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already know. The epidural did not do 84% of the birth centers for organizational problems, the lack of physiological anesthetists, to a cultural mistrust of everything that can reduce or eliminate the pain pharmacologically, a new trend for all thrifty and to health care cuts.

cuts And I want to talk, and not those that start between the blades of the health care savings (or rationalization). But of course those that hatch during delivery (spontaneous perineal lacerations from the first grade and up) or under the scalpel (best known as an episiotomy).

And not a word on why or wherefore nature (or doctor) can cause similar destruction of pudenda. Massage
too stingy with almond oil? A few pelvic exercises? Bad habits of the doctor? O conformation? Or need?

often happens that at the request of the epidural in labor, to follow a shrug of shoulders
But now it is 5 inches and is almost done. And still pass the hours.
the 20:01 am, sorry, the anesthesiologist came home.
E 'Mrs. Sunday, the anesthesiologist came home.
E 'Monday, the anesthesiologist is back but is now engaged.

often happens instead something far more strange, peculiar and bizarre. The shoulders remain in place, do not get up and do not drop and tongues trembling diventan mute.
Let's talk about mending a very natural raw episotomie or perineal lacerations.
speak for those who do not chew the "raw", works of needlepoint and thread on new mothers perineum just out dall'empowerizzante experience of childbirth. Without local anesthetic.

If an epidural the hospital (apparently) must pass through a Copernican revolution, drain the treasury's general manager and hired an army of Blackwater mercenaries anesthesiologists, for a patch of pudendal with local anesthetic (the pinprick that there is a dentist to understand) we suspect an equally huge deployment of forces and resources.

What will never need a gynecologist to a simple block of the pudendal?
a needle and thread for sure. And then?
of one vial of anesthetic and a sterile disposable syringe. And how long

ever need for the patch?
4 seconds to open the packaging of the syringe.
4 seconds to aspirate the contents of the vial of anesthetic.
4 seconds for the injection.
5 minutes of embroidery.
5 minutes and 12 seconds. Round off to 6.

The gynecologist is the same as that followed the grand finale. This is not another, is not a college specializing in embroidery and tailoring. You do not call the anesthesiologist to monitor - in the work of embroidery - the vital signs of the now already childbirth.

A block of pudendal under local anesthesia does not cost anything in terms of organization, money, personnel, time.

But it happens too often to mend raw. And if we ask perchè, le spalle si alzano e le bocche rimangono cucite.
Qualcuno vuole provare a dare la sua risposta?