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Re: episiotomy and shoulder dystociaFrom: Shalev Eliezer (shaleve@techunix.technion.ac.il)Wed Apr 30 01:39:11 1997
1:47 PM 4/29/97 -0500, you wrote: >>How many of you feel that episiotomy is actually of any benefit in the >>management of shoulder dystocia ? > >Not me if it's true SD (i.e. bone on bone problem). Might help with tight >shoulders (soft tissue problems), but I haven't had to do one yet. Never had >a third, and usually get them out intact even with classic turtle sign, etc. > >Cynthia Flynn, CNM, PhD >Private Practice, Kennewick WA >FlynnCNM@aol.com > The logic of episiotomy in SD is to make room for manuale manovers so when these are not needed ther is no benefit for the procedure> Shalev Eliezer Prof' and chairman Obstet.& Gynecol. Dept. Haemek Hospital Afula Chairman, Israel society of ultrasound in Ob & Gynec
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