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I give all my patients episiotomies
I give all my patients episiotomies







The good news, especially if you’re frightened of this procedure, is that the episiotomy is on the decline and less commonly recommended as the first choice for helping deliver a baby vaginally. Sherry Ross, OB-GYN and women’s health expert at Providence Saint John’s Health Center in Santa Monica, California. The episiotomy used to be the most common surgical procedure performed on women, says Dr. More: The Mamafesto: Mother who had forced episiotomy fights back in court The best thing we can do as women is arm ourselves with facts about the pros and cons of each - and learn why these decisions are sometimes made for us. Some may feel anger or resentment over never being asked by their doctor whether they wanted to tear naturally or have an episiotomy, which is a surgical incision made to the muscle between the vagina and the anus that helps deliver a baby. How long you will need to stay in the hospital after childbirth with an episiotomy is usually 2 days.It isn’t uncommon for women to report that the experience of childbirth left them feeling as if they had little control over their bodies. Ask questions about any medicine or treatment or information that you do not understand.You have blood, pus, or other fluid coming from your wound area.The area around your wound is more red or painful.Signs of infection around your surgical wound.Vaginal discharge with a bad odor or itching.You will need to tell your healthcare team if you have new or worsening:.Sprays or pads that contain a numbing medicine to reduce pain.These can be done starting at least 24 hours after delivery. Warm tub baths (called sitz baths) 2 or 3 times a day for 20 minutes to help with the soreness.Cloth-covered ice packs on the area to reduce swelling.Soften stool and reduce straining with a bowel movement.Prevent side effects, such as nausea or constipation, from other treatments.Your provider may prescribe medicine to:.Your heart rate, blood pressure, and temperature will be checked regularly.Your blood oxygen level will be monitored by a sensor that is attached to your finger or earlobe.You will be checked often by nursing staff.After you deliver your baby, your healthcare provider will close the incision with stitches that will gradually dissolve after about 10 days.Your healthcare provider will help you deliver your baby.The cut is usually 1 to 3 inches long (2 to 8 cm). Your provider will then make a cut from the opening of the vagina toward the rectum.When the baby’s head is stretching the opening of your vagina, your healthcare provider will numb the area of the vaginal opening with an anesthetic, unless you have already been given an epidural block for pain.You may be given a shot of pain-relieving medicine in the lower spine (called an epidural block) to numb the birth canal during labor and delivery.This will allow medicine to be given directly into your blood and to give you fluids, if needed.

i give all my patients episiotomies

You will have a small tube (IV catheter) inserted into a vein in your hand or arm.Tell your healthcare provider if you are taking any medicines, including nonprescription drugs, herbal remedies, or illegal drugs (if any).

i give all my patients episiotomies

  • Tell your healthcare provider if you are allergic to any medicines.
  • The consent form will state the reason you may have different treatments, what may happen during delivery, and what you may expect afterward.
  • Your healthcare provider will ask you to sign a consent form for any necessary treatment during labor and delivery, including an episiotomy.
  • It may also prevent injury to the baby if the baby’s head is too large, the shoulders are too wide, or the baby is coming out feet or bottom first (a breech birth). The cut can help avoid tearing into the vaginal wall and rectum during the delivery of your baby. It is done to widen the opening of your vagina during childbirth. An episiotomy is a cut made between the opening of your vagina and your rectum.









    I give all my patients episiotomies