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Re: Looking for a doctor's*opinion Attn: vickiFrom: vicki (anonymous@obgyn.net)Fri, 3 Sep 1999 19:19:20 -0500 (CDT)
At Thu, 2 Sep 1999, Judy wrote: >judy, i apologize for upsetting you by responding to your question. and i was very tired and meant pernium. >At Thu, 2 Sep 1999, vicki wrote: >> >>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 >> >Thanks vicki, but you have totally misunderstood the question. By the >way, it had absolutely nothing to do with the PERITINEUM. Dr. Marchbein >did a wonderful job in answering everything I was asking. No one else >need reply. >Have a nice night. Judy
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