Within a few years the rate
of routine episiotomies dropped precipitously and episiotomies are now almost solely reserved for forceps and vacuum delivery.
I had three babies during the height
of routine episiotomies and never got one.
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.
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.
Ina May Gaskin's C - section statistics over 40 years: 1.7 % American hospital C - section statistics: 32 % not including
routine episiotomy and so on... Oh yes, I know who I would trust for my child's birth... And if the price
of an intact body and a peaceful birth was «gentle stimulation» I would accept it with no hesitation... Of course I live in France where obstetric violence is the norm and home birth nearly considered as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post as you did for my previous one... It's OK we've got lots of you this side of the Atlantic telling us what's good or bad for us and we trust them less and les
of an intact body and a peaceful birth was «gentle stimulation» I would accept it with no hesitation...
Of course I live in France where obstetric violence is the norm and home birth nearly considered as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post as you did for my previous one... It's OK we've got lots of you this side of the Atlantic telling us what's good or bad for us and we trust them less and les
Of course I live in France where obstetric violence is the norm and home birth nearly considered as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post as you did for my previous one... It's OK we've got lots
of you this side of the Atlantic telling us what's good or bad for us and we trust them less and les
of you this side
of the Atlantic telling us what's good or bad for us and we trust them less and les
of the Atlantic telling us what's good or bad for us and we trust them less and less.
I think «
routine»
episiotomy has decrease significantly, but «selective use»
of episiotomy still has its merits.
OBs weren't sure whether
routine episiotomies were a good idea, so they studied the question, and determined that the answer was no, most
of the time it doesn't help, although
episiotomy can be helpful in carefully selected cases.
Truly unnecessary interventions, done out
of ignorance, stupidity or cruelty are another matter, and are rare, based on old science that has long since been abandoned (
routine episiotomy comes to mind), and I would join you in arms to prevent these.
Once a
routine part
of childbirth, an
episiotomy is now recommended only in certain cases.
Although an
episiotomy was once a
routine part
of childbirth, that's no longer the case.
Their particular concern is the «trends towards excessive, unnecessary, or inappropriate use
of obstetric interventions» (p. 2178), including unnecessary ultrasound examinations,
routine electronic fetal monitoring,
routine episiotomy, high rates
of labour induction and augmentation, and non-medically indicated CS.
That's the equivalent
of obstetricians insisting that they are going to keep doing
routine episiotomies because they believe in them despite the scientific evidence showing harm.
Lower your risk: Recent studies have shown that the
routine use
of episiotomy does not benefit the mother or newborn.
Unless it is the last resort, avoid medical intrusions such as labor induction,
routine IV, delivery assisted by use
of forceps, C - section, vacuum extraction, and
episiotomy (rarely used nowadays).
«A number
of observational studies and randomized trials, however, showed that
routine episiotomy is associated with an increased incident
of anal sphincter and rectal tears,» write the authors
of Williams Obstetrics (23rd edition, p. 401, their emphasis), including a four to sixfold risk
of fecal or flatus incontinence.
Erratum to «
Routine Episiotomy Practice at a Tertiary Care Center in Saudi Arabia» [Open Journal
of Obstetrics and Gynecology 6 (2016) 794 - 797]