PREGNANCY-BIRTH Messages for September, 1999: Re: Looking for a doctor's opinion

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Re: Looking for a doctor's opinion

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 2 Sep 1999 20:32:51 -0500 (CDT)

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Reply: anonymous@obgyn.net: "Re: Looking for a doctor's opinion"

At Wed, 1 Sep 1999, Judy wrote: >
>I'm wondering if there really are maternal indications for episiotomies,
>midline or mediolateral. I keep reading that there are only fetal
>indications. Does the size of the vaginal opening matter or differ
>substantially between different women (men come in different sizes).

Definitely.

>Or
>maybe the muscles of the pelvis are smaller or less able to stretch in
>different people. Are *some* women better off with having one? There is
>so much negative literature.

Most women may not need an episiotomy and healing from small tears is preferable to a large episiotomy. On the other hand, multiple large laceration from a big baby in a smaller mom would not be better than an episiotomy. Each labor and delivery much be taken on its own merits and decisions must be made for each patient at the time of delivery.

--
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
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**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Question about excess saliva"
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