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A 35-year-old member asked:

if i need episiotomy. will a topical anesthetic help?

2 doctor answers6 doctors weighed in
Dr. Wayne Ingram
Specializes in Obstetrics and Gynecology
Yes: The OB md will usually inject a local anesthetic of the "caine" family before making the incision.
Dr. Orrin Ailloni-Charas
Anesthesiology 29 years experience
Not much. : A local injection or aolid epidural is your best bet. It is unlikely that your obstetrician will want to apply topical anesthetic cream during labor.

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A 36-year-old member asked:

How can I prevent an episiotomy?

2 doctor answers5 doctors weighed in
Dr. David Fein
Specializes in Preventive Medicine
Communication!: The idea that automatic episiotomy is the standard of care stopped being the norm about 2 years ago and many physicians have adopted this belief. Make sure your doctor is on the same thought process as you! another idea is "perineal massage", whereby your partner gently massages/stretches the bottom of the vaginal opening with a gel (k-y jelly) for the last 8 weeks in preparation for delivery.
A 45-year-old member asked:

Why do people get episiotomies in pregnancy?

1 doctor answer2 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctoranswered
A US doctor answeredLearn more
Controversial: Most people do not need an episiotomy. In fact episiotomies cause more pain, more blood loss and greater tearing than letting the perineum stretch and tear on its own. There are infrequent situations where the baby may need to be delivered urgently or the shoulders are stuck and performing an episiotomy may be necessary.
A 46-year-old member asked:

How long do you wait to have sex after an episiotomy?

2 doctor answers2 doctors weighed in
Dr. George Klauber
Specializes in Pediatric Urology
Till not tender: This may take 2 - 3 weeks, hopefully not longer.
A 44-year-old member asked:

Whats a topical anesthetic agent?

1 doctor answer3 doctors weighed in
Dr. David Rosenfeld
Pain Management 27 years experience
Numb skin: Administration of topical anesthetics to control pain associated with procedures such as laceration repair may avoid the need for infiltrative local anesthesia injections and associated pain from the injections. Topical anesthesia also avoids the risk of wound margin distortion that exists with infiltrative injection administration. Many dosage forms exist (gels, sprays, creams, ointments, patch).
A 34-year-old member asked:

What is the risk of anaesthetics to a patient with heart problems?

1 doctor answer1 doctor weighed in
Dr. Orrin Ailloni-Charas
Anesthesiology 29 years experience
All anesthetics: Must be tailored to the needs and medical limitations of the patient. Discuss your medical issues with your doctor and then a plan will be crafted with them in mind. Your anesthesiologist will make sure those problems are optimized before moving forward to minimize risk.

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Last updated Jun 10, 2014

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