WOMENS-HEALTH Messages for July, 2001: Re: manual dialation

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Re: manual dialation
From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 31 Jul 2001 15:30:29 -0500 (CDT)

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In reply to: kelly: "manual dialation"

At Tue, 31 Jul 2001, kelly wrote: >
>I am seeking info as to the possible reasons an OB-GYN may feel the the
>need to manually dialate a cervix during delivery? (from 5cm to 10cm
>instantly with fingers )
>Is this a common procedure? Are there any known side affects? Would this
>action require ant type of surgical repair? This was done to my wife and
>ever since the birth of our last child she has had numerous problems
>associated with the reigion
>Any info you could provide would be helpful
>Thank you

I am not sure that it is possible to manually dilate a cervix from 5cm to 10cm in one fell swoop, but if you did, a cervical laceration would almost certainly occur. However, these lacerations, at least when they occur naturally, heal without incident in my experience, though sometimes stitching is required to control the bleeding. I am not sure what problems having a cerical laceration could cause. What is she experiencing?

-- William D. McIntosh, MD, FACOG
This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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