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#1
April 16th 04, 09:38 PM
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Episiotomy: 'nice' violence against women performed by 'nice' MDs (I'm speaking of ROUTINE episiotomy, of course.)
OBs are knowingly closing birth canals up to 30%. See PROOF below.
PREGNANT WOMEN: See the very end of this post for simple instructions on how to allow your birth canal to open the "extra" up to 30%... LADIES: Help protect your VAGINAS: You can help PREVENT EPISIOTOMIES See below. Dennis S. O'Leary, M.D., President, Joint Commission on Accreditation of Healthcare Organizations/JCAHO via Terri Tye, , or Laura Botwinick, . Dennis, As you know, JCAHO is currently addressing health care professional education and injury prevention as public policy initiatives: a.. Health care professional education -- At the second roundtable, held March 15, participants began crystallizing proposed solutions for inclusion in a white paper on the issue to be released by early 2005. A third roundtable will be held this fall, to further refine the framing of the issues and proposed solutions. b.. Tort resolution and injury prevention -- Participants at the first roundtable, held February 23, included lawyers, practitioners, administrators, consumer advocates, health care researchers and patient safety experts...A second roundtable is planned for July, and a national conference is scheduled for November. http://www.jcaho.org/about+us/news+l...e/jo_04_04.htm Please DO educate health care professionals! Tell them that American medicine's most frequent surgical behavior toward females is obvious vagina fraud associated with spinal manipulation fraud that sometimes paralyzes babies - sometimes KILLS babies - but usually "only" wrenches babies' necks... MD-obstetricians are slicing vaginas en masse (euphemism "routine episiotomy") - surgically/FRAUDULENTLY inferring that everything possible has been done to OPEN the birth canal - even as they CLOSE the birth canal up to 30%. MD-obstetricians are *knowingly* closing birth canals up to 30%. See PROOF at the very end of this post. ANY HOSPITAL-BASED CHIROPRACTORS READING? The MD-obstetrician minor surgery fraud (episiotomy) occurs simultaneously with MD-obstetrician SPINAL MANIPULATION FRAUD... With birth canals senselessly closed up to 30%... MDs are violently pushing on tiny spines (with oxytocin, Cytotec and PGE2) and gruesomely pulling (with hands, forceps, vacuums) - with birth canals senselessly closed up to 30%. Some babies die - some are paralyzed - but most "only" have their necks gruesomely wrenched. It's a massive MD spinal manipulation crime. ALL spinal manipulation is gruesome with the birth canal senselessly closed up to 30%. See Criminal medical CAM at Hawai'i's John A Burns School of Medicine http://health.groups.yahoo.com/group...t/message/2256 And see: Helping baby open birth canal (Why obstetrics is criminal medical CAM)... http://health.groups.yahoo.com/group...t/message/2391 NOTE: American medicine's most frequent surgical behavior toward MALES is also an obvious health fraud. See Difference between God and an MD? http://health.groups.yahoo.com/group...t/message/2438 MORE ON THE EPISIOTOMY FRAUD... Michael C. Klein, MD writes: "[E]pisiotomy is a deliberate second degree tear." [Birth. Letter. 2002;29(1):74] Some MDs are still claiming (fraudulently) that their episiotomies are *preventing* severe tears clear to the anus when in fact MDs are CAUSING severe tears clear to the anus! In 1990 the National Institutes of Health researched the issue and found that deliberate tears by MDs (episiotomies) cause fifty times MORE severe tears (tears clear to the anus) relative to leaving the vagina alone.[Shiono et al. Obstet Gynecol 1990;75(5):765-70. In Klein et al. Online J Curr Clin Trials (Jul1)1992, Doc. No. 10] AS IF THAT WEREN'T BAD ENOUGH... MDs are not only hospitalizing women DURING birth - via their minor surgery fraud - they are using birth to hospitalize women AFTER birth! Leo Sorger, MD says, "...once the perineum is cut, the incision may be extended further during the birth. This results in greater damage than if the tissues had torn only the amount required and following natural lines of stretch." http://www.elizabethnoble.com/episiotomy.html BOTTOMLINE (it's a doozy!): Episiotomy causes trauma to the perineum due to childbirth and, "The most common diagnosis for hospitalization among all women is trauma to perineum due to childbirth." http://www.ahcpr.gov/data/hcup/factbk3/factbk3.htm MDs are deliberately/senselessly traumatizing perinea - and calling it "childbirth." (!) This is not childbirth! This is MEDICAL birth - obvious criminal activity... Thank you for your immediate attention to this matter. Sincerely, Todd Dr. Gastaldo PS Dennis, maybe you could stop the obvious MD crime nationwide... ....and tell everyone how you did it this August! I mention this becaues you are speaking August 2 or 3, 2004 at the: 2ND ANNUAL WORLD CONGRESS LEADERSHIP SUMMIT ON HEALTHCARE QUALITY & PAY-FOR-PERFORMANCE CONTRACTING FOR EMPLOYERS, PROVIDERS AND PAYERS Achieving Value and Accountability through Successful Implementation of Provider Rewards, Consumer Incentives and Public Disclosure of Quality Metrics August 2-3, 2004 * Hyatt Regency * Boston, MA Dennis, will you please forward this email to the following other people who are giving "Visionary and Controversial Keynote Addresses" at the conference? Robert H. Brook, M.D., Vice President, RAND; Head, RAND Health Peter Lee, President and CEO, Pacific Business Group on Health Judith Hibbard, Professor, Department of Planning, Public Policy & Management, University of Oregon Sam Ho, M.D., Executive Vice President and Chief Medical Officer, PacifiCare Health Plans Steve Wetzell, Strategic Director, Consumer-Purchaser Disclosure Project; Strategic Advisor, The Leapfrog Group Dennis S. O'Leary, M.D., President, JCAHO Albert G. Mulley, M.D., Chief, General Medicine Division and Director, Medical Practices Evaluation Center, Massachusetts General Hospital Sean Tunis, M.D., Chief Medical Officer and Director, Office of Clinical Standards and Quality, Centers for Medicare and Medicaid Services Wouldn't it be WONDERFUL Dennis if you guys were to **work together** to stop the obvious MD crime nationwide and tell everyone how you did it this August! GO FOR IT GUYS! Just in case you don't know all their email addresses, I'll copy the conference organizer ("World Congress") and ask them to forward this email to the other people giving "Visionary and Controversial Keynote Addresses" at the conference... Copied to: World Congress 500 West Cummings Park, Suite 5200 Woburn, MA 01801 Phone: 781-939-2438 -or- 800-647-7600 Email: You know, Dennis, I wrote you about this obvious MD crime back in 2000... See Hospital assaults rampant/JCAHO Pres. Dennis S. O'Leary, MD http://groups.yahoo.com/group/chiro-list/message/1040 You must not have gotten my email... Thanks for reading Dennis... Now for the PROOF that OBs are knowingly closing birth canals up to 30%... According to the Merck Manual: "When shoulder dystocia occurs...the mother's thighs are hyperflexed to increase the diameter of the pelvic outlet..." http://www.merck.com/mrkshared/mmanu...er253/253g.jsp WHY are OBs and CNMwives (nurse midwives) waiting until the head is out and shoulders get stuck before giving the baby maximum pelvic outlet diameter? WHY are we letting OBs and CNMwives force babies' heads through birth canals senselessly closed up to 30%? For PROOF that OBs are knowingly closing birth canals up to 30%, scroll up a little... PREGNANT WOMEN: It is EASY for you to allow your birth canal to OPEN the "extra" up to 30%. Just roll onto your side as you push your baby out - or deliver on hands-and-knees, kneeling, standing, squatting, etc. BEWARE though: Some MDs and MBs will let you "try" "alternative" delivery positions but will move you back to dorsal or semisitting (close your birth canal!) as you push your baby out! Talk to your MD or MB about this TODAY. (For further details see the "Criminal medical CAM" URLs above.) MDs/MBs: If you must push or pull - and sometimes you must - first get the woman off her sacrum - off her back/butt. Thanks for reading. Sincerely, Todd Dr. Gastaldo 
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#2
April 16th 04, 10:21 PM
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Episiotomy:
I read once that women in the Netherlands have an episiotomy rate of 20%,
whereas women in N. America have a rate of 80-90%. The writer stated that the higher rate was thought to be due poor management of the 2nd stage of labour. Does anyone have thoughts as to why? Thanks folks, Emma To email: remove NOSPAM
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#3
April 16th 04, 10:46 PM
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Episiotomy: 'nice' violence against women performed by 'nice' MDs (I'm speaking of ROUTINE episiotomy, of course.)
IS EMMA A NURSE?
OBs are knowingly closing birth canals up to 30%. See PROOF below. PREGNANT WOMEN: See the very end of this post for simple instructions on how to allow your birth canal to open the "extra" up to 30%... "Emma Chase VanCott" wrote in message ... I read once that women in the Netherlands have an episiotomy rate of 20%, whereas women in N. America have a rate of 80-90%. The writer stated that the higher rate was thought to be due poor management of the 2nd stage of labour. Does anyone have thoughts as to why? Emma, I have a thought or two about poor management of the 2nd stage of labour... Are you a nurse Emma? http://www.aboutmytalk.com/t77749/s&.html If so, have you talked to MDs/MBs/midwives at your hospital - assuming it has a maternity ward? Regardless, what did you think about what I wrote in the post that you snipped? Here it is again for your convenience... American medicine's most frequent surgical behavior toward females is obvious vagina fraud associated with spinal manipulation fraud that sometimes paralyzes babies - sometimes KILLS babies - but usually "only" wrenches babies' necks... MD-obstetricians are slicing vaginas en masse (euphemism "routine episiotomy") - surgically/FRAUDULENTLY inferring that everything possible has been done to OPEN the birth canal - even as they CLOSE the birth canal up to 30%. MD-obstetricians are *knowingly* closing birth canals up to 30%. See PROOF at the very end of this post. ANY HOSPITAL-BASED CHIROPRACTORS READING? The MD-obstetrician minor surgery fraud (episiotomy) occurs simultaneously with MD-obstetrician SPINAL MANIPULATION FRAUD... With birth canals senselessly closed up to 30%... MDs are violently pushing on tiny spines (with oxytocin, Cytotec and PGE2) and gruesomely pulling (with hands, forceps, vacuums) - with birth canals senselessly closed up to 30%. Some babies die - some are paralyzed - but most "only" have their necks gruesomely wrenched. It's a massive MD spinal manipulation crime. ALL spinal manipulation is gruesome with the birth canal senselessly closed up to 30%. See Criminal medical CAM at Hawai'i's John A Burns School of Medicine http://health.groups.yahoo.com/group...t/message/2256 And see: Helping baby open birth canal (Why obstetrics is criminal medical CAM)... http://health.groups.yahoo.com/group...t/message/2391 NOTE: American medicine's most frequent surgical behavior toward MALES is also an obvious health fraud. See Difference between God and an MD? http://health.groups.yahoo.com/group...t/message/2438 MORE ON THE EPISIOTOMY FRAUD... Michael C. Klein, MD writes: "[E]pisiotomy is a deliberate second degree tear." [Birth. Letter. 2002;29(1):74] Some MDs are still claiming (fraudulently) that their episiotomies are *preventing* severe tears clear to the anus when in fact MDs are CAUSING severe tears clear to the anus! In 1990 the National Institutes of Health researched the issue and found that deliberate tears by MDs (episiotomies) cause fifty times MORE severe tears (tears clear to the anus) relative to leaving the vagina alone.[Shiono et al. Obstet Gynecol 1990;75(5):765-70. In Klein et al. Online J Curr Clin Trials (Jul1)1992, Doc. No. 10] AS IF THAT WEREN'T BAD ENOUGH... MDs are not only hospitalizing women DURING birth - via their minor surgery fraud - they are using birth to hospitalize women AFTER birth! Leo Sorger, MD says, "...once the perineum is cut, the incision may be extended further during the birth. This results in greater damage than if the tissues had torn only the amount required and following natural lines of stretch." http://www.elizabethnoble.com/episiotomy.html BOTTOMLINE (it's a doozy!): Episiotomy causes trauma to the perineum due to childbirth and, "The most common diagnosis for hospitalization among all women is trauma to perineum due to childbirth." http://www.ahcpr.gov/data/hcup/factbk3/factbk3.htm MDs are deliberately/senselessly traumatizing perinea - and calling it "childbirth." (!) This is not childbirth! This is MEDICAL birth - obvious criminal activity... Sincerely, Todd Dr. Gastaldo Now for the PROOF that OBs are knowingly closing birth canals up to 30%... According to the Merck Manual: "When shoulder dystocia occurs...the mother's thighs are hyperflexed to increase the diameter of the pelvic outlet..." http://www.merck.com/mrkshared/mmanu...er253/253g.jsp WHY are OBs and CNMwives (nurse midwives) waiting until the head is out and shoulders get stuck before giving the baby maximum pelvic outlet diameter? WHY are we letting OBs and CNMwives force babies' heads through birth canals senselessly closed up to 30%? For PROOF that OBs are knowingly closing birth canals up to 30%, scroll up a little... PREGNANT WOMEN: It is EASY for you to allow your birth canal to OPEN the "extra" up to 30%. Just roll onto your side as you push your baby out - or deliver on hands-and-knees, kneeling, standing, squatting, etc. BEWARE though: Some MDs and MBs will let you "try" "alternative" delivery positions but will move you back to dorsal or semisitting (close your birth canal!) as you push your baby out! Talk to your MD or MB about this TODAY. (For further details see the "Criminal medical CAM" URLs above.) MDs/MBs: If you must push or pull - and sometimes you must - first get the woman off her sacrum - off her back/butt.
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#5
April 17th 04, 01:31 AM
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Episiotomy:
"Emma Chase VanCott" wrote in message ... I read once that women in the Netherlands have an episiotomy rate of 20%, whereas women in N. America have a rate of 80-90%. The writer stated that the higher rate was thought to be due poor management of the 2nd stage of labour. Does anyone have thoughts as to why? Thanks folks, Emma To email: remove NOSPAM From my own experience and watching my Best Friend in labor...What they are talking about is that Drs and some midwives rush the pushing stage. they pretty much want the baby out when they want it instead of letting the mom and baby take their time about it. Tears are also more common because instead of waiting for the skin/muscle to stretch "they" have the mom push through teh "ring of fire". Also the whole stretching of the perineum can cause inflammation to the point where tearing or episotomy are more likely to occur. HOpe that was clear:-) Kat Mama to Maggie 11/03/01 and Will 02/10/04
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#6
April 17th 04, 04:47 AM
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Episiotomy:
I read once that women in the Netherlands have an episiotomy rate of 20%,
whereas women in N. America have a rate of 80-90%. I believe the current rate of episiotomy is considerably lower than that, though still higher than 20%. The writer stated that the higher rate was thought to be due poor management of the 2nd stage of labour. Does anyone have thoughts as to why? It is largely due, I think, to differences in beliefs. For many years it was thought that episiotomy was necessary; that if the doctor didn't cut, the perineum would tear -- and a cut was supposed to be better than a tear. The idea that women's bodies were MADE to do this hadn't occured to anyone! (There was also concern that the baby's head, pushing against the perineum might cause brain damage for the baby.) So yes, the second stage was 'badly managed', but it was mostly managed with the assumption that, once baby crowned, the doctor would cut the episiotomy and the birth would proceed. Then, about a decade ago, some studies found that episiotomies were actually not helpful at all. That serious tears were actually MORE common in women who'd had them, and that, shoud a tear occur (not inevetable, of course), it usually healed better or more rapidly than a cut. Since then, the episiotomy rate in this country HAS been dropping, though many OBs still do them routinely, because they still don't know how to manage the birth without it. Naomi CAPPA Certified Lactation Educator (either remove spamblock or change address to to e-mail reply.)
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#7
April 17th 04, 12:42 PM
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Episiotomy:
Naomi Pardue wrote in message ... I read once that women in the Netherlands have an episiotomy rate of 20%, whereas women in N. America have a rate of 80-90%. I believe the current rate of episiotomy is considerably lower than that, though still higher than 20%. The writer stated that the higher rate was thought to be due poor management of the 2nd stage of labour. Does anyone have thoughts as to why? It is largely due, I think, to differences in beliefs. For many years it was thought that episiotomy was necessary; that if the doctor didn't cut, the perineum would tear -- and a cut was supposed to be better than a tear. The idea that women's bodies were MADE to do this hadn't occured to anyone! (There was also concern that the baby's head, pushing against the perineum might cause brain damage for the baby.) Also Mum had an episiotomy for #1 due to forcepts delivery. With #2 she was told that as she'd been cut once they "had" to cut again or it would tear which would be worse. With #3 (4yrs later) they said they didn't routinely cut now and she didn't tear. She reckons that she wouldn't have torn with #2 now. Debbie
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#8
April 17th 04, 09:40 PM
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Episiotomy:
Also Mum had an episiotomy for #1 due to forcepts delivery. With #2 she was
told that as she'd been cut once they "had" to cut again or it would tear which would be worse. With #3 (4yrs later) they said they didn't routinely cut now and she didn't tear. She reckons that she wouldn't have torn with #2 now. It's a sad thing that many of the older women I talk to, mum, mother in law, grandmother etc. all had this routinely and hated it. My MIL has obstetric training and managed to convince her attendents not to give her an epi the 2nd time, she birthed a 9lber without tearing even with a previous scar, left hospital 6 hours later, very unusual 20 years ago. It also seems that women felt they had no control over there deliveries and didn't even ask, my mum certainly seems to have emotional scars, particularly from her 2nd delivery, she wanted to breastfeed the baby straight away, but they wouldn't let her as the placenta hadn't detached, she knew that breastfeeding should help that, but no one would listen.
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