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What is episiotomy? Is it unavoidable, painful? Does it prevent a tear, incontinence? The answers of two midwives.
What is episiotomy?
- Episiotomy is a perineal incision (set of muscles supporting the genitals, from the vulva to the anus) during delivery, to allow the passage of your baby. At this time, the perineum is stretched to the maximum. The midwife, or gynecologist, introduces a branch of surgical scissors into the vagina and most often performs a "mediolateral" episiotomy to the right or left at an angle of 45 degrees per report horizontally.
- This incision measures 3 to 4 cm. His suture is performed immediately after delivery, under local anesthesia or under the effect of the epidural. It is performed with resorbable son. The vaginal wall is sewn, then the levator muscle of the anus (the one that is contracted when one wants to refrain from peeing) and finally the skin of the perineum. The threads will be resorbed in two to three weeks, sometimes a little more.
In which cases is it recommended?
- For years, obstetricians and midwives have learned that episiotomy should be used almost systematically for a first delivery., to give birth to big babies, when using instruments to extract the baby (forceps, suction cup), in case of epidural, under the pretext that the mother can not push well, or when the baby is in fetal suffering. But no study has proved the value of systematic episiotomy in all these cases.
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