|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
3rd degree tear and SD ( was episiotomy and shoulder dystocia )From: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Thu May 1 16:05:18 1997
In message <01BC554B.DE04DCA0@ronhelm.seanet.com>, Ronald Helm <ronhelm@ronhelm.seanet.com> writes >It is obvious to me that you have never had a true shoulder dystocia if you >have never had a third degree, and have delivered them all over an intact >perineum. Whilst a good many of my personal cases with shoulder dystocia end up with episiotomy - not because of the SD but because I was using forceps to deliver the head anyway ! I've personally never seen a 3rd degree tear related to SD either. The last time I recall performing an episiotomy for SD where there was no existing episiotomy was in 1985. The memory is so clear I can tell you who was the midwife, which hospital, which delivery room, the day and time of day. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK. Tel: 01582-497459 (office) Fax: 01582-497424 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "It is dangerous to be right on a subject on which the established authorities are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:21:59 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.