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Re: MR ALAN FLETCHER__Help!! 3rd/4th tear confused
From: Joyce (anonymous@obgyn.net)
Wed, 26 Feb 2003 00:30:44 -0600 (CST)
OUCH! Sorry she went through this! Go to pelvicfloor.com and ask Dr. M
on the forum what to do and how to handle this one. He will field your
questions. VERY good site with lots of pics.{CAREFUL! VERY graphic
pics. Please be aware!] He is excellent with this sort of thing.
Best of Luck. Joyce joyneau@hotmail.com
At Tue, 25 Feb 2003, Alan wrote:
>
>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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