Episiotomy

  • 22 Months ago
Episiotomy

Episiotomy is a planned surgical cut on the perineum and posterior vaginal wall during the second stage of labor to widen the vaginal opening and facilitate childbirth.

It's objective:

  • To facilitate the easy and safe delivery of the foetus.
  • To reduce the stress and strain on the foetal head.
  • To minimize overstretching and rupture of the perineal muscle.

Advantage:

  • Laceration extending to the rectum can be avoided
  • Shortening of the second stage of labor and thereby reducing the bearing down efforts.
  • Minimizes intracranial injuries especially in premature babies
  • Reduces foetal asphyxia.

Disadvantages:

  • Excessive bleeding
  • Infection
  • Urinary incontinence
  • Anal incontinence
  • Vulval hematoma
  • Dyspareunia

Post episiotomy care:

  • Use ice pack immediately after birth, this will help to reduce pain and swelling.
  • After 24 hours of delivery take a warm bath.
  • Keep the area clean and dry
  • Change pads every 2-4 hours
  • Soak your perineal area in a sitz bath for 15-20 minutes, 2-3 times daily
  • Take painkillers on the recommendation of the doctor
  • Drink lots of water
  • Include fiber in your diet for a proper bowel movement.