Episiotomy is a surgical incision that is done in the perineum. In which is the tissue that separates the vaginal opening from the anus. This method, which was once considered standard practice during labor. It is no longer so. You should be aware of the risks associated with episiotomy and childbirth. If you are considering a vaginal delivery.
An episiotomy is a surgical procedure in which a cut (incision) is made through the tissue. Between your vaginal opening and anus. The perineum is the term used to refer to this part of the body. In order to prepare for childbirth. This operation performed to increase the size of your vaginal opening.
Your healthcare practitioner will typically ease your baby’s head and chin out of your vagina. Once the baby’s head has been identified. That once baby’s head has expelled. The shoulders and the rest of the body will soon follow suit.
For many years, it believed that an episiotomy. This may help prevent more extensive vaginal tears during childbirth. And that it could also heal more quickly than a natural tear could. Also believed to be beneficial was the preservation of the pelvic floor’s muscular. As well as connective tissue support.
Recent research, on the other hand. Reveals that frequent episiotomies may not be effective. In preventing these complications after all.
The New Method
The use of episiotomies on a regular basis is no longer recommended. Despite this, the procedure still required from time to time. If your baby needs to delivered as soon as possible. Your health care expert may recommend an episiotomy procedure. In part, this is attributable to the following factors:
You’re experiencing discomfort because your baby’s shoulder. It is stuck below your pelvic bone (shoulder dystocia).
It discovered that your baby’s heart rate is abnormal. During the course of your labor and delivery.
In order to avoid this, you must have a surgical vaginal birth. (Using forceps or vacuum).
How Episiotomies Works
During an episiotomy, if you have not previously received any type of anesthesia. Or if the anesthesia has worn off, you will most likely be given an injection of a local anesthetic. To numb the tissue around the surgical site. If you have previously received any type of anesthesia. You will most likely given an injection of local anesthetic.
Recognizing that your health-care provider is performing the incision. And mending the episiotomy can be a frustrating experience. Especially during the recovery period. Your healthcare practitioner will go over with you. In detail the many methods for increasing your comfort as you heal.
Episiotomy incisions divided into two types: lateral and medial.
A midline incision made (median). An incision made across the midline of the body in a vertical fashion. The midline is a less difficult place to repair than the anal area. But the anal area is more likely to be affected if the incision is made there.
On the mediolateral side, an incision was made. In order to do a mediolateral incision. It is necessary to make an angle cut. Incisions placed on the mediolateral side provide the best protection. Against a large tear affecting the anal area. However, they are often more painful and more difficult to heal. Than other incisions and not recommended for all patients.
Why could I undergo an episiotomy?
Episiotomies are not always essential for all women of childbearing age. It is possible that increasing the natural stretching of your tissues. This will assist to lessen your need for this medication in the future.
Ask your doctor about the measures you can take to do this procedure at home. With the assistance of a family member or friend. It is possible that your perineal tissues will rip. If you do not have an episiotomy performed on you. It’s indeed possible that this type of damage will be more difficult to repair.
The use of an episiotomy may recommended by your healthcare professional. In the following circumstances:
As a result of a scarcity of oxygen. The infant is not obtaining enough oxygen (fetal distress).
Among the complications that can occur during childbirth are the baby. Being born in the breech position or with his or her feet first. As well as the baby’s shoulders becoming trapped. Throughout the labor and delivery process (shoulder dystocia).
The pushing stage of the labor process is extremely time-consuming and labor-intensive.
Forceps or a vacuum used to bring the meal to the recipient’s mouth.
Baby has put on a large amount of weight in recent weeks.
The birth of a child before the due date of the child.
Extra reasons may exist for your healthcare professional to recommend an episiotomy. In addition to the ones listed above. As well as additional reasons for performing the treatment on you.
There are certain risks associated with an episiotomy that you should be aware of. Because of the dangers involved with episiotomies. They are no longer as common as they once were. The following are some of the dangers:
In rare situations, the surgical incision may be more extensive than a natural rip would have been. Making recovery after an episiotomy a painful experience. It is possible to become infected with the virus. In the months following birth, some women report difficulty. When having intercourse as a result of an episiotomy.
You are at risk for fourth-degree vaginal tearing following a midline episiotomy. Which can result in bleeding that spreads through the anal sphincter. And into the mucous membrane that lines the rectum after the procedure completed. A issue such as fecal incontinence may arise at any time.
During delivery, it is possible that the cut will rupture and become larger. It is possible that the rupture will expand. Into the muscle surrounding the rectum. Or perhaps into the rectum itself, if it is deep enough.
It’s likely that additional blood will be lost throughout the procedure.
This is possible that the wound and the stitches will become infected as a result of the procedure.
It is possible that sex will be uncomfortable for the mother. During the first few months following giving birth.
Even with the risks. An episiotomy can be quite advantageous in certain situations in some cases.
An Episiotomy’s Healing
Following an episiotomy, you may experience some discomfort at the site of the incision. It is possible to apply an ice pack to the affected area. To help reduce swelling and pain. Taking short baths (sitz baths) in warm or cold water can help to relieve soreness. And speed up the healing process. Topical analgesics such as medicated creams. Or numbing sprays may be effective in some circumstances.
If your doctor has recommended a pain reliever for you, you may be able to take it. Remember to only take medications that have recommended. By a medical professional.
The cleanliness and dryness of the incision should maintained. By following the advice advised by your healthcare practitioner. Following urination and bowel movements. This is of critical importance. Stool softeners, which may recommended by your healthcare expert. If you are experiencing painful bowel movements, may be of assistance.
Any stitches that use to close the wound following an episiotomy. Are frequently absorbed by the body on their own. If you are suffering from constipation, you should consider taking prescription medications. Or using over-the-counter pain relievers or stool softeners. Lotions or ointments that provide pain relief,. On the other hand, have proven to be effective. In the treatment of episiotomy wounds.
It’s reasonable to expect the soreness to reduce gradually while you’re recovering. If the pain becomes excessive, you develop a fever. Or the incision begins to produce a pus-like discharge. You should seek medical attention as soon as possible. An infection could indicated by the presence of these signs and symptoms.