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Re: 4th degree lacerationFrom: Kaycnm@aol.comMon Sep 26 08:22:31 2005
In a message dated 9/25/2005 12:10:18 P.M. Eastern Daylight Time, mharkins@twcny.rr.com writes: The MDs and other CNMs I work with thought it was unusual for a 4th degree to happen that far before crowning and birth of the baby. Have any of you seen this type of laceration? Any thoughts for counseling with her next pregnancy? Yup, had a memorable one a few years ago. In fact, her perineum was intact. Had to cut the perineum to repair the rectal wall. Memorable. I think it was the fast descent into the vagina and probably some rotation that tore her. In your case, it might have been the elbow. ********************************************* Kay Johnson, CNM Duluth, GA "Life is too important to be taken seriously" Oscar Wilde ***********************************
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