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Re: OB: Prior infundibulationFrom: Kaycnm@aol.comFri Aug 6 07:14:37 2004
In a message dated 8/5/2004 8:38:36 AM Mountain Standard Time, evsono@pipeline.com writes: Good job, Cheri! nothing like the voice of experience ... anyone else? I've delivered 5 or 6. They were all different. One had such bad scaring from, I presume, a bad infection after the infibulation, that her whole perineum was twisted into scar tissue involving her rectum. She torn a second, but with the tissue drawn up and twisted around so, I had trouble identifying the tissues and asked my back-up to repair it. After she healed, it looked pretty much like it did prenatal, . One woman had a classic looking infibulation. Smooth perineum with a 2 cm "introtius." Her mother was there for the birth. It was apparent that the 1/2 cm thick tissue covering her vagina needed to be cut, which I did. She didn't tear otherwise. I asked the patient and the mother how I should repair her. The edges of infibulation looked like a curtain hanging cut and hanging down over her urethra and vagina. The urethra looked very exposed when the tissue was drawn back. The woman didn't respond to my questions about the repair, but her mother asked for the tissue to be closed. I did so, but not all the way down. She was left with an opening closer to 3 cm, post-partum. I haven't cut any other women, otherwise. None, except the above seemed to need it. But, like I said, each woman's perineum looked very different. I am always impressed with the apparent disassociation that the women seem to have with their perineums. I suppose it's partly culture and maybe some post trauma stuff. Kay Johnson, CNM Atlanta, GA
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