--
----------
From: Margie Dacko[SMTP:dacko@bighorn.accessnv.com]
Sent: Wednesday, April 30, 1997 11:07 AM
To: Multiple recipients of list
Subject: Re: episiotomy and shoulder dystocia
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
>
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