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Doctor insights on: Should I Be Concerned If My Doctor Still Does Routine Episiotomies

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Should I be concerned if my doctor still does routine episiotomies?

Should I be concerned if my doctor still does routine episiotomies?

No: If you do not want an episiotomy then have that conversation with your doctor well before your labor starts and write it into your birth plan. Ask questions about your doc's episiotomy rate and why he or she does them. Most docs do not routinely cut them anymore. If it is important to you then your doctor should respect your wishes and not cut one unless there is an urgent need. ...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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Why do some doctors still do an episiotomy?

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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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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Will the doctor numb me up first and tell me before he or she does an episiotomy ?

Yes: Nowadays, episiotomies are not "standard" with every delivery. The American College of Ob/Gyn recommends they be done when indicated, e.g. baby's fetal heart rate is low and the doctor wants to expedite delivery or is worried the baby might get stuck in the birth canal. I do quite a few deliveries every month, and I only cut an episiotomy once every 30-40 deliveries. But yes, numbing is essentia ...Read more

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If a doctor is removing genital warts thats on your vagina or the opening.Will they do something like an episiotomy?Crazy ques. Just worried about vag

No: Warts are small for the most part. They can be frozen, lasered off, treated with chemicals (acids) that make them fall off, or they can be cut w/ scalpel. Most warts are 1-3mm in diameter, would definitely not require an episiotomy type incision. They can be removed with small amt of local anesthesia, or no anesthesia, because they are that small. Rare they are big--> again, local anesthesia. ...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 common is it for someone to need an episiotomy?

Episiotomy: Episiotomy is a procedure done at the time of delivery to facilitate the process. It is done for several reasons and is a judgement call by the delivering physician done at the time of delivery. Here in new jersey, the average rate can be anywhere between 3% - 30%. I would pressume that approximately 10-15% of women will get an episiotomy during a vaginal delivery. ...Read more