The evidence on the dangers of breastfeeding is actually far more compelling than the evidence on the dangers
of episiotomies.
It's wonderful that medical professionals have reduced the amount
of episiotomies and isn't that because tearing turned out to be a better solution for the majority of women (healing quicker etc)?
The study reported fewer incidents
of episiotomies, Pitocin, and epidurals.
Instrumental deliveries and the use
of episiotomies were also very high in most units across the country.
The National Maternity Hospital in Dublin and CUMH both had very high rates
of episiotomies performed on first time mothers at 39.4 % and 38.78 % respectively.
Do they perform a lot
of episiotomies or vacuum assisted deliveries?
Use
of Episiotomy and Forceps During Childbirth Down, C - Section Rates Up.
Her work in systematic reviews has consistently addressed tough topics and has included documenting harms
of episiotomy, the limitations of data about outcomes of fetal surgery, inconsistencies in results of programs designed to reduce use of cesarean, marginal effectiveness of medications for overactive bladder, and the burden on cervical cancer prevention programs introduced by liquid cytology collection for pap testing.
Effect
of episiotomy, perineal laceration, and operative birth.
I think «routine» episiotomy has decrease significantly, but «selective use»
of episiotomy still has its merits.
The current study sought to determine the associations among angle, length, depth, and incision point
of episiotomy and OASIS.
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.
Toglia MR. Repair
of episiotomy and perineal lacerations associated with childbirth.
Like any freshly - repaired wound, the site
of an episiotomy will take time to heal, usually seven to 10 days.
If you have received stitches as part
of an episiotomy, that area may be uncomfortable.
Epidurals are also known to increase the risk of tearing and risk
of an episiotomy.
It's not difficult to figure out why pregnant women start squirming when the subject
of episiotomy is raised.
That BC study was underpowered to detect differences in perinatal mortality, but hey, its more important to have a lower risk
of episiotomy or instrumental delivery than a live baby, right?
Lower your risk: Recent studies have shown that the routine use
of episiotomy does not benefit the mother or newborn.
Reasons for emergency transports were the following: avoidance of unattended home birth (1), no supervisor available for a conditional midwife in the process of completing the requirements for general registration (1), fetal heart rate decelerations (7), breech presentation diagnosed in labour (2), active herpes in labour (1), thick meconium in labour (2), second - stage arrest of labour (1), hemorrhage (3), retained placenta (3), repair
of episiotomy (2), newborn with respiratory distress (5), newborn with birth asphyxia (2), newborn with distended abdomen (1).
Good pelvic muscle tone resulting in lower chance
of an episiotomy or tearing.
This was the ONLY thing I could sit on comfortably during the first 6 week because
of my episiotomy.
Not to mention, I went the unmedicated route in order to have a smoother recovery, and because
of the episiotomy to get him out, I am 2 weeks post partum and still stuck sitting or laying most of the day.
I am kind of confused by fear
of episiotomy.
Women who gave birth at hospitals with more midwife - attended births had lower odds of delivering by cesarean and lower odds
of episiotomy.
Studies have shown it to reduce the incidence
of episiotomy and perineal tears during childbirth.
Not exact matches
They challenged routine procedures such as the
episiotomy, the use
of pain - killing drugs, and the use
of forceps, which sometimes resulted in damage to the newborn.
How presumtuous
of the AMA to decide what's right for me when OB's routinely do
episiotomies and unneccesary C - sections!
After 3 and 1/2 hours
of labor, I had an almost 8 pound baby without drugs, a small
episiotomy, and normal recovery.
Of course, I'm not saying many of us literally turn to pop culture when we're deciding whether or not to consent to an episiotomy or to request pain medication in labor or to choose one care provider over anothe
Of course, I'm not saying many
of us literally turn to pop culture when we're deciding whether or not to consent to an episiotomy or to request pain medication in labor or to choose one care provider over anothe
of us literally turn to pop culture when we're deciding whether or not to consent to an
episiotomy or to request pain medication in labor or to choose one care provider over another.
And while I never overtly contradicted a care provider, unplugged my clients from their monitors without permission or guidance from their nurses, put my hand in front
of a pair
of scissors about to cut an
episiotomy, or secretly hoped for an accidental home birth (or any other opportunity to catch a baby), my birth bag and arms - load -
of - balls did some serious damage to my relationship (as a doula) with hospital staff.
One Italian study published in 2005 by the National Institutes
of Health showed a lower
episiotomy rate, shorter first stage
of labor and no increased rate
of infection.
CNMs have the training and expertise (if not the inclination) to do
episiotomies and vacuum extraction especially in the face
of fetal distress.
Whether you had an
episiotomy or not, and regardless
of whether you had stitches or not your perineum will be sore.
planning birth in an obstetric unit is associated with a higher rate
of interventions, such as instrumental vaginal birth, caesarean section and
episiotomy, compared with planning birth in other settings
The practice
of selective
episiotomies has continued despite the fact that there has never been a randomized controlled trial showing that they have any benefit whatsoever.
In 1996, the World Health Organization published «Care in Normal Birth: A Practical Guide,» recommending an
episiotomy rate
of 10 %.
Tagged as: apartment, birth,
episiotomies, fear
of pain, flintstones vitamins, gravity
of the situation, high risk pregnancies, home, midwife, visit
Results suggest clear medical advantages
of water birthing: significantly shorter labor duration among the primiparae; a net reduction in
episiotomy rates; and a marked drop in requests for pain relievers.
The figures are broken down into first time mothers and mothers who have already given birth and provide important information on the rates
of C - sections, instrumental deliveries,
episiotomies and vaginal births after Caesareans in Ireland.
It found that among women who had vaginal hospital births, had all the usual interventions
of vacuum, forceps, Epidurals and Pitocin inductions and augmentation, had an average birth weight
of 3500 gm (> 8 lbs), but did not have an
episiotomy - this study found that 66 %
of primiparous women had no need for suturing, 33 %
of primiparas had first or second degree tears sutured and 1 % had third - degree tears and 0.7 % had fourth - degree tears.
In Spain, obstetric care includes routine enemas, pubic shaving, and
episiotomy, procedures that are not evidence based and which ignore the WHO's guidelines on the care
of women in labour.
I lost a lot
of credibility in the community by then saying I wasn't going to deliver any more (after all, I was just as incapable as one
of your American CPMs (OK, I could do an
episiotomy and outlet forceps), but at least I knew it and was scared by it!)
Even assuming it is all women, and assuming that women having c - sections don't also get
episiotomies, and the c - section rate is around 30 %, that means that over half
of the women do not receive an
episiotomy.
The odds
of receiving individual interventions (augmentation, epidural or spinal analgesia, general anaesthesia, ventouse or forceps delivery, intrapartum caesarean section,
episiotomy, active management
of the third stage) were lower in all three non-obstetric unit settings, with the greatest reductions seen for planned home and freestanding midwifery unit births (table 4 ⇓).
New Mama Bottom Spray is a cooling, soothing perineal mist that helps ease discomfort
of postpartum vaginal soreness and swelling,
episiotomies and hemorrhoids.
Worst
of all for me is that fact that I'm not completely healed from my
episiotomy after 3 months.
I was getting at, if she had delivered in the hospital, the fetal HR pattern would most likely have been category II or worse, III, and the OB would have expedited the delivery with an
episiotomy and vacuum and any resuscitation may only have been done in the L&D room in front
of momma in the neonatal bassinet.
Five
of the women had an
episiotomy.
To be clear, though, I don't think the doctor should've cut an
episiotomy if you specifically requested not to have one even in the event
of an impending tear.