Doctor insights on:
Baby Episiotomy Tear
With my last baby I had a midline episiotomy, but still tore badly. What are the chances of a tear again?
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
Baby 14months ago, and my episiotomy still hurts sometimes. It almost feels too tight when I wipe &, drying off after a shower I have to pat dry.
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 ?
I had a baby 10 days ago and noticed some stool coming from my episiotomy stitches when I have a BM. Will this fix itself over time?
Don't risk it: I would not risk this, have it evaluated as soon as possible by your OB/GYN. ...Read more
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
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 :)
Gave birth 10w assisted by forceps. 2nd degree tear episiotomy. Mirena 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
Generally not: 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. ...Read more
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