Hi Nicole,
That is so awasome, how many births have you done
in your career? I read about a midwife, who had performed 6 episiotomies
in 650 births. Two of these were when she was taught how to make them as a
student.
Paivi
----- Original Message -----
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 didn't
stretch up. I think I have done three in my career,
Nicole C.
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 -----
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
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