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: vicki (anonymous@obgyn.net)
Thu, 2 Sep 1999 22:53:33 -0500 (CDT)

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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). 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.

judy,

you have asked a very difficult question. i personally believe that very very few episiotomies are truly necessary. there are cicumstances however that will contribute to a woman's tendency to tear: pyschological state (fear, discomfort), maternal position, "strechieness" of the periteneum (this CAN be helped with certain things before hand), support of the periteneum during the birth.........i could go on and on. but lack of understanding that all of these things have an effect on the pertineum, contributes to misconception that episiotimies are necessary.

there are times when an episiotomy may be best. the best examples i can think of are when a woman has a very tight peritineum or when the baby ABSOLUTELY must be born RIGHT NOW to avoid a negative outcome.

dont know if that answers your question or just delinates the controversies but there it is.

--
vicki

Next message: Mary: "If you know what a doula is....read this!"
Previous message: vicki: "Re: High Blood Pressure at 32 weeks"
In reply to: Judy: "Looking for a doctor's opinion"
Next in thread: Judy: "Re: Looking for a doctor's*opinion Attn: vicki"
Reply: Judy: "Re: Looking for a doctor's*opinion Attn: vicki"

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