Re: episiotomy and shoulder dystocia wasits effects on perineal body/

From: Cheri Van Hoover (cherivh@waonline.com)
Fri Apr 25 09:32:43 1997


rbraun@indyunix.iupui.edu wrote: > Do you
> in your clinical judgement feel that episiotomy is of benefit and must be
> performed in cases of shoulder dystocia.

I believe that shoulder dystocia is not a soft tissue problem; thus the time spent cutting an episiotomy after the delivery of the head can be better spent performing maneuvers which have been proven to help resolve the true problem, which is the impaction of the shoulder behind the pubis.

--
Cheri Van Hoover, CNM
Midwifery Service at Stanford
Palo Alto, CA




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