Doctor insights on:
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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