thanks for the references, I would also be interested in your thoughts and practices.
Recently I was involved in a empowering primip hospital birth myself and a student midwife were with the women during her birth. We both had facilitated the ante-natal classes she attended so were known and trusted the birth was physiological and our role purely encouragement and reassurance to trust! I didn't think the woman had torn though when we looked the was a superficial 2nd degree tear - the muscle exposed though very minor damaged , there was no bleeding the tear was midline and aligned well. It is our policy to suture all 2nd degree tears the repair was rough and traumatic and although an hour after birth definitely broke the atmosphere
In my private practice I doubt if it would have been sutured . the repairer even commented that the main benefit was that it wouldn't burn when she pees.
I understand that the 2 objectives of suturing is to stop bleeding and too align the tissue
thoughts please
trish long
-----Original Message-----
From: Denise Hynd <[EMAIL PROTECTED]>
To: alan trewern <[EMAIL PROTECTED]>; monica hook <[EMAIL PROTECTED]>; [EMAIL PROTECTED] <[EMAIL PROTECTED]>
Date: Monday, 15 October 2001 8:02 PM
Subject: Re: suturing

Anyone from KEMH with the citation of Chris White's study into perineal suturing or not and the womens responses?
D
----- Original Message -----
Sent: Monday, October 15, 2001 11:04 AM
Subject: Re: suturing

Trish there is an article entitled   "  To stitch or not to stitch?  A long term follow up study of women with unsutured perineal tears."     found in     The Practising Midwife April 1999 vol 2  no. 4    Hope it's of some help.
 
                                                                                                            Linda
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----- Original Message -----
Sent: Sunday, October 14, 2001 9:16 PM
Subject: Re: suturing

Hi,
I can't remember the name of the paper (or the author) but it was from Bristol Hospital, I think late 80s.
Hope this helps.
Monica
----- Original Message -----
Sent: Sunday, October 14, 2001 8:56 PM
Subject: suturing

hi
I am looking for references and opinions regarding "to suture or not to suture" I remember hearing about a UK paper that compared suturing 2 degree tears with not suturing.thanks for any input.
trish long

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