Please send to the list as I am also interested : )
Päivi
----- Original Message -----
From: "Alice Morgan" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Cc: <ozmidwifery@acegraphics.com.au>
Sent: Monday, June 19, 2006 8:38 AM
Subject: RE: [ozmidwifery] Episiotomy
Hi Suzi,
I have several studies that show this....can't think of them all off the
top of my head, but will find them for you and send you the info. I'll
have to dig out my thesis (I've been somewhat pretending it doesn't exist
at the moment).
As a start, I think the recent (2005) JAMA published study talks about it,
as do Thacker and Banta (1983) and Woolley (1995).
There's also one that compares mediolateral and midline episiotomies
(Thacker, 2000 from the British Medical Journal).
Hope this helps as a start...I'll try to see what else I can find and send
to you.
Alice
From: "suzi and brett" <[EMAIL PROTECTED]>
Reply-To: ozmidwifery@acegraphics.com.au
To: <ozmidwifery@acegraphics.com.au>
Subject: [ozmidwifery] Episiotomy
Date: Mon, 19 Jun 2006 09:28:24 +1000
Can anyone point me in the right direction for good evidence that
episiotomys have an increased risk of extending to 3 or 4 th degree?
or am i remembering - interpreting incorrectly and the best evidence that
we have only conclude generally that restrictive epis. has lowered
morbidity because the women mostly doesnt end up with as much truama as
anticipated.
Little discussion i am having with one of our doctors - who says
mediolateral cut is not at an increased risk of extending, only midline.
My arguement was that only fetal distress with no time to wait for
streaching ( or well informed maternal request?) is the only reasons for
episiotomy.
Im sure if it was a slice down the eye of a penis and the posibility of
the man having painful sex and other morbidity for the next year - some
doctors may think twice.
Love Suz x
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