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Re: Episiotomy questionFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Sun Feb 17 00:44:39 2008
At Sun, 17 Feb 2008, AllanHo@aol.com wrote: > >That's a strong opinion, John. I have to say that I am lucky in never >having had to do a procto-epis, but I wouldn't write it off so readily. My >understanding for the value of a procto-episiotomy when shoulder dystocia is >encountered is to make more room for the maneuvers to dislodge the shoulders. I >hope I will never need to resort to one, but I think it is a resonable option >during an emergency. > >Allan > I wear size eight gloves, I have never had any trouble running my hand up the sacral curve to put the shoulders in the oblique or try and bring an arm/hand out, frature a humerous/clavical durring a shoulder dystocia, all it takes is an episotomy. Now if you cut the rectum inadvertantly that's understandable.
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Take care, John
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