Re: OB: Prior infundibulation
From: art fougner, md (evsono@pipeline.com)
Thu Aug 5 09:36:28 2004
Good job, Cheri!
nothing like the voice of experience ... anyone else?
art
At Thu, 5 Aug 2004, cherivh@xdcr.com wrote:
>
>>-- Original Message --
>>Date: Thu, 5 Aug 2004 07:38:15 -0500
>>Reply-To: ob-gyn-l@obgyn.net
>>From: evsono@pipeline.com (art fougner, md)
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: OB: Prior infundibulation
>>
>>All these vaginal incisions have the potential to induce more blood-loss
>>than a C-section. Setting aside the issue of how exactly this woman was
>>able to conceive, I feel el might be on point. Of course, my record in
>>dealing with this situation is spotless - i have NO experience
>>whatsoever. Garry, you would make a great Boards examiner ...
>>
>I have delivered one of these women and cared for another in pregnancy and
>postpartum.
>
>The first was a primip. I cut a small mediolateral episiotomy, but the
>anterior skin flap tore along the midline most of the way to the top. I
>asked how she wanted it repaired. She preferred to have it opened the rest
>of the way and left "more normal." I was assisted at this birth by a very
>experienced nurse who was a British-trained midwife with experience working
>in Saudi Arabia for 5 years as a midwife there. She had delivered dozens
>of these women.
>
>The second was a woman with 4 previous deliveries. The delivering physician
>cut a large mediolateral episiotomy with this 5th delivery. The woman was
>very sad and distressed afterwards, as all of the previous 4 had only involved
>the anterior incision and repair to the infibulated state and she reported
>those were less painful and healed better. She found the mediolateral episiotomy
>very painful and debilitating.
>
>Cheri Van Hoover, CNM, MS
>Faculty OB/GYN Group
>University of San Francisco, CA
--
art fougner, md
ich bin ein New Yorker
