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Re: Help!! 3rd/4th tear confusedFrom: Alan (anonymous@obgyn.net)Tue, 25 Feb 2003 18:12:44 -0600 (CST)
At Mon, 17 Feb 2003, Alan wrote: > >My parnter had a child 3 years ago and recieved a third degree tear >which was missed by the doctor or he failed to inform (we did not know >until after the second op) , she as since under gone one operation to >repair anal and vagina- anterior sphincteroplasty/ overlapping anal >repair and perinorhaphy they could not could differentiate internal from >scarring external sphincter. Since this she as become faecal >incontinence-Signed consent for only the perinorhapy but not overlapping >repair. Delivery- delivery with Keilland forceps which were placed >using the Wandering Method and rotated from LOT to ROA? Is this normal?I >thought OA was the position to aim for, during the forcep delivery the >blades slipped and to top it off the infant when delivered in the ROA >position the blades were over her face and back of the head? The infant >had slight brachial plexus injury and could move her left arm very >little for 4-5 weeks but fully recovered now. My parnter was given 3x >iv antibiotics and lactulose(stool softner)after the delivery and the >theatre note state 2nd tear,but the labour summary notes have been >changed from a 3rd to 2nd. Any ideas?any help?I am confused is this >normal? Has anybody had an experance like this? > >Thanks anyone out there have any input, is this normal practice?
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