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	<title>Comments on: &#8220;&#8230;We Typically Don&#8217;t Perform Episiotomies&#8230;&#8221;</title>
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	<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/</link>
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		<title>By: Lisa</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-10059</link>
		<dc:creator>Lisa</dc:creator>
		<pubDate>Wed, 02 Jun 2010 03:20:12 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-10059</guid>
		<description>Yup. That&#039;s what my midwife did. It worked. Baby came out--hand on her ear and all!</description>
		<content:encoded><![CDATA[<p>Yup. That&#8217;s what my midwife did. It worked. Baby came out&#8211;hand on her ear and all!</p>
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		<title>By: Jessica Davis</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-700</link>
		<dc:creator>Jessica Davis</dc:creator>
		<pubDate>Thu, 22 Oct 2009 21:18:19 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-700</guid>
		<description>Christa A., That&#039;s horrible. I know how you feel though. I had an epi without the doctor informing me of what she was doing after the baby&#039;s head was already out, just to deliver the shoulders!

This Say What made me laugh though...</description>
		<content:encoded><![CDATA[<p>Christa A., That&#8217;s horrible. I know how you feel though. I had an epi without the doctor informing me of what she was doing after the baby&#8217;s head was already out, just to deliver the shoulders!</p>
<p>This Say What made me laugh though&#8230;</p>
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		<title>By: Michelle Potter</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-561</link>
		<dc:creator>Michelle Potter</dc:creator>
		<pubDate>Mon, 12 Oct 2009 00:45:25 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-561</guid>
		<description>Christa A., I am so sorry that happened to you. Having an unnecessary and invasive procedure performed on you without so much as a warning, much less permission, must be a frightening and trust-destroying experience.</description>
		<content:encoded><![CDATA[<p>Christa A., I am so sorry that happened to you. Having an unnecessary and invasive procedure performed on you without so much as a warning, much less permission, must be a frightening and trust-destroying experience.</p>
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		<title>By: Christa A.</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-397</link>
		<dc:creator>Christa A.</dc:creator>
		<pubDate>Mon, 05 Oct 2009 02:31:42 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-397</guid>
		<description>What&#039;s sad is they didn&#039;t even warn me or ask if I wanted one. I was in the process of pushing when the doctor just began cutting me open, after less than an hour of active labor. The epi is still the only pain I truly remember. I was furious with my doctors because they didn&#039;t even bother to respect me enough to ask first. And after the delivery, the OB blamed me for the epi, saying that if I had stretched that muscle I never would have needed to be cut.</description>
		<content:encoded><![CDATA[<p>What&#8217;s sad is they didn&#8217;t even warn me or ask if I wanted one. I was in the process of pushing when the doctor just began cutting me open, after less than an hour of active labor. The epi is still the only pain I truly remember. I was furious with my doctors because they didn&#8217;t even bother to respect me enough to ask first. And after the delivery, the OB blamed me for the epi, saying that if I had stretched that muscle I never would have needed to be cut.</p>
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		<title>By: Rachel</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-348</link>
		<dc:creator>Rachel</dc:creator>
		<pubDate>Thu, 01 Oct 2009 00:33:15 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-348</guid>
		<description>lol Emma, we had a homebirth but I told dh that if we ended up transferring for some reason, and it looked like the OB was going to cut an episiotomy, he was to knock over the tray of instruments so they wouldn&#039;t be sterile. 

Oh, and if, in the middle of pushing my baby out, if my midwife had &quot;mockingly threatened&quot; an episiotomy, I would have been furious!! It took me a good half hour from crowning to head out, and the slow stretching prevented my 10lber from tearing me. I trust my midwives fully, I mean, I was literally trusting them with my life and my baby&#039;s life! If they were threatening, even jokingly, an invasive, painful procedure that wouldn&#039;t have any benefits except for alleviating their impatience when I was in the most vulnerable position I&#039;ve ever been in my life, laying there with a baby&#039;s head nearly sticking out of me, that would be a HUGE violation of that trust. After that head came out, there was a shoulder dystocia. In a true birth emergency, I was able to feel calm myself, and can truly say that while I was cognitively aware &quot;this is a life threatening emergency&quot; I was not afraid. Because I had faith I was in good hands. While they worked to free his shoulders, I knew they would get him out safely. And they did and he&#039;s perfect. but if a few minutes before I had just heard them threatening me with the scissors, there&#039;s no way I would have been able to feel as safe during the emergency.</description>
		<content:encoded><![CDATA[<p>lol Emma, we had a homebirth but I told dh that if we ended up transferring for some reason, and it looked like the OB was going to cut an episiotomy, he was to knock over the tray of instruments so they wouldn&#8217;t be sterile. </p>
<p>Oh, and if, in the middle of pushing my baby out, if my midwife had &#8220;mockingly threatened&#8221; an episiotomy, I would have been furious!! It took me a good half hour from crowning to head out, and the slow stretching prevented my 10lber from tearing me. I trust my midwives fully, I mean, I was literally trusting them with my life and my baby&#8217;s life! If they were threatening, even jokingly, an invasive, painful procedure that wouldn&#8217;t have any benefits except for alleviating their impatience when I was in the most vulnerable position I&#8217;ve ever been in my life, laying there with a baby&#8217;s head nearly sticking out of me, that would be a HUGE violation of that trust. After that head came out, there was a shoulder dystocia. In a true birth emergency, I was able to feel calm myself, and can truly say that while I was cognitively aware &#8220;this is a life threatening emergency&#8221; I was not afraid. Because I had faith I was in good hands. While they worked to free his shoulders, I knew they would get him out safely. And they did and he&#8217;s perfect. but if a few minutes before I had just heard them threatening me with the scissors, there&#8217;s no way I would have been able to feel as safe during the emergency.</p>
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		<title>By: Kate</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-305</link>
		<dc:creator>Kate</dc:creator>
		<pubDate>Mon, 28 Sep 2009 18:51:03 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-305</guid>
		<description>I&#039;ve heard this both from a CPM in Michigan and an OB in Louisiana, so I assume it&#039;s a bit of a truism in natural birth circles. It was true for me! After actively pushing for an hour with my first born (at home), and trying a change of position, my midwife warned me that if he wasn&#039;t born on the next push, she would have to &quot;make a little snip.&quot; I pushed his head out during the next contraction. 

b
I think if it sounded threatening, this would be pretty alarming, but I&#039;d much rather be mock-warned about an episiotomy with the goal of actually avoiding it, than have an OB cut one without permission!!</description>
		<content:encoded><![CDATA[<p>I&#8217;ve heard this both from a CPM in Michigan and an OB in Louisiana, so I assume it&#8217;s a bit of a truism in natural birth circles. It was true for me! After actively pushing for an hour with my first born (at home), and trying a change of position, my midwife warned me that if he wasn&#8217;t born on the next push, she would have to &#8220;make a little snip.&#8221; I pushed his head out during the next contraction. </p>
<p>b<br />
I think if it sounded threatening, this would be pretty alarming, but I&#8217;d much rather be mock-warned about an episiotomy with the goal of actually avoiding it, than have an OB cut one without permission!!</p>
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		<title>By: Emma Someone</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-294</link>
		<dc:creator>Emma Someone</dc:creator>
		<pubDate>Mon, 28 Sep 2009 12:17:44 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-294</guid>
		<description>I&#039;ve been known to drop the scissors when an ob has reached for them, and had to find a new pack - and in the meantime, baby&#039;s head has been born ;).</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been known to drop the scissors when an ob has reached for them, and had to find a new pack &#8211; and in the meantime, baby&#8217;s head has been born <img src='http://myobsaidwhat.com/wp-includes/images/smilies/icon_wink.gif' alt=';)' class='wp-smiley' /> .</p>
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		<title>By: Kendra</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-293</link>
		<dc:creator>Kendra</dc:creator>
		<pubDate>Mon, 28 Sep 2009 12:16:51 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-293</guid>
		<description>I don&#039;t think it&#039;s a positive comment - she uses the word &quot;threaten&quot; and if the baby is usually born after they mention it, then obviously the situation didn&#039;t warrant it!</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think it&#8217;s a positive comment &#8211; she uses the word &#8220;threaten&#8221; and if the baby is usually born after they mention it, then obviously the situation didn&#8217;t warrant it!</p>
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		<title>By: Alice</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-292</link>
		<dc:creator>Alice</dc:creator>
		<pubDate>Mon, 28 Sep 2009 10:27:34 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-292</guid>
		<description>Haha, I like this one!</description>
		<content:encoded><![CDATA[<p>Haha, I like this one!</p>
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		<title>By: Alyssa</title>
		<link>http://myobsaidwhat.com/2009/09/27/we-typically-dont-perform-episiotomies/comment-page-1/#comment-290</link>
		<dc:creator>Alyssa</dc:creator>
		<pubDate>Mon, 28 Sep 2009 02:06:21 +0000</pubDate>
		<guid isPermaLink="false">http://myobsaidwhat.com/?p=293#comment-290</guid>
		<description>Well, this is the first positive Say What I have heard yet!</description>
		<content:encoded><![CDATA[<p>Well, this is the first positive Say What I have heard yet!</p>
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