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Re: Episiotomy question From: DoctorJoe@aol.com Sat Feb 16 18:22:43 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marilyn Ringstaff: "Re: Celebrate Valentine's Day" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" Next in thread: FRANCES WREN: "Re: Episiotomy question" Reply: FRANCES WREN: "Re: Episiotomy question" In a message dated 2/16/08 1:10:57 PM, 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. > It's the old theory (right or wrong, you can argue it) that it's better to cut a primary incision than to "let'er rip!" So if you anticipate a LARGE extension, you cut it first, to make it easier to repair, keep the layers straight, etc. Joe P. Next message: Marilyn Ringstaff: "Re: Celebrate Valentine's Day" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Episiotomy question" Next in thread: FRANCES WREN: "Re: Episiotomy question" Reply: FRANCES WREN: "Re: Episiotomy question"

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