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Re: Vaginal delivery after anal sphincter reconstruction

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 18 Oct 1998 17:51:50 -0500 (CDT)

At Fri, 16 Oct 1998, De wrote: >
>My 1st child was 5 weeks preemie. My 2nd child was term, delivered by
>high forceps resulting in a 3rd degree tear to me and 7th nerve facial
>palsy to her. 10 days post partum is when I discovered I had no anal
>control. (I had already noticed the problem with flatulence, but pushed
>it aside until the discovery of no fecal control.) At 7 weeks post
>partum I had reconstruction of the anal sphincter and posterior repair.
>My OB at that time told me that if we had a 3rd child, it would need to
>be delivered by c-section to insure not permanently re-injuring the
>site. I am now 33 weeks pregnant in another state. It has been 3 years
>since the surgery. I have almost 100% control over bowel and about 75%
>control over flatulence. I feel that my current OB's have not
>thoroughly read my history and they are not listening to our concerns
>about re-injury. Any information about possible complications would be
>appreciated. Thank you.
>
>--
>De Lyn Wolcott
>Roger Wolcott, M.D.
>

A consultation with a urogynecologist will be able to clarify your position as to the appropriateness of a cesarian section to your present physicians (taking into consideration your previous surgical repair). 

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm


**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.


**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.


**Thank you for your understanding ;-)



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