PREGNANCY-BIRTH Messages for July, 1999: Re: episiotomy

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Re: episiotomy

From: anonymous@obgyn.net
Mon, 26 Jul 1999 15:46:12 -0500 (CDT)

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At Mon, 26 Jul 1999, anonymous@obgyn.net wrote: >
>At Mon, 26 Jul 1999, ShannanC wrote:
>>
>>I have read the other questions on episiotomy. My questions is can I
>>refuse to have one no matter what the doctor says?
>
>I am no fan of episiotomies, and I probably only make 1-2 per year.
>Nevertheless, the 2 that I have done this year both saved the life of
>the baby. When you draw a line in the sand, just remember that you are
>using your baby as the stakes for the wager. Never say never. It is
>much better to discuss your reservations about episiotomies with your
>provider, discover his/her philosophy about them, express your profound
>desire to avoid one, and so on. Whenever a patient tells me that they
>don't (or do) want something "no matter what", I ask them to write in
>their chart that they would rather die and allow their baby to die
>rather than have the intervention in question. This is most common for
>Jehovah's Witnesses, who would rather die than receive blood
>transfusions. Their religious beliefs come first, and I can respect
>that, even if I don't share those beliefs. Similarly, I can respect
>your beliefs to avoid an episiotomy "no matter what", just so long as
>you realize that 1/1000 times, the "matter what" may be a catastrophe.
>

Doctor, Thank You for your reply. I really appreciate it. I would have one done if it were absolutly necessary, however for both of my births one was done before I even started pushing so it seemed to me that it was a routine procedure done most of the time and not just when medically necessary. This has been the case in the two other births I have been in the room for. I am oppossed to no medical procedure given during labor and birth that will save the mother and the baby, just the ones that are routinly administered even when their is no real medical need, just because the doctor is in the habit of performing it. Shannan >
>--
>William D. McIntosh, MD
>

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