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Episiotomy
Either the sheath episiotomy goes in the midline (median) along the natural perineal suture or it gets lateral (either mediolateral or lateral) attached. The medians' incision is shorter in comparison with the lateral incision, prepares less pains, heals better and hardly disturbs the arising scar. It, however, catches on occasionally still further up to the anus sphincter. Most physicians therefore prefer a lateral incision. It often causes troubles. Often, you are worse than the whole birth for the woman. Vessel injuries frequently arise at the incision. Hematomas can form. You can delay the normal healing and prepare in addition sore pains. The wound also can ignite. Hardenings and proud fleshes also can arise in the grain area. Through this problems appear primarily when sitting. The inclination for sexual intercourse often comes to a standstill completely. Alarmingly many women find the incision a coarse injury of their genital area about years. The episiotomy should therefore only be carried out very well in a considered way and situations only require it if certain.
The incision becomes necessary
- they if the heart sounds of the child get critical and no more con-press the birth lasts already too long or the mother is already exhausted so that can.
- if the child is born too early. The pressure of the perineum tissue on the soft childlike capitulum is reduced so and shortens the kard ejection phase.
- if the birth must be ended with the help of a suction cup. A dilatation of the birth canal is caused so.
- heart, eye complaint if the mother may not press for medical reasons.
In the past, the episiotomy was a routine birth helping measure and you carried out at almost every first giving birth.
The following reasons were given for this:
- An unchecked perineal laceration should be avoided. He could perhaps injure the sphincter of the anus and lead to rectal incontinence (involuntary departure of intestine content).
- The smooth edges of a wound of an incision can be sewn more lightly. At a rip this is often more difficult. It doesn't prepare any so strong pains mostly, however, since it represents a natural injury and the tissue breaks in the weakest place. Vessels aren't hurt most.
- An over-stretching of the muscle and connective tissue should avoided be prevented to a womb and vaginal prolapse or a urinary incontinence. This can by the way appear even at an emperor cesarean section. A consistent involution exercises of the pelvic floor is primarily important after the birth.
In any case it is advisable to ask for the episiotomy rate in your favored maternity hospital at an information evening. Also have their reasons which lead to an episiotomy in this clinic explained. If the episiotomy rate is more than 30 to 40%, then this is a sign that the clinic isn't at the newest stand of the obstetrics.
These informations may be considered a substitute for a piece of medical advice in no case. The content of health-illness.com doesn't can and may be put into any case to make diagnoses or carry out self medical treatment independently.
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