Episiotomy
The trauma
and stretching during delivering a baby vaginally will often result in the
actual tearing of skin [called introital tissue]. Like a wound from falling or piece of paper,
the tearing of tissue results in uneven sides of a wound, [as opposed to a
surgical incision with a scalpel], that leaves very clean edges to mend. During
an episiotomy procedure, your doctor will intentionally cut the introital
vaginal tissue between your rectum and vagina to allow for delivery and
reduce/eliminate the risk of tearing.
This ‘clean’ cut can then be sutured after the baby has been delivered,
and heal properly.
Episiotomies are very
common and are usually the result of a doctor’s judgment rather than your
personal choice. In the birthing of a baby, particularly for first time
mothers, decisions are frequently decided at the time, based on the
‘presentation’ of the baby. In some
cases, your doctor or midwife may choose to use birthing aids called ‘forceps’
or ‘vacuums.’
These devices are used based on the discretion of the doctor or midwife, and
what they decide is in the best interest for the health of your baby.
Another
situation that requires an episiotomy is when a baby presents itself in an
upside down or ‘breech’ position. Modern
obstetrical care and monitoring will usually prevent a last minute surprise
with a breech baby, and most doctors will elect to perform a cesarean section
surgery to eliminate risk to the baby.
Episiotomies, however, are not without
some risks, such as increasing your risk of infection, or increased risk of
future rectal tears. While the procedure
is still very common, the use of episiotomies has decreased in recent years due
to the risks.
