An episiotomy is an incision that is predominantly made in the perineum, which is the tissue between the vaginal opening and the anus in women during childbirth. Although episiotomy was a routine during childbirth some time ago, that is not the case anymore. 

For years, people and medical professionals believed that episiotomy helped prevent more extensive vaginal tears during childbirth. It was also believed that the region could heal better once it had been surgically done instead of a natural tear. The procedure could also help to preserve the muscular and connective tissue support of the pelvic floor.  

In today’s day and age, episiotomies are no longer recommended. These procedures might be recommended by your doctor in the following circumstances:  

  • If your baby’s shoulder is stuck behind the pelvic bone. 
  • Your baby has been diagnosed with an abnormal heart rate pattern during the delivery. 
  • You are in need of an operative vaginal delivery that requires the use of forceps or vacuum.  

Women often feel very uncomfortable when they are convalescent after an episiotomy. Sometimes, the surgical incision that is made during the procedure is more extensive than a natural tear during childbirth might have been. 

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