Re: episiotomy and shoulder dystocia

From: Ronald Helm (ronhelm@ronhelm.seanet.com)
Wed Apr 30 11:42:31 1997


It is obvious to me that you have never had a true shoulder dystocia if you have never had a third degree, and have delivered them all over an intact perineum.

Ron

--
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From: 	FlynnCNM@aol.com[SMTP:FlynnCNM@aol.com]
Sent: 	Tuesday, April 29, 1997 9:47 PM
To: 	Multiple recipients of list
Subject: Re: episiotomy and shoulder dystocia

>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

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