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Re: Mediolateral episiotomyFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Tue Sep 2 11:19:18 2003
At Tue, 2 Sep 2003, Anna Meenan, MD wrote: > >That would be my question: Why are you guys even doing them at all, >except in cases of massive fetal distress? > >-- > Anna Meenan, MD > >At Tue, 2 Sep 2003, Douglas Krell wrote: >> >>Lenora you are so right. I'd much rather sit there and wait for the baby for a few extra minutes, than have to sit there and sew up an episiotomy afterwards. >> >>-- >>Douglas Krell MD >> >> Lenora McCall, CNM wrote: >> >> 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. >> Ever try to repair a macerated clitoris, my epis rate use to be 3% its now 6% the only macerated clitoris's I have repaired in the last 3 years were refered to me by the midwifes and family docs almost all where primips. All I do is make sure I stop the bleeding and the patient can pee, cosmetically they will look awfull foreverer its A could thing most patients don't know what normal looks like.
--
Take care, John
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