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Re: Episiotomy questionFrom: AllanHo@aol.comMon Feb 18 19:15:33 2008
In a message dated 2/18/2008 8:06:14 PM Eastern Standard Time, Stephen.Raymond@dhhs.tas.gov.au writes: Because it damages the myometrium and stresses the fetus. Besides, it doesnâ t change the basic problem which is the dimension of the outlet! Steve Based on what do you think doing a little twist would damage the myometrium? And even if it does, the myometrium is so resilient, it will bounce back, it will heal. In fact a patient will have to twist her pelvis anyway in order to get on her all 4's. I am proposing doing the twist and then get back into the McRoberts position and push the baby out. And if you think that's stressful to the fetus - I wonder what to fetus have to say to the intravaginal orthopedic surgery. (But seriously, I am glad you were able to get your baby out by cutting its clavicle.) If you really think about it - rotating the mother hips may actually not be so physiologically dissimilar to the Wood Screw or Rubin's Maneuvers. Allan
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