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Re: Mediolateral episiotomy From: Cheri Van Hoover (cherivh@xdcr.com) Tue Sep 2 21:19:57 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ricardo Savaris: "Acute pielonephritis in pregnancy" Previous message: Gail Waldby: "Re: anxiety and breast-feeding" In reply to: Betsy Hyde: "Re: Mediolateral episiotomy" Next in thread: Richard Chudacoff, MD: "Re: Mediolateral episiotomy" Reply: Richard Chudacoff, MD: "Re: Mediolateral episiotomy" Betsy Hyde wrote: > > On Tuesday, September 2, 2003, at 09:03 AM, 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? >> > > I have done one mediolateral epis in approximately 1700 births. I can think of 2 in about 1800 births. One was a woman from Ethiopia who had been genitally mutilated and infibulated. The other was a recent shoulder dystocia. She had a short perineum and visible scars of previous mediolateral episiotomies to both the right and left. When I was unable to extract the posterior arm I cut a right mediolateral along the old scar. Cheri Next message: Ricardo Savaris: "Acute pielonephritis in pregnancy" Previous message: Gail Waldby: "Re: anxiety and breast-feeding" In reply to: Betsy Hyde: "Re: Mediolateral episiotomy" Next in thread: Richard Chudacoff, MD: "Re: Mediolateral episiotomy" Reply: Richard Chudacoff, MD: "Re: Mediolateral episiotomy"

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