Generally speaking , an episiotomy is done if :
there is any sign of foetal distress while the baby is in the birth canal
a delivery occurs too quickly for the vagina to stretch naturally
the baby's head is too large for the opening
the baby's shoulders are stuck (When a baby's shoulders are stuck they are stuck behind bony pelvis, not soft tissue, so this indication is disputed)
it is a breech birth or forceps delivery
Other than that , there is NO indication or compelling evidence the use of episiotomy as a routine procedure . Routine episiotomy was intitialy proposed Way back in the 1920s by De Lee but since the nineties , it is no longer considered as a routine procedure .
and an local anaesthetic is almost always given . I'm not sure why this was not done for your sister .
2007-07-13 00:14:40
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answer #1
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answered by Suhaib A 1
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It's called an episiotomy, a very common procedure done during birth. Watching an episotomy is not a fun thing to witness. It is done because, if there was a possibly that there would be a tear to that area, it's best to have an even cut vs. a bad tear. Sometimes, a local anesthetic is administered if appears the vaginal opening is going to tear and the baby is still high enough in the birth canal. However, sometimes, once the birth process is almost complete and the baby is right there, there isn't time to give a local as the main concern is a bad vaginal tear, which is quite worse than having the episitomy. A bad tear is harder to stitch than an even cut and the chances of infection are greater with a tear. I hope that this help. Congrats to your sister-in -law !!
2007-07-12 00:06:13
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answer #2
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answered by Ruth 7
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I'm not sure why they didn't give your sis-in-law anaethestics, or why exactly they gave her an episiotomy. I think only the doctor could answer that. But having had an episiotomy for my first child and being allowed to tear naturally with my second, I can tell you it doesn't make that much of a difference. I received stiches for both. As for the pain, I had an epidural both times and that removes all sensation below the waist, so I can't say if an episiotomy or a natural tear is more painful.
Tell your sis-in-law to eat plenty of fibre and drink lots of water at least until the stiches are healed. Not only is it good for her but it'll help her avoid getting constipation. If she gets constipated during this time, it may slow down the stiches healing properly or even cause the stiches to tear.
Congrats on the new baby!
2007-07-14 08:18:02
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answer #3
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answered by Anonymous
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Cutting Vagina During Birth
2016-11-04 10:13:31
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answer #4
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answered by Anonymous
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It's called an episiotomy - and honestly, the actual cut doesn't hurt! The area is sooo stretched by the time its done, that it is painless. The stitches are hardly felt either - I guess the body has some sort of natural anesthetic going on.
Standard practice here in the UK - carried out when the baby becomes distressed.
2007-07-11 23:46:02
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answer #5
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answered by Sal*UK 7
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This is a breech delivery and is actually more common that the feet coming 1st. If the baby is breech the midwife will usually pick up on it and a caesarean will be suggested as the safest way to deliver the baby. However, rarely breech pregnancies are missed, or the baby can decide to make an appearance sooner not giving time for a c section to happen and then the baby can end up being delivered vaginally in this position!
2016-03-19 06:18:36
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answer #6
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answered by Anonymous
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Generally they will give you a little local anesthetic around the area of the episiotomy. In some cases, if you were not given an episiotomy, you would tear regardless. Sometimes the baby's head pressing against that area before it emerges completely will numb it to some degree but from my experience....if they can give you a shot of some local anesthetic.....Whew!.....much better. With one of my kids, the doctor arrived too late to administer the local and that was pretty excruciating. You forget quickly, though, once that baby is in your arms.
2007-07-11 23:54:56
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answer #7
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answered by moneywise 3
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Most doctors in the past 10 years or so have stopped doing episiotomies. My doctor never does he said that he feels it is just as safe to let you rip on your own.
2007-07-11 23:49:13
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answer #8
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answered by Mom22 5
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Are you hoping to experience a vaginal birth after having had a cesarean delivery? You may find your hopes are squelched by modern practitioners.
2007-07-12 04:09:24
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answer #9
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answered by Anonymous
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