In some cases, during the process of deliverythere is a need for incision of the perineum. This small surgical procedure is necessary for low elasticity of the cervix to avoid ruptures, with a threat to the fetus to accelerate delivery, etc. There are various opinions about the need for this operation and all For and Again are better discussed in advance with your doctor.
The benefits of episiotomy include:
- expansion of the birth canal;
- a rectilinear incision is easier to sew than larger gaps;
- acceleration of delivery for 15-30 minutes, which is especially important for prolonged childbirth, when the labor of the parturient is exhausted;
- made in time, the incision prevents damage to the perineal and vaginal muscles;
- If additional forceps or vacuum extractors are required, additional space is created;
- when a premature baby is born, the pressure on the baby's head is reduced.
Opponents of episiotomy believe that birth should take place naturally, and note some negative points:
- discomfort in the early postpartum period;
- execution of the procedure without special need;
- the risk of infection in the place of incision;
- possible pain during intercourse for several months after childbirth.
There are basically two types of episiotomy: central (middle muscle) and mediolateral (central-lateral). The central incision is made straight to the rear, in the direction of the anus. Despite its advantages (in relation to the length the incision causes a greater expansion of the delivery of the birth canal, it heals well, it is easier to sew, it causes less bleeding, less often causes postpartum indispositions and there is no infection), it is less often used because of the risk of rupture of the perineum to the posterior passage. In order to avoid this danger, most doctors, especially at the first birth, choose a mid-cut incision that passes the anus. Paradoxically, in practice, the protective incision heals much better than the protective rupture. And one more "For". Muscles, if not torn, are subjected to such a strong stretch that in the future their tone decreases and may lead to the omission of the uterus. You can discuss with the doctor all the Pros and Cons, but remember that the final decision will be made in the delivery room, taking into account your condition and, first of all, taking into account the possibility of a safe birth of a child. We advise you to read:
