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Re: Mediolateral episiotomy From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Wed Sep 3 08:34:29 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Angela DeTie CNM: "Re: U. of C. weighing costs of midwives" Previous message: Efrain Ramirez: "Re: Mediolateral episiotomy" In reply to: Cheri Van Hoover: "Re: Mediolateral episiotomy" Next in thread: Dr. Bulent Potur: "Re: Mediolateral episiotomy" I think I have cut one mediolateral in the last 10 years, recently, as a matter of fact. I may cut 3-4 episiotomies a year, period, all midline. When I did cut the mediolateral, I cut proximal and lateral to the anal sphincter, rather than at a 45 degree angle, as I was taught by midwives. It seems that the repair was easier, less blood and less post-partum dyspareunia. However, my series is slightly less than 1000. -- Richard Chudacoff, MD It is legal because I wish it. Louis W. XIV -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Cheri Van Hoover Sent: Tuesday, September 02, 2003 9:24 PM To: Multiple recipients of list OB-GYN-L Subject: 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: Angela DeTie CNM: "Re: U. of C. weighing costs of midwives" Previous message: Efrain Ramirez: "Re: Mediolateral episiotomy" In reply to: Cheri Van Hoover: "Re: Mediolateral episiotomy" Next in thread: Dr. Bulent Potur: "Re: Mediolateral episiotomy"

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