Will they necessarily do episiotomy?
Episiotomy – cuts during childbirth – everything is necessary? Testimony, video, how is episotomy. Meet cases during childbirth when episiotomy is needed, and when it can be avoided
Surely every woman (not even giving birth) heard of the cut of the crotch in the process of childbirth. What is this procedure (frightening many future mothers), why is it needed and is needed at all?
See also: 7 effective ways to avoid cut crotch at birth.
In reality, Epsotomy is a crotch tissue dissection (areas between vagina and rear pass) during childbirth. This is the most common operation applied in childbirth.
Indications for episiotomy
Indications for episiotomy can be from the mother or from the fetus.
On the part of the fruit
- Baby threatening Hypoxia
- originated risk of brain and other injuries;
- premature baby (premature childbirth);
- Multiple pregnancy.
From the mother
- With health problems (in order to reduce and facilitate the waiting period);
- with the aim of prevent an arbitrary tissue break crotch (in the event of a real threat);
- In case The need to use obstetric forceps or commit other manipulations;
- Preventing the possibility of transmitting the disease mother child;
- very large fruit.
How does episiotomy occur??
Most often, episiotomy is carried out in the second phase of labor (at the time of the passage of the fetus through the vagina). In the event of the need for an obstetrician dissecting the crotch tissue (most often without anesthesia, Since blood flow stops in stretched tissues) with scissors or scalpel. After childbirth The cut is embedded (using local anesthesia).
Video: Epsotomy. – Watch for free
Types of episiotomy
- middle – the crotch dissects towards the rear pass;
- Mediolatal – the crotch dissects down the book and a little sobc.
Middle episiotomy is an More efficient, But the complications are fraught (Since the further breaking of the incision with the sphincter and the rectum is not excluded). Mediolatal – longer heals.
Episiotomy – «per» and «against». Do they necessarily do episiotomy?
For episiotomy
- episodemia can really help Accelerate childbirth;
- can provide additional space if necessary;
- There are an unconfirmed belief that smooth cuts of cuts are much faster heal.
Against episiotomy
- does not exclude further rupture crotch;
- does not exclude the risk of damage to the head and brain kid;
- Painfulness in the seam area in the postpartum period and sometimes – For six or more months;
- exist The possibility of infection;
- the need to feed the baby lying or standing;
- It is not recommended to sit.
Be that as it may, at present, cases when episiotomy is carried out at planned (that is, it is mandatory) it becomes less and less. At the moment, most doctors spend episotomy only In the event of a real threat to the life and health of the mother or kid. So in your power and opportunities to try to avoid it at all (refusing to hold it, or spend Special prevention In order to reduce the risk of its need during childbirth).
Successful to you childbirth!