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Doctor insights on: How Can I Prevent An Episiotomy

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How can I prevent an episiotomy?

How can I prevent an episiotomy?

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. ...Read more

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Dr. Massarat Zutshi
133 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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Why would an episiotomy be needed?

No midwife: Most episiotomies are not needed. If you are seeing a midwife your are less likely to get one. Doctors get in a hurry and don't want to wait for mother nature. ...Read more

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What kind of complications might happen from an episiotomy?

Infection, bleeding: It is best if a surgical procedure (like epis) is performed as seldom as possible. Most obs would cut one typically in a situation in which a tear is likely. To decrease risk of complications, an episiotomy is done after a woman's perineum ('bottom') has been cleaned with an antiseptic solution. Careful closure of most with stitches helps decrease the risk of bleeding. Discuss before labor. ...Read more

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Why do some doctors still do an episiotomy?

Ask them!: Older physicians were trained to always perform an episiotomy. Data from multiple studies suggest that it is a mostly harmful intervention. ...Read more

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Stitches opening in episiotomy, is this normal?

Not normal: It depends on the degree to what the stitches are opening. You may want to have your obstetrician take a look ASAP. ...Read more

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What hurt worse , episiotomy or piercing down there?

Depends: How big an episiotomy? Where exactly getting pierced? So many possible answers here. Make sure whoever is doing the piercing is using sterile conditions to keep you from getting infected. ...Read more

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Is the episiotomy done for evry normal vaginal delivary?

Is the episiotomy done for evry normal vaginal delivary?

No: It is not mandatory to have an episiotomy with every vaginal delivery. Sometimes it is necessary to allow the baby to come out more easily or in an effort to prevent a larger laceration that would occur naturally. Your doctor will decide on the need for one at the time of your delivery. ...Read more

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What is the current scientific thought about episiotomies?

Often useful: Though not always. There are anti-episiotomy militants online; I've looked at their stuff and it's emotional and inflammatory rather than scientific. When you hear a routine medical procedure that often prevents a woman being lacerated from her vagina to her anus described by activists as "violence" by wicked physicians, you know this is a personal agenda rather than real science. ...Read more

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Is it mandatory to do episiotomy in normal vaginal delivary?

Is it mandatory to do episiotomy in normal vaginal delivary?

No: It is not mandatory to have an episiotomy with every vaginal delivery. Sometimes it is necessary to allow the baby to come out more easily or in an effort to prevent a larger laceration that would occur naturally. Your doctor will decide on the need for one at the time of your delivery. ...Read more

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I asked them to not cut me, but now I have episiotomy stitches. I am upset. What do I say?

I asked them to not cut me, but now I have episiotomy stitches. I am upset. What do I say?

Don't be upset!: 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. So, just because you have stitches doesn't mean you had an episiotomy. Ask your surgeon! ...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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What is an episiotomy?

Cutting vagina : An episiotomy is a small incision made during vaginal delivery to create more space for the baby. It used to be used routinely, but recent studies show it is not necessary in most cases. Most doctors do not routinely cut episiotomies anymore. I rarely use this option except in emergencies or extreme circumstances. ...Read more

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Episiotomy hurts bad. Help!?

Sitz bath: Warm sitz baths are a great thing. Can use some topical Lidocaine to help as well - call your doc and get some called in. ...Read more

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Can I refuse to get an episiotomy?

Can I refuse to get an episiotomy?

Yes: But realize you may tear a jagged , irregular episiotomyand an irregular tear may be more difficult to repair, and be more painful. ...Read more

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Where is an episiotomy usually done?

In delivery room: If needed, it is best if a surgical procedure (like epis) is performed under sterile or the cleanest conditions possible. That would typically be in a dr after a woman's perineum ('bottom') has been cleaned with an antiseptic solution and local anesthesia has been given. Sometimes, however, mother nature does not wait so episiotomy and delivery are carried out in nonsterile but clean conditions. ...Read more

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Help! My episiotomy has healed wrong!?

Please have this: evaluated by your gynecologist. Sorry, we can't help too much using this forum. ...Read more

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How does an episiotomy look afterwards?

Surgical incision: An episiotomy, if uncomplicated and repaired properly should look like any other routine surgical incision after it has healed. The vagina is remarkable in its healing ability and the scar will likely be unnoticeable to the untrained eye. ...Read more

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Are routine episiotomies done anywhere?

Are routine episiotomies done anywhere?

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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How do they know when to cut an episiotomy?

We don't.: We have stopped generally cutting episiotomies because they do more harm than good. Few absolute indications for it remain, such as severe shoulder dystocia. ...Read more