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Re: Episiotomy questionFrom: AllanHo@aol.comSat Feb 16 13:07:47 2008
In a message dated 2/16/2008 2:10:57 P.M. Eastern Standard Time, clairec1979@hotmail.com writes: I've had a woman tell me that on her previous birth she had a 4th degree episiotomy (going for elective section this time). I assumed she meant she had an episiotomy which extended to 4th degree, however she stated that she heard the OB say that he was going to have to cut a 4th degree episiotomy. Does this sound right? I can't imagine any circumstance where you'd actually have to cut through the anal sphincter, if any of you have had to do this could you explain the situation. Thank you Claire (RM) It is called a Proctoepisiotomy. It is indicated for shoulder dystocia. Allan
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