RE: [ozmidwifery] when to cut an episiotomy

[Alan Rooney]

Hi paivi I have never taken scissors to to a woman's peri. I believe that a tear is far better that cutting. An episiotomy will only open up the soft tissue. this is not usually the cause of any problem. However I suppose that there nay be some rare occasions that require an episiotomy but I am unable to think of one at this time.   Alan -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Päivi Sent: Sunday, 21 August 2005 6:31 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] when to cut an episiotomy A mom asked me when is episiotomy really needed. She had asked from many professionals, and all just gave her the answer, that "They will try to avoid episiotomy, but will cut just in case, if not sure". In Finland the episiotomy rates are from 4% to 50%, and for firsttime moms from 9% to 88%!. It is usually beleived, that the midwife will know best. (That is a medicalaized hospital midwife in most cases). I already know, that you have a different opinion on  when it is needed, but it would be interesting to know from you, who work as midwifes, how often have you performed episiotomies? Does anyone know, what is the national average in the Australian hospitals?   Paivi