it depends, they only cut it when the baby's head is coming out and it starts to rip or it looks like its gonna rip. they cut before it rips because it heals up better. but if you get the epideral and other medicines to help with the pain you cant feel it
2006-08-30 15:46:39
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answer #1
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answered by jillrm_03 2
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Not all doctors do this, but it is a pretty common procedure. It is called an episiotomy. This is an incision performed between the vagina and the rectum that is used to increase the opening of the vagina to assist in delivery of a baby.
An episiotomy can decrease the amount of pushing the mother must do during delivery. It can also decrease trauma to the vaginal tissues and expedite delivery of the baby when delivery is necessary quickly.
I had one and it was COMPLETELY painless. Trust me, everything going on down there you will not even notice when it happens. The typical healing time for an episiotomy is around 4 to 6 weeks depending on the size of the incision and the type of suture material used to close the wound.
I decided to get one since my doctor was afraid that I would tear during the delivery and that can be more painful and harder to heal. But, read up on this before you decide what YOU want to do. Here is a good site.
http://www.medicinenet.com/episiotomy/article.htm
Good Luck
2006-08-30 15:49:07
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answer #2
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answered by Heather L 2
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Sometimes doctors do an episiotomy (fancy medical lingo for cutting the vagina open) to allow the baby to come out easier. They then sew it back shut. The idea originally was to prevent tears which can rarely happen and can be severe enough to even rip from the vagina to the anus, but often the doctor is just inpatient. You may find a midwife to be more patient allowing you to push at your own rate, but they aren't as good in emergencies
2006-08-30 15:46:07
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answer #3
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answered by Poppies_rule 3
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If you have natural childbirth there is a chance that you could tear or, in the event the baby would get stuck, an episiotomy is performed, where they make a small incision to enlarge the opening. It is very standard to have stiches after a natural birth, but i can tell you from experience I would rather have that kind of stiching than a c-section. The c-section hurt for a lot longer after the birth and was harder to deal with. The vagina stiching was a breeze.
Peace!
2006-08-30 15:46:58
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answer #4
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answered by carole 7
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In most cases yes. The reason for this is to prevent tearing. If you tear, then it could be possible that the physician couldn't get the uneven areas sewn back together in a way as to prevent scaring and scar tissue. The cut, which is minor, allows the physician to have equal sides to reconnect so that the vaginal area can be put back together, minimize scaring, development of scar tissue, and basically put the vaginal area back to a more normal and natural area. This also helps to relieve pressure and pain of the tearing. This is how it was explained to me when my children were being born. (Not from personal experience!) haha
2006-08-30 15:51:35
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answer #5
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answered by Big "D" 2
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in 3 pregnancies and deliveries, I have never had an episiotomy. I have torn a little with the first 2 babies but nothing major. The one asnwer that says you can ask them not to do the episiotomy is correct- all you have to do is get online and do a search for a birthing plan and fill that information out and give it to your ob/gyn to have on file and also send a copy with your pre-registration paperwork to the hospital you plan to deliver at...I did that with my last two and the Dr and hospital nurses were great and followed my wishes exactly. (Luckily I had no complications so that definitely made the process a lot easier too) Good luck!
2006-08-30 16:45:50
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answer #6
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answered by sammy22005 5
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sometimes yes, depends on your body frame and if the baby can fit. They cut me and then when my son came out I tore the rest of the way. So I was cut then I tore. They should have just cut me because my son flipped in my birth canal and it was a miracle that I pushed him out before they had to do an emergency c-section. They were moments from doing one. Doctor said my labor was one of the worst hes seen but I didnt think it was that bad after I saw my son.
2006-08-30 16:49:17
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answer #7
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answered by Anonymous
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2016-09-30 04:48:44
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answer #8
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answered by ? 4
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A review of existing studies recently published in Obstetrics and Gynecology found that not only is the procedure of episiotomy performed too frequently, but the benefits doctors have long attributed to routine episiotomies-including that they help women heal faster by reducing tearing and prevent brain damage to the baby by reducing labor time-appear not to be true. “There's no evidence that speeding up labor provides any benefit to the baby unless the baby is in distress, and episiotomies clearly cause women a lot of pain and suffering,” says Eric Eason, MD.
Dr. Eason argues that the cut should be reserved for exceptional circumstances in which it's beneficial. These include high-risk deliveries or when a baby is breech or in trouble. But most of the time, with local massage and controlling the delivery, the vaginal tissue stretches on its own and will return to normal on its own.
Indeed, research has long suggested that episiotomy's risks-including blood loss, pain, swelling and infection-outweigh its claimed benefits. Nonetheless, some doctors still perform episiotomies as a matter of course, arguing that they're easier to repair and heal better than a natural tear. But if your pushing is coached by a willing and experienced birth attendant, many such tears heal without stitches. Even a tear that needs stitching will usually be no more extensive than an episiotomy. And research suggests that women with natural tears experience less pain and infection. They also resume intercourse sooner than women with episiotomies.
In fact, episiotomies are actually more likely than natural tears to extend into or through the anus. Why? Imagine ripping a sheet into rags. Tearing an uncut sheet is hard to do. But if you make a cut at one edge first, the sheet rips more easily, and faster. These tears to the anus or into the rectum, called third- or fourth-degree lacerations, can sometimes require surgery months after the birth.
A study in British Medical Journal also revealed that simply getting an episiotomy tripled a mother's risk for fecal incontinence (loss of bowel control) three months after delivery. And though episiotomies have been claimed to prevent pelvic-floor-muscle relaxation, these muscles are actually weaker in women who had episiotomies. (Weak pelvic floor muscles contribute to urinary incontinence.)
Because you may require an episiotomy for a valid medical reason, and because a substitute doctor may be present at your baby's birth, ask when and how often the individual doctors or midwives in your provider's group find it necessary to perform this procedure. If your doctor performs episiotomies quite frequently, you may want to consider switching providers. Ask the doctor why. If you don't get a credible answer, that brings up a lot more questions. If you are uncomfortable with your doctor's answer, it may not be the place for you.
A caregiver who does few episiotomies will probably recommend several strategies to help you avoid an unnecessary cut. One of Stacy Anderson's doctors, for example, suggested she practice Kegel exercises, to tone the vaginal muscles so they could stretch more easily for the birth. To do a Kegel, tighten and relax the muscles around your urethra, vagina and anus, as if you're trying to hold back urine. Keep the muscles contracted for about 10 seconds. Repeat 10 to 20 times in a row, two to three times a day.
Anderson's doctor also recommended prenatal perineal massage. A 1999 study found that perineal massage significantly boosted the rates of stitch-free delivery for first-time mothers.
During the birth, you can help by controlling your pushing according to your birth attendant's directions, by letting your knees fall far apart, and by completely relaxing your pelvic floor muscles (do the opposite of a Kegel). Your doctor or midwife may apply warm compresses to help you relax, topical lubricants to ease out the baby's head, and firm hand pressure to keep the baby's chin flexed to present a smaller diameter at birth.
Healing hints: Whether or not you have had an episiotomy or stitches from a tear, you'll feel sore or swollen for a few days to weeks after giving birth. Experts also say you'll be sitting pretty faster if you:
* Use an ice pack for 24 hours, then take frequent warm sitz baths (you should receive one from the hospital and they're also available at your local pharmacy).
* Keep the area clean and apply witch hazel or a topical anesthetic.
* Do frequent Kegels to improve circulation and speed healing.
* Drink lots of water to keep your urine diluted so it doesn't sting.
* Don't sit on an inner tube to avoid pain: This pulls stitches apart. Instead, choose a firm seat and do a Kegel before you sit down.
* Don't baby the area. The sooner you move around, the faster pain will decrease.
2006-08-30 15:56:55
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answer #9
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answered by MJ 3
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yes they do. it is called a epsiotomy, they cut the area between your vagina and rectum. they do that because it gives the baby more room to come out sometimes when the baby is coming out you may start to tear down there, so they cut then after the baby is out they stitch it up
2006-08-30 15:48:15
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answer #10
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answered by missaboo 5
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