'Make a big episiotomy'

"MAKE A BIG EPISIOTOMY"

Attorney authors in Operative Obstetrics - James
J.Nocon and Les Weisbrod (Nocon is an MD obstetric specialist) say:

"Make a big episiotomy. Although there is no evidence that it does
anything other than enhance the ability to insert one's hand in the
vagina, it will indicate that the operator is functioning in a logical
and systematic manner..."^^^

^^^Nocon and Weisbrod. In O'Grady. Operative Obstetrics. Williams and
Wilkins 1995:349.

See also: http://forums.obgyn.net/forums/ob-gy...9707/0128.html

It makes NO sense - there is NOTHING "logical" about closing the birth canal
up to 30% then slicing the vagina to be seen as having done everything
possible to open the birth canal...

Attorney Weisbrod - a prominent birth trauma attorney - wrote me to say that
it was obstetrician/attorney Nocon who wrote the "Make a big episiotomy"
part.

To my knowledge, neither Attorney Weisbrod nor any other birth trauma
attorney has told a jury that OBs are closing birth canals up to 30%,
keeping birth canals closed the "extra" up to 30% and lying to cover-up.



THE FOUR OB LIES

OB LIE #1. After MASSIVE change in the AP pelvic outlet diameter was
clinically demonstrated in 1911 and radiographically demonstrated in 1957,
the authors of Williams Obstetrics began erroneously claiming that pelvic
diamaters DON'T CHANGE at delivery.

OB LIE #2. After Ohlsen pointed out in 1973 that pelvic diameters DO
change - the authors of Williams Obstetrics began erroneously claiming that
their most frequent delivery position - dorsal - widens the outlet.

OB LIE #3. After I pointed out in 1992 that dorsal CLOSES - and so does
semisitting - the authors of Williams Obstetrics - put the correct
biomechanics in their 1993 edition - but kept in their text (in the same
paragraph!) - the dorsal widens bald lie that first called my attention to
their text...

OB LIE #4. OBs are actually KEEPING birth canals closed when babies get
stuck - and claiming they are doing everything to allow the birth canal open
maximally. (ACOG Shoulder Dystocia video - also forceps and vacuum births
are performed with the mother in lithotomy.)

See Make birth better: Dan Rather, before you leave CBS...
http://health.groups.yahoo.com*/grou...t/message/2983

I noted some of the OB lies in an Open Letter to the FTC years ago...
http://home1.gte.net/gastaldo/*part2ftc.html


RELEVANT AMA PRINCIPLES OF MEDICAL ETHICS....

"[AMA physician[s] shall...strive to expose those physicians...who engage in
fraud or deception."

"[AMA p]hysician[s] shall...seek changes in those requirements which are
contrary to the best interests of the patient."

"[AMA p]hysician[s] shall...make relevant information available to patients,
colleagues, and the public..."
http://www.psych.org/psych_pra*ct/et...ions53101*.cfm

AMA physicians are ignoring their own stated ethics - babies be damned.

Todd