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Tue, 16 May 2006 12:29:27 -0400 |
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My heart goes out to the mother whose baby died of morphine poisoning...
But my feeling isn't how could this have happened, but why doesn't it
happen more often?
In my community episiotomy is absolutely routine and after moving
here I had to travel 2 hours away
for the birth of my last two children in order to avoid one...
I am happy for the women who only find their episiotomies to be
"uncomfortable",
but women who get episiotomies are something like 6 times more likely
to suffer a 4th degree tear than women who do not get one....
according to a double blinded randomized clinically controlled trial
of episiotomy versus no episiotomy...
Women can suffer the worse pain of their lives for many months
afterwards,
and intermittent pain can accompany intercourse or having a bowel
movement for the rest of a woman's life...
The use of pain killers for 2 weeks is not uncommon following other
serious injuries
so it should come as no surprise that a terrible injury to the
perineum and rectum
might create pain which drives a woman to take pain killers even
while breastfeeding...
I wish the pain that accompanies needless episiotomies would get as
much attention
as the breastfeeding angle of this story but it won't...
The frequency of episiotomy probably won't change a bit,
but there will be mothers with avoidable perineal injuries which
require pain killers who will be afraid to breastfeed...
Jen O'Quinn
IBCLC private practice
Augusta, GA USA
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