EPISIOTOMY

An episiotomy, a surgical cut to widen the vaginal opening during childbirth, is now advised only when necessary due to its potential downsides. This procedure, once routine, is now reserved for specific medical situations. An episiotomy might be considered if the baby is in distress and needs to be delivered quickly, as it can provide the needed space for a swift delivery. It can also be necessary during instrumental deliveries, such as when forceps or vacuum extraction are required. However, it's important to be aware of the potential downsides.

WHEN IS AN EPISIOTOMY CONSIDERED?

Episiotomies are typically considered when there’s a medical reason that suggests it could be beneficial:

FETAL DISTRESS - When the baby is in distress and needs to be delivered quickly, an episiotomy can provide the needed space for a swift delivery.

INSTRUMENTAL DELIVERY - When forceps or vacuum extraction are required to assist the baby’s journey, an episiotomy may be performed to make room for the tools.

POTENTIAL DOWNSIDES OF EPISIOTOMY

While Episiotomies can be beneficial in specific scenarios, it’s essential to be aware of their potential downsides:

RISK OF INFECTION - Any surgical incision carries the risk of infection, especially given the sensitive nature of the area.

EXTENDED HEALING TIME - Episiotomies often require longer healing time compared to natural tears, resulting in discomfort and temporary limitations.

FUTURE COMPLICATIONS - There is evidence that episiotomies can lead to long-term issues, such as pain during intercourse or urinary incontinence.

Discussing these risks and benefits with your healthcare provider can help you make an informed decision. Understanding the potential need for an episiotomy and its associated risks allows you to better prepare for your childbirth experience.