Instructor's AssistantMay 11, 2022 at 7:57 am
Thanks Kristen for posting this question – I’d love to hear more on this as well.
Over the past year I started using “liver gummies” (see Claudia’s book) diagnostically when there is no information from vaginal exams. For example: a recent patient I saw at 39 weeks 5 days was a professional ballet dancer with her first pregnancy. Her midwife was not doing vaginal checks and so no information about the status of the cervix, but when I palpated the SP / LV meridians on her lower legs she had several prominent and tender nodules, so I knew promoting cervical ripening was an appropriate treatment principle.