PREGNANCY-BIRTH Messages for September, 1999: Re: ways to enlarge the outlet Thank-You Dr Marchbein

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Re: ways to enlarge the outlet Thank-You Dr Marchbein

From: Lauren (anonymous@obgyn.net)
Wed, 15 Sep 1999 15:54:04 -0500 (CDT)

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In reply to: Harvey S. Marchbein, M.D.: "Re: Different ways to enlarge the outlet Dr Marchbein"

At Tue, 14 Sep 1999, Harvey S. Marchbein, M.D. wrote: >
>At Tue, 14 Sep 1999, Lauren wrote:
>>Thank-you for explaining this to me. When you said you could not
>>remember the last one you saw. Was that referring to rv fistula or RML?
>
>RML. Never (thank G-d) saw a RV fistula in a patient of mine.
>
>>What would be the current course of action, in your opinion for a
>>patient you saw had a real potential for a 4th degree. No epis at all?
>>4th degree midline cut?
>
>Decision would be made at time of delivery based upon distention of
>vulva just prior to delivery of the head.
>
>>Is the RML an acceptable option?
>
>I believe it is certainly an option. Options should never be closed
>off. There may always be other options though.
>
>>My doc is a
>>fairly young person. I'm not mad at him. He repaired me perfectly and
>>it has been a year. I'm thinking about options for the next delivery.
>
>Use someone you trust, discuss your concerns and go for it.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**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 ;-)
>

Thank-you Dr. Marchbein. You've been very helpful and encouraging. Thankfully most women don't have to wrestle with such decisions (RML or 4th degree). Seems like you trade one set of problems for another. I do believe without an epis at all, a 4th degree would have been very possible. (I know this is not common) I'll talk to my doctor.

Next message: Amanda: "Gestational Trophoblastic Disease"
Previous message: William D. McIntosh, MD: "Re: Pregnancy for older women"
In reply to: Harvey S. Marchbein, M.D.: "Re: Different ways to enlarge the outlet Dr Marchbein"

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