Re: [ozmidwifery] when to cut an episiotomy

2005-08-23 Thread Päivi
Thank you so much for your answers regarding the episiotomy. I have been reading about it, and always knew how unneccessary it is, but I guess I didn't realise how little it is needed, when the birth is cared in a correct way. I must say I was supprised about your epis rates, and it gave me

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread birth
t; - Original Message - > >> From: Mary Murphy > >> To: ozmidwifery@acegraphics.com.au > >> Sent: Monday, August 22, 2005 10:03 AM > >> Subject: RE: [ozmidwifery] when to cut an episiotomy > >> > >> Because you asked: I have cut 3 in 22 y

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Andrea Quanchi
ntact!!! Andrea Quanchi On 22/08/2005, at 11:35 PM, Katrina Flora wrote: Not entirely sure I want to know, but Mary what is "buttonholing"?   Katrina - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Monday, August 22, 2005 10:03 AM Subject: RE: [ozmid

RE: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Mary Murphy
Buttonholing  is when the baby’s head stretches the perineum to the point of splitting before it tears at the vaginal opening.  Ie closed at the vagina, closed at the rectal end and split in the middle, like a buttonhole.  It can (and did) cause delayed healing because of the “blanching” of

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Judy Chapman
7; 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

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Sonja
Maybe the midwives could suture the tears themselves? Sonja - Original Message - From: Susan Cudlipp To: ozmidwifery@acegraphics.com.au Sent: Monday, August 22, 2005 11:51 PM Subject: Re: [ozmidwifery] when to cut an episiotomy In my training, in UK in

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Susan Cudlipp
ing 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

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Katrina Flora
Not entirely sure I want to know, but Mary what is "buttonholing"?   Katrina - Original Message - From: Mary Murphy To: ozmidwifery@acegraphics.com.au Sent: Monday, August 22, 2005 10:03 AM Subject: RE: [ozmidwifery] when to cut an

Re: [ozmidwifery] when to cut an episiotomy

2005-08-22 Thread Catherine Pearson
Sent: Monday, August 22, 2005 8:06 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 b

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Jennifer Price
Hi I am usually quite a silent participant but felt an urge to comment on this topic.  I have been a midwife for 15years and still am working in hospital settings with high risk women and women that choose to birth in a hospital.  The rate of episiotomy can be high in hospital settings but I ha

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Julia Vaughan
)       -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Nicole Carver Sent: Sunday, 21 August 2005 7:56 PM To: [EMAIL PROTECTED] Subject: RE: [ozmidwifery] when to cut an episiotomy   I will only do an episiotomy if I am really concerned about getting the

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread 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

Re: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Gloria Lemay
Quanchi To: [EMAIL PROTECTED] Sent: Sunday, August 21, 2005 3:06 PM 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 h

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Mary Murphy
Because you asked:  I have cut 3 in 22 yrs as a homebirth midwife.  1 for foetal distress, 1 for “buttonholing’ & the other I can’t remember.  It was all so long ago.  Working with a group of 7 other midwives, I have never heard of them cutting episiotomies either. MM    Who els

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Judy Chapman
Also to consider, a sentence in "Episiotomy and the Second Stage of Labor" edited by Sheila Kitzinger that has always stood out for me as it makes so much sense. Whenever you put the scissors in and cut you ALWAYS have second degree perineal trauma. If you work to birth the baby with an intact peri

Re: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Andrea Quanchi
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 cut

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Sally Westbury
I have never cut an episiotomy since I have been registered as a midwife. I did as a student midwife in 1988.   Sally Westbury Homebirth Midwife "Learn from mothers and babies; every one of them has a unique story to tell. Look for wisdom in the humblest places - that's usually where y

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Nicole Carver
ssage-From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of PäiviSent: Sunday, August 21, 2005 9:53 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] when to cut an episiotomy Hi Nicole,   That is so awasome, how many births have you done in your caree

Re: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Päivi
To: ozmidwifery@acegraphics.com.au Sent: Sunday, August 21, 2005 12:55 PM Subject: RE: [ozmidwifery] when to cut an episiotomy I will only do an episiotomy if I am really concerned about getting the baby out quickly. I have done one on a peri that was really tight, and

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Nicole Carver
EMAIL PROTECTED]On Behalf Of Janet FraserSent: Sunday, August 21, 2005 6:57 PMTo: ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] when to cut an episiotomy I'm not one of the professionals in here, Paivi but hi anyway. : ) I've read in a few places about how episiotomy

RE: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Lieve Huybrechts
Title: Bericht   Hoi Païvi,   This was on  the list a while ago.   greetings Lieve     Routine episiotomy shows no benefits, only harmSource: Journal of the American Medical Association 2005; 293: 2141-8 Comparing maternal outcomes with routine versus restrictive use of episiotomy in a sys

Re: [ozmidwifery] when to cut an episiotomy

2005-08-21 Thread Janet Fraser
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 a