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Subject:
From:
"Noelle Rice Rn, Bsn" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 28 Jan 1996 20:57:52 +0100
Content-Type:
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re:
<1 - doctors are taught to believe an episiotomy is necessary.  Most of them
<have never seen, much less been trained in, the art of assisting the
<emergence of the baby's head in a slow, gentle, low tech-high touch way...

Mary Cummins Med and Lactnetters

Labor and delivery nurses certainly get an eye-full of both male and female
OB's that perform unnecessary episiotomies.  I would hope most midwifes are
more likely to try to deliver without.  But there are OB's who out there
who apparently are being taught that it is better to deliver with an intact
perineum and I would certainly say our little city in SE Montana is darned
lucky to have such a thoughtful physician here.  This OB hardly ever does
an episiotomy nor does he need to repair lascerations. (I can too vividly
remember  back east seeing 3rd degree lascerations every other day.)  He
further contends that is far less time consuming to deliver intact rather
than spend the time to reconstruct a perineum.  He attended Med School and
I do believe also did his residency in Oklahoma.  We also were able to meet
and work with the physician under which he learned basic skills and (this
may seem strange but true) he came out here to cover while our OB took a
vacation.  He too patiently assisted births without episiotomies.

I guess my point is although they may be harder to find - it is possible to
find the skilled OB as especially needed in high risk situations (or as
with us isolated folk who can't support both a midwife and OB) who is also
gifted in smooth deliveries.

Noelle Rice - OB nurse

PS - you are welcomed to come here to deliver - but you can't take our OB
away!

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