Comments on: New Study of Episiotomy and Tearing in Future Births http://www.ourbodiesourblog.org/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future Daily dose of women's health news and media analysis Wed, 08 Feb 2012 16:46:25 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Rachel http://www.ourbodiesourblog.org/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future/comment-page-1#comment-501 Rachel Wed, 11 Jun 2008 19:33:54 +0000 http://ourbodies.s467.sureserver.com/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future-births#comment-501 Thanks to both of you for your insights. I was genuinely surprised that the rate would still be so high, but I can definitely see how people continuing to practice how they were taught decades ago might keep rates up. That's a tricky one for patients, I think, who might be more inclined to trust an older, more experienced physician than a younger/newer resident. Labor Nurse, maybe we don't need more studies, we just need people to actually read them! :) Thanks to both of you for your insights. I was genuinely surprised that the rate would still be so high, but I can definitely see how people continuing to practice how they were taught decades ago might keep rates up. That’s a tricky one for patients, I think, who might be more inclined to trust an older, more experienced physician than a younger/newer resident.

Labor Nurse, maybe we don’t need more studies, we just need people to actually read them! :)

]]> By: Labor Nurse http://www.ourbodiesourblog.org/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future/comment-page-1#comment-500 Labor Nurse Wed, 11 Jun 2008 19:26:42 +0000 http://ourbodies.s467.sureserver.com/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future-births#comment-500 I agree with Hilary. I have seen this first hand. The residents I work with are great; a great group of evidenced based doctors of our future. On the other hand, a local community hospital where the majority of the MDs are over 50 and male practice old school OB. Episiotomies on all primips, automatic c/s for suspected large babies, pitocin galore....you name it. One doc supposedly has a 75% c/s rate...I don't have actually proof of this, but my source is very trustworthy and would have first hand knowledge of this. I find this absolutely insane. I read this article just recently and my first response was, "Duh...scar tissue isn't as elastic as normal tissue" while my second thought was "How much more documentation of how the risks outweigh the benefits of episiotomies do we need?" I agree with Hilary. I have seen this first hand. The residents I work with are great; a great group of evidenced based doctors of our future. On the other hand, a local community hospital where the majority of the MDs are over 50 and male practice old school OB. Episiotomies on all primips, automatic c/s for suspected large babies, pitocin galore….you name it. One doc supposedly has a 75% c/s rate…I don’t have actually proof of this, but my source is very trustworthy and would have first hand knowledge of this. I find this absolutely insane.

I read this article just recently and my first response was, “Duh…scar tissue isn’t as elastic as normal tissue” while my second thought was “How much more documentation of how the risks outweigh the benefits of episiotomies do we need?”

]]> By: Hilary http://www.ourbodiesourblog.org/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future/comment-page-1#comment-499 Hilary Wed, 11 Jun 2008 17:09:48 +0000 http://ourbodies.s467.sureserver.com/blog/2008/06/new-study-of-episiotomy-and-tearing-in-future-births#comment-499 I would like to think that this indicates that residents, who would be more likely to be delivering women who are not being seen by a private practice doctor, are being trained in an evidence based manner. I have heard that OBs, especially OBs that have been practicing for more than a decade or so, are not very likely to do evidence based medicine, and are more likely to do it the way they were shown years ago. I would like to think that this indicates that residents, who would be more likely to be delivering women who are not being seen by a private practice doctor, are being trained in an evidence based manner. I have heard that OBs, especially OBs that have been practicing for more than a decade or so, are not very likely to do evidence based medicine, and are more likely to do it the way they were shown years ago.

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