Re: Episiotomy question

From: Ina May Gaskin (midwifeim@earthlink.net)
Mon Feb 18 07:33:39 2008


I know you didn't attack me directly, el, but I thought that you might possibly have missed some of the virtues and advantages that home birth can bring to maternity care. :-) Obviously, it's not for everyone, but there was good reason for such a movement to start in the US 35 years or so ago.

Ina May

Could I really work for a little stretch at your hospital in Namibia?

On 17 Feb 2008, at 20:36, Dr Eberhard W Lisse wrote:

> In May,
>
> please carefully review my posts and you will find that I never
> attacked you directly :-)-O
>
> I don't do forceps either. The odd vacuum, perhaps... But that's
> the Eminence Based
> "Men of Steel" discussion coming up here regularly.
>
> greetings, el
>
> On Feb 18, 2008, at 05:03, Ina May Gaskin wrote:
>
>> Steve and Anna, could you let me know the details of your cases
>> for my registry (offline)?
>>
>> No proctoepisotomies yet. In my shoulder dystocia cases, the
>> perineum has usually been relaxed. I thought this was because the
>> head is usually born so slowly in these cases and because it sits
>> there longer than usual.
>>
>> I agree with Anna. The writer of that piece quoted below probably
>> had never tried all-fours. The difference between the pelvic
>> dimensions in all-fours compared to seated position can be pretty
>> spectacular. I owe a lot to those traditonal midwives in
>> Guatemala, who taught the district midwife who hadn't learned
>> about the all-fours position in her hospital-based training, who
>> then taught me. My family physician mentor had told me that I
>> should fracture the collarbone, but after my "seminar" in
>> Guatemala, I didn't have to try that because all-fours worked so
>> well.
>>
>> Some might be in EL's camp that I and others on this list are wild
>> radicals to be attending home births, but I had to go there to
>> escape the automatic forceps delivery. I have learned from
>> obstetricians, and I have learned from illiterate midwives whose
>> knowledge and skills are not even acknowledged by the
>> International Confederation of Midwives and the World Health
>> Organization. I got life-saving lessons from both and so can't
>> value one above the other. I think I'm a moderate.
>>
>> Ina May





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