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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.
Perineal protection is an obstetric measure to prevent the perineal tissue from tearing (perineal tear) during the birth of the baby's head or to keep the extent of the injury as small as possible. The midwife (or obstetrician) supports the perineal tissue with one hand as soon as the head stretches.
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.
As she struggled to push out her baby, Noa and two others in the room with her say that Lancaster considered performing an episiotomy, a surgical incision in the perineum and vaginal wall to make ...
The husband stitch or husband's stitch, [1] also known as the daddy stitch, [2] husband's knot and vaginal tuck, [3] is a medically unnecessary and potentially harmful surgical procedure in which one or more additional sutures than necessary are used to repair a woman's perineum after it has been torn or cut during childbirth.
It can also be used for pain relief from episiotomy or perineal lacerations [6] [8] Pudendal anesthesia is used during operative vaginal delivery which includes the use of forceps. [7] It is best used in addition to epidural anesthesia because the pudendal nerve block alone is not usually sufficient to treat the pain. [7]
Perineal pain after childbirth has immediate and long-term negative effects for women and their babies. These effects can interfere with breastfeeding and the care of the infant. [24] The pain from injection sites and possible episiotomy is managed by the frequent assessment of the report of pain from the mother. Pain can come from possible ...
The region of the perineum can be considered a distinct area from pelvic cavity, with the two regions separated by the pelvic diaphragm. The perianal area (peri-and anal) is a subset of the perineum. The following areas are thus classified as parts of the perineal region: perineal pouches: superficial and deep (see above for details)