Episiotomy is a subprogram , considered to be helpful in making the process of childbirth more convenient . Also known as perineotomy , this is a surgical subprogram which has been performed by the mid - wife or accoucheur to enable a quick labor . If you are wondering what is an episiotomy and why is it done , here is more information for you .
What is an Episiotomy?
Episiotomy is perform during the second stage of labor by piss an enlarged opening so that sister can pass out easily . In this procedure , an dent is done from vulva towards the anus at 90 degree and other pick could be from posterior towards the ending of vulva which is also termed as medio - sidelong episiotomy . It is performed under local anesthesia and the cutting is suture after the legal transfer .
This technique for aiding the normal vaginal birth was much popular earlier , but now , practitioner debar this process owing to many side effects which can affect health . In some commonwealth , episiotomy is usual but in some nation , this technique is not very uncouth .
Episiotomy may be performed as medial , lateral , medio - sidelong surgical incision , reckon on the necessary . Sometimes , a J- shaped incision may have to be made , to ease easy labor , depending on the baby ’s position and several other factor .
However , this procedure is now controversial as it can be high-risk in some case . The anus is very close to the incision and there are chances of damaging the anus or the perineum , which can have severe impact on the mother ’s health . But there may be some stipulation , when episiotomy needs to be performed .
Why is Episiotomy Done?
In some situation , episiotomy is done where tiddler ’s health is the meridian headache . permit us check out the specific reasons that why episiotomy is done :
Special Situations When is Episiotomy Done?
In some complicated deliveries , vacuum extraction or forceps serve vaginal legal transfer is essential . Here , episiotomy is done as it reduces the resistance of vaginal orifice and requires less force to push babe ’s head out .
Breech presentment or legs first precondition ca-ca baby ’s bottom pass through cervix before the head . In this case , episiotomy leave additional space to move the infant out from vagina . In fact , episiotomy is done unremarkably when the baby is overweight and shoulder dystocia makes it tough for the baby to pass through the birth canal .
Occiput prior or head first presentment makes the head number out of vagina first but with abnormal positions of infant ’s head the position may be difficult . Delivery of twins may sometimes take extra aid . In such case episiotomy is done to put up adequate room and avoid any kind of complications at a posterior stage .
Although , episiotomy is done to prevent unnatural tears in the vagina , anus and the perineum , it is authoritative that episiotomy is carried out in the correct style . This process must be performed by trained and qualified expert . Episiotomy must be done , only when it is absolutely necessary . Some side effects of episiotomy like pain , bleeding , improper healing of the injury , etc . should be kept in mind . Proper rest and aesculapian advice must be followed after the procedure to ensure right healing and recovery .
