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Re: Episiotomy vs No Episiotomy From: Robert J. Woolley (wooll005@gold.tc.umn.edu) Mon Dec 30 17:07:50 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: BRIDERON Jean-Michel: "Re: micronized oral progesterone" Previous message: ATB28@aol.com: "Re: a new series for the list???" Maybe in reply to: Myer.S.Bornstein@massmed.org, : "Episiotomy vs No Episiotomy" Next in thread: HMarchbein@aol.com: "Re: Episiotomy vs No Episiotomy" In message <9612301527.AA00539@society.massmed.org> writes: > Bob: I read your article on the advantages / disadvantages of > episiotomy. Your summary shows no difference in episiotomies/1-2 degree > laceration in the function of the pelvic floor. We are being told by > DMA, through our review agency MassPro, that we must decrease our > episiotomy rate, because there is better invervation later on. > Comments please. > Myer Who or what is "DMA"? Their assertion is puzzling indeed. I am not aware of a single study that shows evidence of any difference (positive or negative) in innervation of the pelvic floor between women delivered with or without episiotomy. Caveat: My literature review went up to Oct. '94, and I have not aggressively followed subsequent studies. That said, there are plenty of good reasons to drastically reduce episiotomy rates; innervation just doesn't happen to be one of them. So I agree with their directive, just question the reasoning. If you have a letter or memo from them, I'd be interested in it. --------------------------------------------------------------------------- --------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota "If our Founding Fathers didn't believe we should fry killers and rapists like pieces of bacon, they wouldn't have mentioned the electric chair in the Declaration of Independence, for crying out loud!" --Ed Anger (columnist for the Weekly World News) Next message: BRIDERON Jean-Michel: "Re: micronized oral progesterone" Previous message: ATB28@aol.com: "Re: a new series for the list???" Maybe in reply to: Myer.S.Bornstein@massmed.org, : "Episiotomy vs No Episiotomy" Next in thread: HMarchbein@aol.com: "Re: Episiotomy vs No Episiotomy"

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