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Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by an obstetrician. This is usually performed during the second stage of labor to quickly enlarge the aperture, allowing the baby to pass through.
A Cochrane review found that routine use of episiotomy increased the incidence of severe perineal tears by 30%. [11] Several other techniques are used to reduce the risk of tearing, but with little evidence for efficacy. Antenatal digital perineal massage is often advocated, and may reduce the risk of trauma only in nulliparous women. [12]
As the Certified Nurse Midwife group practice with the lowest episiotomy rates and one of the top practices nationally for: highest total vaginal birth rate; highest spontaneous vaginal birth rate; lowest primary cesarean section rate; highest rate of 6 week post partum visit attendance; highest breast-feeding continuation rate; and lowest ...
The fourchette may be torn during delivery due to the sudden stretching of the vulval orifice, or during copulation. To prevent this tearing in a haphazard manner, obstetricians and, less frequently, midwives may perform an episiotomy, which is a deliberate cut made in the perineum starting from the fourchette and continuing back along the perineum toward the anus.
A representative for the TDLR told The Independent that unlicensed midwives cannot perform cervical exams, provide prenatal care, perform an episiotomy, administer anesthesia, suture third or ...
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Studies suggest that performing a episiotomy can reduce the risk of OASI in both forceps and vacuum-assisted deliveries. [13] Additionally, operative vaginal delivery increases the risk for postpartum hemorrhage and venous thromboembolism. [5]
A few locations stuck around for a while, but by the early 2000s, The Original Cookie Company was gone. York Steak House It was founded in the ‘60s, and it grew fast, with nearly 200 locations ...