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3) Episiotomy Parameters Linked to Risk
for Injury During Birth Emma Hitt, PhD Authors and Disclosures March 8, 2012 — Increased depth and length of episiotomy, as well as increased distance from the midline to incision point, are associated with decreased risk
for obstetric
anal sphincter injuries (OASIS), according to a new study.
To understand how traumatic this can be to a mother's body, the website
for The Encyclopedia Of Surgery pointed out that a fourth degree episiotomy «extends through the rectum and cuts through skin, muscle, the rectal
sphincter, and
anal wall.»
Both have risks and benefits including bleeding, need
for transfusion, post procedure fever and infection, need
for antibiotics, risk
for injury to surrounding organs like bowel, bladder, urethra, vessels,
anal sphincter, with need
for suturing or need
for reoperation.
-- If a fissure is chronic (lasts long), you may need a prescription medication such as high blood pressure medications
for a few weeks that will lower the resting pressure of the internal
anal sphincter, thus allowing the edges of the fissure to come together and heal.