Re: episiotomy and shoulder dystocia

From: Margie Dacko (dacko@bighorn.accessnv.com)
Wed Apr 30 13:07:42 1997


Sorry Ron, but I have had "true" shoulder dystocias and I have also never had a third or fourth degree episiotomy or laceration from the dystocia or from the maneuvers involved in resolving the dystocia, and usually it has been with an intact perineum. It can happen!

--
Margie Dacko
Midwife
Las Vegas, NV

On 30 Apr 97 , Ronald Helm wrote:

> 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 > > ---------- > 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 >





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:21:42 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.