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Is an episiotomy always necessary in pregnancy?
Episiotomy also known as perineotomy is an incision made in the perineum - the tissue between the vaginal opening and the anus - during childbirth. Although an episiotomy was once a routine part of childbirth, that's no longer the case. Routine episiotomies are no longer recommended. Still, the procedure is warranted in some cases. Your health care provider might recommend an episiotomy if:Extensive vaginal tearing appears likelyYour baby is in an abnormal positionYour baby is large (fetal macrosomia)Your baby needs to be delivered quicklyIf you need an episiotomy and you haven't had any type of anesthesia or the anesthesia has worn off, you'll likely receive an injection of a local anesthetic to numb the tissue. You shouldn't feel your health care provider making the incision or repairing it after delivery.For years, an episiotomy was thought to help prevent more extensive vaginal tears during childbirth - and heal better than a natural tear. The procedure was also thought to help preserve the muscular and connective tissue support of the pelvic floor. Today, however, research suggests that routine episiotomies may not prevent these problems after all. Recovery is generally uncomfortable, and sometimes the surgical incision is more extensive than a natural tear would have been. Infection is possible. For some women, an episiotomy causes pain during sex in the months after delivery. An extensive episiotomy might also contribute to fecal incontinence after childbirth.
Which structures are cut during a mediolateral episiotomy?
During a mediolateral episiotomy, also called an oblique episiotomy, the vagina epithelium, skin, transversalius and bulbospongiosus muscles are cut. The mediolateral procedure reduces the risk of extensive tearing but is associated with increased post-partum pain and slow recovery.
Does having no bleeding when the hymen breaks make childbirth easier?
One really has nothing to do with the other. If your vaginal opening is small regardless of having no blood appear when your hymen originally broke, you may still have to have an episiotomy.
What characteristics does an abnormal episiotomy have?
An episiotomy incision that is too long or deep may extend into the rectum, causing more bleeding and an increased risk of infection. Additional tearing or tissue damage may occur beyond the episiotomy incision, leaving a cut and a.
What does it mean if a child's perinium is torn?
If a child's perineum is torn, it usually indicates a tear or injury to the tissue between the anus and the genitals. This can occur during childbirth or due to trauma. Medical evaluation and treatment may be necessary to ensure proper healing and prevent complications.
What is the medical term meaning surgical birth?
The medical term for surgical birth is "cesarean section" or "C-section." It involves making an incision in the mother's abdomen and uterus to deliver the baby.
Who used chloroform during childbirth?
Chloroform was used as an anesthetic during childbirth primarily in the 19th century. It was popularized by James Young Simpson, a Scottish obstetrician, who began using it in the 1840s. The use of chloroform during childbirth declined in the late 19th century with the advent of other safer and more effective anesthesia options.
What characteristics does a successful episiotomy have?
a simple midline incision will be made to extend the vaginal opening without additional tearing or extensive trauma to the perineal area. Although there may be some pain associated with the healing of the episiotomy incision.
How does an episiotomy affect the birthing process?
Some experts believe that an episiotomy speeds up the birthing process, making it easier for the baby to be delivered. Speed can be important if there is any sign of distress that may harm the mother or baby.
What precautions need to be taken when doing an episiotomy?
Prior to the onset of labor, pregnant women may want to discuss the use of episiotomy with their care providers. It is possible that, with adequate preparation and if the stages of labor and delivery are managed with adequate coaching.
What care should a patient receive after an episiotomy?
The area of the episiotomy may be uncomfortable or even painful for several days. Several practices can relieve some of the pain. Cold packs can be applied to the perineal area to reduce swelling and discomfort. Use of the Sitz bath.
What is the obstetric perineum?
the section of tissue between the the anus and vaginal opening. a couple of incisions are made here to aid a difficult childbirth (either the incision is made professionally or it may tear on its own. it is easier to repair a controlled incision)
