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Re: Informed consentFrom: RModugno@aol.comTue Jun 6 22:11:08 2006
In a message dated 6/6/2006 8:15:35 P.M. Eastern Standard Time, ajfields@pine-net.com writes: IMO the owner of the perineum, but then I have one so I'm a little sensitive about it. I think it should be carefully discussed during prenatal care and the woman should define the circumstances under which she will consent to an episiotomy. There has to be some trust there, though, b/c it's up to whoever is catching to stick with that request. What unmitigated balderdash! I'm sorry, I don't have a crystal ball - and I've been doing this for 30 years and I still can't tell whether the patient will start to tear during delivery when I see her during the prenatal period.. Sorry, I'm just some idiot, non-caring,.lying, male chauvanist obstetrician, whose episiotomy rate has dropped dramatically over the past years- I talk to my patients, I tell them under which circumstances an episiotomy might be indicated,they PAY me for MY EXPERTISE and I take it that you are saying that the owner of the perineum is the one who should have the say whether an episiotomy is done or not. Does the perineum owner have the expertise to make that judgement call? Surely the physician should act as an advisor in such a situation. Funny, my patients seem to trust me. Robert Modugno MD MBA FACOG Marietta, GA
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