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Doctor insights on: Baby Episiotomy Tear

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With my last baby I had a midline episiotomy, but still tore badly. What are the chances of a tear again?

With my last baby I had a midline episiotomy, but still tore badly. What are the chances of a tear again?

Possible: If you had a previous episiotomy or previous tear it is certainly possible to have a laceration happen again but not a guarantee that it will. I find many patients on their second and third deliveries will have no tears at all. I do not cut routine episiotomies either. ...Read more

Dr. Massarat Zutshi
131 doctors shared insights

Episiotomy (Definition)

An episiotomy is a cut in the lower portion of the vulva / vagina to enable a quicker delivery of ...Read more


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Will an episiotomy help ripping when the baby’s coming out?

Will an episiotomy help ripping when the baby’s coming out?

Please understand...: That the current trend in obstetrics (according to my colleagues) is not to do surgical episiotomies, as there is a great deal of evidence that healing is better if the posterior birth canal is allowed to tear naturally. However, this tearing often requires repair with sutures by the obstetrician. My understanding is that surgical episiotomies are now rarely done. Ask your obstetrician. ...Read more

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If I had a lot of tearing last time, will they do a episiotomy next time?

Hopefully not.: If you had a fourth degree laceration with the first baby, consult with your obstetrician to determine the optimal way to deliver this time. If the current fetus is smaller than the first one, then vaginal delivery is acceptable. Routine episiotomies are not recommended anymore. ...Read more

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How soon can I and my baby swim after vaginal delivery with episiotomy?

How soon can I and my baby swim after vaginal delivery with episiotomy?

Varies: You should wait till all bleeding and lochia cease-about 4-6 weeks and check with your doctor. Ask your pediatrician about the baby. I wouldn't rush things, ...Read more

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My doctor said that he might have to do an episiotomy when she delivers my baby in about an hour what can I expect her to do will she tell me before ?

My doctor said that he might have to do an episiotomy when she delivers my baby in about an hour what can I expect her to do will she tell me before ?

She should: It would be helpful to ask your doctor about the procedure. From what I can remember, it usually involves making an incision in the perineum in case the baby has hard time coming out. ...Read more

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I was wondering if it's ok to have anal sex 12 days after you have a vaginal delivery. I've had no tears, no episiotomy or hemorrhoids. I feel fine :)

I was wondering if it's ok to have anal sex 12 days after you have a vaginal delivery. I've had no tears, no episiotomy or hemorrhoids. I feel fine :)

Generally safe: Given the specific scenario described, this is likely safe. Listen to your body, however, and stop if you feel discomfort. ...Read more

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Gave birth 10w assisted by forceps. 2nd degree tear episiotomy. Mirena (levonorgestrel) inserted 5w ago and polyp removed 1 week ago. No infections but vulvar pain?

Gave birth 10w assisted by forceps. 2nd degree tear episiotomy. Mirena (levonorgestrel) inserted 5w ago and polyp removed 1 week ago. No infections but vulvar pain?

Not sure of question: Vulvar pain from trauma (tear, episiotomy, other causes) can sometimes take a while to resolve. Some times they persist and become chronic leading to a condition called vulvodynia and may need special treatment by your doctor. It may be due to neuropathic pain from abnormal neural activity, due to nerve injury, that persist despite no ongoig disease or acute injury. ...Read more

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What's an episiotomy?

What's an episiotomy?

Episiotomy: It is also known as perineotomy, a surgically planned incision on the perineum and the posterior vaginal wall during second stage of labor. The incision, which can be mid line or at an angle from the posterior end of the vulva, is performed under local anesthetic (pudendal anesthesia), and is sutured closed after delivery. ...Read more

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