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Re: PREGNANCY: Sweeping Membranes
From: bea (anonymous@obgyn.net)
Mon, 9 Jun 2008 14:38:07 -0500 (CDT)
My goodness! Where was HE from? He clearly hasn't read any of the
research (including AHRQ's excellent review) roundly condemning the
practice. Good for you Dr. Hill for practicing evidence-based
medicine, even in the face of a scissor-wielding nut. Now, if you could
get ALL your colleagues to join you!
-Bea
At Thu, 5 Jun 2008, D. Ashley Hill, M.D. wrote:
>
>Your story reminded me of a delivery a few years ago where the husband
>started shouting "cut the episiotomy, cut the episiotomy" over and over
>just as the head was crowning. I don't normally perform episiotomies,
>and I've never had a patient's husband yell at me during a delivery. I
>was trying to explain to him why we don't do routine episiotomies, when
>I noticed him grab the scissors off my instrument cart and try to reach
>in to cut one himself! I had to shoulder-block him, then deliver the
>baby. I was sure he was going to stab me in the back, but thankfully he
>sat down and dropped my scissors. The patient told me later that where
>he came from the doctor always cuts an episiotomy. I told her that he
>can be there for the conception of her next pregnancy, but not the
>delivery :) Best wishes,
>
>Ashley
>
>At Tue, 3 Jun 2008, bea wrote:
>>
>snip,
>>Personally, I encountered a doctor who was planning to cut an episiotomy
>>on my over my husband's protests. I had to *shout* that I did not
>>consent two times before she put down the scissors. I had no tearing,
>>so it would have been a completely unnecessary procedure.
>
>snip.
>
>--
>D. Ashley Hill, MD
>Division Director, Dept. of Obstetrics and Gynecology
>Florida Hospital Orlando
>Medical Director
>Loch Haven Ob/Gyn Group
>235 East Princeton Street, #200
>Orlando, Florida 32804
>http://www.lochhavenobgyn.com
>
>Please understand that due to time constraints I am unable
>to answer any personal emails, therefore they will receive no response.
>
>These comments are general educational comments and should not
>be construed as specific medical advice. The best person to
>answer your health care questions is your physician or other
>health care provider. Thank you very much.
>
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