This reminds me of a time when I had a primi with an intact peri
in Saudi. I got called over to see her in the ward many hours
later as she was in great pain. Inspection showed a HUGE
haematoma starting high in the vagina, needed emergency draining
and haemostasis as well as blood transfusion. I was chastised by
the OB for not doing an epis. I am sure the damage was done ages
before the head was on the peri and an epis 'cuttable'. They
just don't think, just trot out their over used comments.
Needless to say, it hasn't changed my practice.
Cheers
Judy
--- Susan Cudlipp <[EMAIL PROTECTED]> wrote:
> In my training, in UK in '79, the episiotomy rate was very
> high. Of my 30 obligatory deliveries, 29 had epis, the 30th
> being a multip who delivered too quickly for anyone to push
> scissors into my hands. I was only taught how to deliver with
> one, no effort was made to teach how to protect the perineum.
> Mind you, we were excellent at infiltration and cutting!
> The obs at the time's view was " all primips need one and all
> multips who have previously had one!"
> Over the years my incidence of performing them reduced, and of
> the past 250 births I have performed epis on 7 occasions,
> almost without exception for fetal compromise.
> Sadly, we once again seem to be coming up against the
> (medical) viewpoint that we are not doing enough! None of my
> colleaugues perform routine epis, and our rate is low, and
> lately we have had several 'remarks' from doctors who have
> been asked to suture tears, that we should have done an epis.
> I have even heard the physio telling women that they are a
> good idea!
> Interestingly, I have seen far fewer 3' tears since seeing a
> huge reduction in epis rates, used to see them on a regular
> basis.
> Sue
> "The only thing necessary for the triumph of evil is for good
> men to do nothing"
> Edmund Burke
> ----- Original Message -----
> From: Andrea Quanchi
> To: ozmidwifery@acegraphics.com.au
> Sent: Monday, August 22, 2005 6:06 AM
> Subject: Re: [ozmidwifery] when to cut an episiotomy
>
>
> I think many midwives can claim very good episiotomy rates.
> Mine over twenty years in "0". My virginal scissors get taken
> to each birth but have never been out of the packet except to
> be put in a new packet and re sterilised. Who else would like
> to celebrate their lack of desire or interest in cutting a
> woman's perineum.
>
> Andrea Quanchi
>
> On 21/08/2005, at 6:57 PM, Janet Fraser wrote:
>
>
>
> I'm not one of the professionals in here, Paivi but hi
> anyway. : ) I've read in a few places about how episiotomy
> rates suddenly drop when studies into them begin. A hb MW I
> know does less than one a year so I figure that's a good
> guide. Mostly in hospitals they're performed for no reason at
> all but the damage they do to women's bodies and psyches
> horrifies me. It's sanctioned genital mutilation. In birth
> planning meetings I run I suggest to women that they never put
> their bodies in a position that can be easily reached by
> someone with scissors. Our rates are very high in Australia.
> Well IMO, any rate of episiotomy is too high unless it's
> negligible.
> Just my 2c ; )
> Janet
>
> ----- Original Message -----
> From: Päivi
> To: ozmidwifery@acegraphics.com.au
> Sent: Sunday, August 21, 2005 6:31 PM
> 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
>
>
>
------------------------------------------------------------------------------
>
>
> No virus found in this incoming message.
> Checked by AVG Anti-Virus.
> Version: 7.0.338 / Virus Database: 267.10.13/78 - Release
> Date: 19/08/2005
>
____________________________________________________
Do you Yahoo!?
Make free PC-to-PC calls to your friends overseas. You could win a holiday to
see them!
http://au.docs.yahoo.com/promotions/messenger/
--
This mailing list is sponsored by ACE Graphics.
Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
