Episiotomy,EpisiotomyAn,episio health Episiotomy
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EpisiotomyAn episiotomy involves making a surgical incision to assist in vaginal delivery by enlarging the birth canal.Most are done in 2 ways:Medio-lateral episiotomies are either a right or left side vaginalcut. This will engage more muscles, have deeper tissues involved, ittake longer to heal.Midline episiotomies are intended to be a cut straight down cut tothe anus, but avoiding the anal sphincter and rectum. This is lessextensive and generally heals faster.How much time needed to heal an episiotomy?Typically episiotomies heal within about 10 to 14 days depending on the degree of the laceration and other variables. A 1st-degree incision is just a slightcut that does not go all the way into the perineal muscle. A2nd-degree incision, a little deeper, is a common practice that cutsinto the perineal muscle but not completely through the muscle. A3rd-degree incision actually cuts through this muscle, but not throughthe round sphincter muscle that is next to the anus. As the repair ofinjuries to this muscle may prevent fecal incontinence, it is ofextreme importance to have a skilled and experienced physician such asDr. Morice do the repair. A 4th-degree tear is a severe tear extendinginto the rectal tissue and possibly involving periurethral and labialareas. It must be repaired appropriately to prevent a hole formingbetween the vagina and rectum. If not done properly, the hole mayconvert to a fistula, where gas and feces can pass into the vagina.This can be repaired surgically even years later, however can beavoided by a good surgical repair by an experienced and skilledphysician.Long-lasting pain from an episiotomy may result from:A hasty repair.Not having sufficient visualization of the area repaired during the repair.Excessive bleeding.A moving target (a patient who constantly moves while doing the repair).Outcomes after episiotomy include:Severity of perineal laceration related to continued painFecal or urinary incontinence.Pelvic floor outcomes such as pelvic floor relaxation or prolapseWhat measures should be taken during episiotomy?Skillful repair in order to minimize pain and assist healing.Postpartum inspection if any complaints to discover any other damaged areas of the vagina, cervix, perineum or anus.For immediate reduction in pain, injection with numbing medicine inthe area or IV administration of pain medicine as needed.Kegel exercises to increase blood flow to the area may improve healing.
Episiotomy,EpisiotomyAn,episio