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Re: Mediolateral episiotomyFrom: Len2976@aol.comTue Sep 2 05:08:16 2003
As you said--Pain, difficult repair, Pain, bleeding, Pain, and very slow recovery. When I was a new (RN) grad, RML was standard for all primips. By the time I graduated from nurse-midwifery school, more than 80% of patients still had episiotomies, although by then MLs were more common. As a new grad, I delivered a patient and did a ML episiotomy--she had had a RML for her first birth. When I saw her 6 weeks later, she told me the episiotomy she'd had 3 years before (RML) was still more uncomfortable during sex or when she sat on a hard seat (like at a baseball game) than the one she'd had 6 weeks prior. Today I rarely do episiotomies (I've done 1 so far this year out of about 120 deliveries) and could count on one hand the times I've had more than a 2nd degree laceration in the past 15 years. Lenora McCall, CNM
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