Re: episiotomy and shoulder dystocia wasits effects on perineal body/external anal sphinctor
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat Apr 26 20:09:34 1997
Garry the chickenhearted (right out of Monty Python) does not believe
that an episiotomy makes a difference in a shoulder dystocia unless you
need it to get your hand in the vaginal to maneuver. Usually, that
would be in a primip, but not in a multip.
However, I will always cut one (probably a small one), so the
prosecuting attorney can't harass me as to why I didn't.
I'm being honest on this one--who needs the aggrevation of not making an
epis and then wondering!
Garry
--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.
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