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Delivery qns

From: Rice (anonymous@obgyn.net)
Thu, 31 Aug 2000 12:51:04 -0500 (CDT)


I have posted here before and have gotten some very helpful feedback --thanks! I am 39 wks (1st pregnancy) and I am nowhere--not effaced, dilated, baby still positioned too high..is it likely that baby will be late??

2. How common are tears--w/ or without an episiotomy that extend frontward thru the vagina and clitoral area. One of the drs in the practice said that he sees one of these every other month which translates into 5% of his deliveries. Is this possible? He said that 80% of his 1st timers get episiotomies--(Which probably means closer to 100%) to avoid more uncontrolled tears. I was very much trying to avoid an episiotomy if possible.

3. Would it be unwise to induce (after 40 wks) to get a dr with a lower episiotomy and tear rate?(Although the lowest episiotomy rate of any dr is still around 50%) In this practice they will make no changes to the call schedule to accomodate pt preferences --except for scheduled deliveries --pts have absolutely no say who delivers baby.

Sorry this is so long!!! I am getting very nervous...






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