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Re: episiotomy and shoulder dystocia wasits effects on perineal body/From: Robert J. Woolley (wooll005@gold.tc.umn.edu)Sat Apr 26 22:21:10 1997
In message <199704270109.UAA17267@talk.obgyn.net> writes: > Garry the chickenhearted (right out of Monty Python) does not believe > that an episiotomy makes a difference in a shoulder dystocia unless you > need it to get your hand in the vaginal to maneuver. Usually, that > would be in a primip, but not in a multip. > > However, I will always cut one (probably a small one), so the > prosecuting attorney can't harass me as to why I didn't. > > I'm being honest on this one--who needs the aggrevation of not making an > epis and then wondering! So you cause injury, pain, and risk--with zero benefit--to your patient for a hypothetical benefit to yourself. The very definition of "unethical" in my book. ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
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