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AllanHo@aol.com
Sent: Tuesday, 19 February 2008 1:18 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Episiotomy question
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 doesn'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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Living.
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