Re: Mediolateral episiotomy

From: Glen Elrod MD (glen.elrod@elmendorf.af.mil)
Tue Sep 2 01:41:29 2003


What sort of complications regarding pain or dyspareunia do you see?

Glen

At Tue, 02 Sep 2003, Bernard Cristalli wrote: >
>Mediolateral episiotomy is the standard of care around here.
>
>"Š median episiotomies are easier to repair, but have a higher incidence of
>4th degree lacerations, while mediolaterals are more difficult to repair,
>more painful, but less likely to involve the anus"
>
>That's it.
>
>--
>Bernard Cristalli MD AMACOG
>AIHP - ACCA
>Paris France
>http://www.CliniquedelEssonne.fr
>http://www.obgyn.net/corresp/cristalli.htm
>http://www.gyneweb.fr
>'64 Mk2 3.8
>
>> De : glen.elrod@elmendorf.af.mil (Glen Elrod MD)
>> Is anyone in the group doing mediolateral episiotomies? I only had one
>> attending in residency that did them routinely, so I don't have much
>> experience with them.
>> Does anyone have any information on complications vs midline? Everything
>> I've pulled up from medline leads toward them having LESS complications,
>> but if that were the case, why aren't we all doing them instead of
>> midline?
>> Glen
>

--
D. Glen Elrod, Maj, USAF, MC
Medical Director
Women's Health Clinic
Elmendorf AFB, AK 99506




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