth canal up to 30% then surgically/fraudulently infer that everything possible is being done to open the birth canal maximally. It's "nice" sexual assault.)
Mayo Clinic promotes practicing semisitting (birth-canal-closing) during contractions...
"Prop yourself up with pillows, or ask your partner to sit behind you for support. During each contraction, lean forward or draw your knees toward your body."
http://www.mayoclinic.com/health/labor/PR00141
The Mayo Clinic teaches birth-canal-closing, then complains that baby heads can be too big...
"Your health care provider may recommend a C-section if...the baby's head may simply be too big to pass through your birth canal...Your baby's head is too large for your birth canal. Some babies are simply too big to safely deliver vaginally."
http://www.mayoclinic.com/health/c-section/MY00214/DSECTION=why-its-done
FATAL BABY BRAIN BLEEDS
A few years ago, I read of MRI evidence of brain bleeds in 26% of vaginal births (Looney et al. 2007) and suggested that the birth crime may be causing some of these brain bleeds...
http://groups.google.com/group/sci.med/msg/6746b6292cae7566
According to DR. OZ: "Lying on your back...[including semisitting, the most widely used birthing position]...collapses the diameter of your pelvis a half inch to an inch [up to 2.54 cm]..." [Roizen MF and Oz MC. YOU: Having a Baby: The Owner's Manual to a Happy and Healthy Pregnancy. NY: Free Press 2009:234,327]
According to Williams Obstetrics: "[0.5 to 1.0 cm of molding of the fetal skull]...may make the difference between successful vaginal delivery and a major obstetrical operation (p.369)...when distortion is marked, molding may lead to tentorial tears, laceration of fetal blood vessels, and FATAL intracranial hemorrhage." (p.524)
[Cunningham, MacDonald, Leveno, Gant and Gilstrap, Williams Obstetrics Appleton-Lange 1993. FATAL emphasis added.]
DR. OZ was being conservative. Birth-canal-closing can collapse the AP outlet diameter up to *4* cm, according to a clinical study by J. Whitridge Williams, MD (original author of Williams Obstetrics) early last century...
SOMETHING DRAMATIC...
NOTE: Moving the mother off her sacrum and allowing maximal pelvic outlet area at delivery does not guarantee a safe delivery - but the effect can be dramatic.
"[B]abies who were tightly wedged in the lithotomy position have been known to literally fall out of the vagina once this [hands-and-knees] position is assumed..."
--Anna L. Meenan, MD, Ina May Gaskin, MA, Pamela Hunt, and Charles A. Ball, MD. A new (old) maneuver for the management of shoulder dystocia. J Fam Pract. 1991 Jun;32(6):625-9.
http://www.thefarm.org/midwives/dystocia.html
(NOTE: Hands-and-knees is only one position that allows the birth canal to open maximally. Side-lying, kneeling/leaning-against-the-raised-head-of-the-bed, squatting, standing and other positions also allow the birth canal to open maximally.)
BIZARRELY, the two MDs and two midwives just quoted (Meenan, Gaskin, Hunt and Ball [1991]) reported that allowing the birth canal to open maximally is "not likely to be adopted in large traditional centers" (hospitals). (!)
http://www.thefarm.org/midwives/dystocia.html
They were right!
Incredibly, hospitals and hospital physicians and midwives aren't the only ones promoting semisitting/birth-canal-closing.
"Natural" childbirth advocates also promote the birth-canal-closing semisitting position.
See Lamaze/Bradley/Dick-Read/Child­birth Without Fear [2001]
http://groups.google.com/group/sci.med/msg/ac84167234f23266
Legal counsel for Oregon's only medical school (OHSU) recently threatened to sue me if I did not stop emailing OHSU personnel asking that they take action to stop OHSU from promoting semisitting delivery.
See Birth crime: OHSU threatens Dr. Gastaldo (Attn: DA Mike Schrunk)
http://groups.google.com/group/misc.health.alternative/msg/aaf9e6a5739490f1
Excerpted from Birth crime and Bigfork Valley Hospital (also: Whale thanks humans! VIDEO)
http://groups.google.com/group/sci.med/msg/9d88d1aa228aacd8
I say again to Francis, Barbara and Anthony,
MEDICAL EMERGENCY.
REMEMBER: Some babies are DYING and OBGYNs are LYING to cover-up.
MY REQUEST AGAIN...
I am nearly out of funds, exhausted from almost two decades of unpaid work trying to overcome OBGYN abuse of science and babies.
In 1992, I published the birth-canal-closing biomechanics of semisitting delivery in the medical literature (FREE ACCESS at the URL below) and have been working tirelessly ever since.
I want to see this project through to completion.
If you could see your way clear to mail me some funding (out of the two billion+ in your budget), it would be greatly appreciated.
Thanks for your immediate attention to this matter.
Sincerely,
Todd
Dr. Gastaldo
Hillsboro, Oregon
USA
Forgive my reference to "OBGYN child abusers" below but what else should OBGYNs be called when they KEEP birth canals closed up to 30% when babies get stuck and lie to cover-up? (Think about Sir Iain Chalmer's abuse of science (and babies) above. Incredible...)
OBGYN child abusers indirectly ADMIT ON VIDEO^^^ that
they KNOW they are routinely closing birth canals up to 30%. The
American College of Obstetricians and Gynecologists/ACOG's Shoulder
Dystocia Drill video purports to demonstrate how to allow the birth
canal to open maximally in the small number of cases when babies'
shoulders get stuck - which is the indirect admission that OBGYNs
know they are routinely closing birth canals up to 30%.
Sadly, the version of McRoberts maneuver, purported on
the ACOG video to allow the birth canal to open maximally, actually
keeps the woman on her sacrum, birth canal closed with more force.
For the simple biomechanics and for a radiographic cite
and a clinical cite from the medical literature, see Gastaldo TD.
Letter. BIRTH. 1992;19(4):230-1.
http://www.blackwell-synergy.com/toc/bir/19/4. Thanks to
WileyInterscience, FREE ONLINE ACCESS was recently re-instated.
^^^Significantly, the ACOG indirect video admission of the
birth-canal-closing crime was ruled exempt from the hearsay rule in
Costantino v. DAVID M. HERZOG, MD, PC, 203 F. 3d 164 - Court of
Appeals, 2nd Circuit.
http://scholar.google.com/scholar_case?case=8777082126942104150&hl=en&\
as_\
s\
\d\
t=2&a\s_vis=1&oi=scholarr
Again, according to Austrian physician ANDREA FRUDINGER et
al.,
"It is established obstetric teaching that a narrow pelvic
outlet predisposes to a difficult vaginal delivery..."
--Ass-Ärztin Dr. Andrea
Froschauer-Frudinger et al.
[Br J
Obstet Gynaecol 2002;109(11):1207-12]
Obstetricians KNOW they are routinely narrowing birth
canals...
A BALD LIE IN WILLIAMS OBSTETRICS...
"The most widely used and often the most
satisfactory...[delivery position]
is...dorsal lithotomy...in order to increase the diameter
of
the pelvic
outlet." [Williams Obstetrics 2001:316]
The authors of Williams Obstetrics KNEW this was a bald lie
when they
published it - because - beginning in 1993 - at my request
-
they published
[T]he increase in the diameter of the pelvic outlet occurs
*only* if the
sacrum is not forced anteriorly by the weight of the
maternal pelvis against
the delivery table or bed." [Williams Obsetrics 2001:55]
Dorsal lithotomy - also known as the "dorso-sacral"
position
- forces the
sacrum anteriorly - CLOSES the pelvic outlet up to 30%.
Semisitting - another common medical delivery position -
also forces the
sacrum anteriorly and closes the pelvic outlet up to 30%.
OBs are KNOWINGLY closing birth canals up to 30% and
KEEPING
birth canals
closed when babies get stuck - and LYING to cover-up. See
the Four OB Lies
below.
Sometimes OBs pull so hard they rip spinal nerves out of
tiny spinal cords.
Some babies die - some get paralyzed - most "only" have
their spines
grueseomely wrenched.
ALL spinal manipulation is gruesome with the birth canal
senselessly closed
up to 30%.
Note also: OBs are slicing vaginas/abdomens en masse
(episiotomy/c-section) - surgically/fraudulently inferring
they are
doing/have done everything possible to OPEN birth canals -
even as they
CLOSE birth canals - up to 30%.
This is massive criminal negligence that sometimes
escalates
to criminally
negligent homicide. C-section increases the odds that a
mother will die.
Also, some babies die - and MDs indirectly admit that
closing the birth
canal FAR LESS than 30% can KILL babies.
As usual, I am in favor of pardons in advance for MDs. As
med students, MDs
are TRAINED to perform obvious felonies.
THE FOUR OB LIES
OB LIE #1. After MASSIVE change in the AP pelvic outlet
diameter was
clinically demonstrated in 1911 and radiographically
demonstrated in 1957,
the authors of Williams Obstetrics began erroneously
claiming that pelvic
diamaters DON'T CHANGE at delivery.
OB LIE #2. After Ohlsen pointed out in 1973 that pelvic
diameters DO
change - the authors of Williams Obstetrics began
erroneously claiming that
their most frequent delivery position - dorsal - widens the
outlet.
OB LIE #3. After I pointed out in 1992 that dorsal CLOSES -
and so does
semisitting - the authors of Williams Obstetrics - put the
correct
biomechanics in their 1993 edition - but kept in their text
(in the same
paragraph!) - the dorsal widens bald lie that first called
my attention to
their text...
OB LIE #4. OBs are actually KEEPING birth canals closed
when
babies get
stuck - and claiming they are doing everything to allow the
birth canal open
maximally. (The American College of Obstetrics and
Gynecology/ACOG Shoulder Dystocia video purports to demonstrate how
to allow the birth canal to open maximally when babies' shoulders
get
stuck, which is an indirect admission that obstetricians know they
are routinely closing birth canals up to 30% as in the 1 in 10
births
when forceps/vacuums are used to pull: Forceps and vacuum births
are performed with the mother kept in a semisitting or
lithotomy delivery position.)
CHIROPRACTIC PHYSICIANS ARE REMAINING SILENT - EVEN THOUGH OBGYNs ARE
COMMITTING AN OBVIOUS **SPINAL MANIPULATION** CHILD ABUSE CRIME (SEE ABOVE)
-
EVEN THOUGH MD-PEDIATRICIANS HAVE ASKED CHIROPRACTIC PHYSICIANS FOR HELP
"'Patient safety demands a greater
collaboration between the medical community and other health care
professionals, particularly chiropractors, such that we can investigate
and report harms related to spinal manipulation together.'"
--Sunita Vohra, MD FRCPC MSc et al. Pediatrics. 2007 Jan;
119(1):e275-83.
Epub
2006 Dec
18. PubMed abstract
For my most recent email asking chiropractic physicians to speak out...
See Birth crime and ACA Governor Mario Spoto, DC
http://health.groups.yahoo.com/group/chiro-list/message/6348
For those who think I am just a chiropractor trying to make trouble for medicine, I guess that is partly true - I was indeed trained as a chiropractor and I do want to make LOTS of trouble so OBGYNs and midwives will finally stop their sometimes-fatal birth-canal-closing crime.
But I also want chiropractors to stop THEIR obvious fraud - subluxation demonstration with radiation - which is knowingly being paid for/promoted by the government (which initially MANDATED the radiation demonstration - knowing that chiropractors had admitted they could not demonstrate subluxations with radiation).
I've reported both the obstetric birth-canal-closing fraud and chiropractic's subluxation demonstration fraud to US Attorneys and to Medicare Recovery Audit Contractors...
See Birth crime and Bigfork Valley Hospital (also: Whale thanks humans! VIDEO)
http://groups.google.com/group/sci.med/msg/9d88d1aa228aacd8
Surely all can agree that OBGYNs and midwives should not be KEEPING birth canals closed up to 30% when babies get stuck and hands/forceps/vacuums are used to pull (1 in 10 births).
Where ARE the MD-pediatricians?
"'Patient safety demands a greater
collaboration between the medical community and other health care
professionals, particularly chiropractors, such that we can investigate
and report harms related to spinal manipulation together.'"
--Sunita Vohra, MD FRCPC MSc et al. Pediatrics. 2007 Jan;
119(1):e275-83.
Epub
2006 Dec
18. PubMed abstract
Silence - babies be damned - and it's chiropractors AND pediatricians remaining silent - it's the damndest thing.
The silence of US Attorneys is perhaps most incredible; but then again, the wife of the supervisor of all US Attorneys, Attorney General Eric Holder, is an OBGYN...
MEDICAL EMERGENCY
NIH! HELP!
This post will be archived for global access in the google groups usenet archive (www.groups.google.com)...
See NIH! Help! Birth crime: Failure to translate research into medical practice
http://groups.google.com/group/sci.med/msg/3e319a1ea56dbe27
Alternate archive: http://health.groups.yahoo.com/group/chiro-list/
bosco dominique
2011-08-04 10:09:46 UTC
Permalink
dear dr Todd Gastaldo
I am a journalist working for The Times of India posted in Pondicherry. I visited google groups and had the opportunity to read your comments on the present practice adopted by doctors (OBGYN) in india attending deliveries. You are strongly against semisitting posture or dorsal delivery positions pointing out that it blocks 30% of the birth canal. I am planning to do an article about the topic. Can you please guide me. You said that in the early 1900s, obstetric researcher J. Whitridge Williams, MD (Johns Hopkins, original author of Williams' Obstetrics) clinically demonstrated that semisitting and dorsal delivery positions close the birth canal up to 30% (the 30% figure was derived from a later radiographic study). Can you please elaborate how these positions blocks the birth canal. Also please list out the alternate and safe posture for easy deliveries.
Thanks and regards
Bosco Dominique (9842152496)

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