Episiotomy and Episiotitis: Understanding, Preventing, and Healing Tips
– An episiotomy is a cut made between the vaginal opening and the anus during childbirth.
– It was once thought to prevent larger vaginal tears and preserve the muscles and connective tissue in the pelvic floor, but research suggests it doesn’t prevent problems.
– Routine episiotomies are no longer recommended.
– An episiotomy may be needed if a baby needs to be quickly delivered due to a stuck shoulder, unusual heart rate pattern, or the need for forceps or vacuum extraction.
– There are two types of episiotomy incisions: midline and mediolateral.
– Midline incisions are easier to repair but have a higher risk of extending into the anal area.
– Mediolateral incisions are less likely to cause an extended tear into the anal area but are often more painful and difficult to repair.
– Episiotomy recovery is uncomfortable, and infection is possible.
– Some women may experience pain during sex after an episiotomy.
– A midline episiotomy puts women at risk of fourth-degree vaginal tearing.