This ballad poem, published in 1819, is just one version of the classic folktale. As in many ballads, the refrains of Keats' poem act as a sort of argumentation.
In 1976, Ina May Gaskin described a maneuver for the resolution of shoulder dystocia that involves placing the gravid mother on her hands and knees. (Bruner, 1998) used this procedure in 82 deliveries complicated by shoulder dystocia and was able to resolve it in 68 cases (82%) with this maneuver alone.hile it is incumbent upon all obstetricians to know about the Zavanelli maneuver and how to perform it when a difficult shoulder dystocia occurs, its significant potential for fetal and maternal injury must relegate it to the status of a last ditch procedure.
What is limb-girdle muscular dystrophy? Limb-girdle muscular dystrophy (LGMD) isnât really one disease. Itâs a group of disorders affecting voluntary muscles, mainly those around the hips and shoulders. The shoulder girdle is the bony structure that surrounds the shoulder area, and the pelvic girdle is the bony structure surrounding the hips. Collectively, these are called the limb girdles, and it is the muscles connected to the limb girdles that are the most affected in LGMD.