Re: Delivery qns

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Maybe, maybe not. Can't predict when babies are coming.

>
>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?

Yes but usually don't even require stitches.

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?

Yes it would be unwise. Inductions in primigravidas sometimes take 2-4 days. So you wouldn't be insuring anything

(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.
>

This is standard for most group practices. That is why there are group practices to begin with. Obviously, these are issues that should have been worked out and discussed 6 months ago when you had time to switch groups if you weren't happy with the responses. Now it is pretty late.

RDB

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

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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• In reply to: Rice: "Delivery qns"
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