Cut/tear? - Page 3

MummyKaya · Jan 2nd, 2010, 06:25 AM

It's only emergancy situations like if heart rate drops and baby needs to comeout asap that they don't ask for consent, I'm sure if baby was a bit stuck but not in distress it would be a different matter. In my case there was no time to be wasted to ask but like you said in other hospitals or different situations you would get asked.

Caz-x · Jan 2nd, 2010, 06:40 AM

I think they have to let you know if they are going to cut you, I| dont think they are allowed to just do it. If you need assisted delivery like ventous/forceps then you have to be cut. At the time I dont think it is going to be something you will worry about, but deff do the Perineal massage.

trumpetbum · Jan 2nd, 2010, 06:49 AM

Quote:

Originally Posted by Mitsuko

I don't think they automatically tell you. From what I've heard, mothers realise after the birth they've been cut or tore! Technically, they should ask for your consent but I guess it wouldn't be practical if they had to ask consent for every single medical procedure!

Without valid consent, implied, verbal or written it is technically an assault on a woman to perform any medical procedure here at least, i can't speak for other countries. In the UK a m/w would be in breach of their professional code of conduct to do otherwise and could put their registration in jeopardy. It is extremely bad practice that women have been cut without obtaining consent. In the cases of women having forceps, if consent is given to deliver baby in this way it might be taken as implied consent for the episiotomy which would most likely accompany it as information on assisted delivery should have been given antenatally, but just to go ahead and cut someone without asking is not justifiable with perhaps the exception of the direst of circumstances.

MummyKaya · Jan 2nd, 2010, 06:59 AM

I agree with the above post but can tell you I was defintly NOT asked before my episiostomy, unless they assumed implied consent as I had forceps, although I did not know they would be performing it at the time. But then there was loads of trouble with my care at my hospital!

trumpetbum · Jan 2nd, 2010, 07:02 AM

Quote:

Originally Posted by Jan34

my understanding is that they wait until the head is on the verge of being born so that they can see how much the perinium is stretched. If it's likely to tear or baby likely to get stuck then they will make the decision to perform an episiotomy at this point. Probably a little difficult to ask for consent at this stage I'd imagine.

There are very few circumstances where there would not be time to say 'we think we need to cut to help you have your baby safely, can we do that?' it takes the same time as it takes to fetch and open sterile scissors. If a tear happens in that time, it would have happened regardless. It's very poor practice to cut the patient out of their own care and excuse it by saying there isn't time.

trumpetbum · Jan 2nd, 2010, 07:05 AM

Quote:

Originally Posted by MummyKaya

I agree with the above post but can tell you I was defintly NOT asked before my episiostomy, unless they assumed implied consent as I had forceps, although I did not know they would be performing it at the time. But then there was loads of trouble with my care at my hospital!

That's a real shame

I'm always astonished at what people believe health care professionals can or can't do without their consent. This is why continuity of care is important in antenatal care, so that information is given before labour and documented and true informed consent can be assumed in assisted deliveries.

21Rach · Jan 2nd, 2010, 07:32 AM

thank u so much for all ur answers xxxx

kelly2903 · Jan 2nd, 2010, 07:39 AM

they will usually let your tear as it will heal better than if they cut you..... but all depends really and if its like emergancy need to get baby out thye wouldnt really tell you they would just do it..... but the perinal massage would be a good idea helps the area to stretch better i tore with my 1st and it healed fine try not to worry about it too much it may not happen at all hun xxxx

alibaba24 · Jan 2nd, 2010, 08:15 AM

im too scared to even think about it

Iv heard natural tears heal better than a cut so they try to avoid cutting?

not sure how true this is though

xx

AimeeM · Jan 2nd, 2010, 10:38 AM

Cuts are more controlled, a tear can keep going further than is safe. It is a better option and they do ask you, or they did me.

They told me the dangers of a bad tear against a cut and i just wanted him out.

Jan 2nd, 2010, 06:25 AM	#21
MummyKaya Mum (Mom) Inactive Join Date: Apr 2009 Location: South Coast Posts: 788	It's only emergancy situations like if heart rate drops and baby needs to comeout asap that they don't ask for consent, I'm sure if baby was a bit stuck but not in distress it would be a different matter. In my case there was no time to be wasted to ask but like you said in other hospitals or different situations you would get asked.

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Jan 2nd, 2010, 06:40 AM	#22
Caz-x Mum (Mom) Chat Happy BnB Member Join Date: Jun 2009 Location: Northumberland Posts: 1,874	I think they have to let you know if they are going to cut you, I\| dont think they are allowed to just do it. If you need assisted delivery like ventous/forceps then you have to be cut. At the time I dont think it is going to be something you will worry about, but deff do the Perineal massage.

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Jan 2nd, 2010, 06:59 AM	#24
MummyKaya Mum (Mom) Inactive Join Date: Apr 2009 Location: South Coast Posts: 788	I agree with the above post but can tell you I was defintly NOT asked before my episiostomy, unless they assumed implied consent as I had forceps, although I did not know they would be performing it at the time. But then there was loads of trouble with my care at my hospital!

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Jan 2nd, 2010, 07:32 AM	#27
21Rach Mum (Mom) Chat Happy BnB Member Join Date: May 2009 Location: Somerset Posts: 1,879	thank u so much for all ur answers xxxx

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Jan 2nd, 2010, 07:39 AM	#28
kelly2903 Pregnant (Expecting) BnB Addict Join Date: Jan 2008 Location: west yorkshire uk Posts: 3,492	they will usually let your tear as it will heal better than if they cut you..... but all depends really and if its like emergancy need to get baby out thye wouldnt really tell you they would just do it..... but the perinal massage would be a good idea helps the area to stretch better i tore with my 1st and it healed fine try not to worry about it too much it may not happen at all hun xxxx

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Jan 2nd, 2010, 08:15 AM	#29
alibaba24 Mum (Mom) BnB Addict Join Date: May 2009 Location: edinburgh Posts: 3,489	im too scared to even think about it Iv heard natural tears heal better than a cut so they try to avoid cutting? not sure how true this is though xx

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Jan 2nd, 2010, 10:38 AM	#30
AimeeM Other BnB Addict Join Date: Jan 2009 Location: Yorkshire Posts: 6,586	Cuts are more controlled, a tear can keep going further than is safe. It is a better option and they do ask you, or they did me. They told me the dangers of a bad tear against a cut and i just wanted him out.

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