Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall, generally performed by an obstetrician. It is usually done during the second stage of labor to quickly enlarge the vaginal opening and allow the baby to pass through. The incision can run from the posterior midline of the vulva straight toward the anus or at an angle to the right or left, is performed under local anesthetic, and is sutured after delivery.
Facts
FAQs
Is an episiotomy still done routinely during childbirth?
It is debated: a StatPearls review says it can raise the risk of anal incontinence and may not improve long-term outcomes.
The routine use of episiotomy has been debated. A StatPearls review notes that research shows it may not reduce the severity of postpartum pelvic floor problems or improve long-term outcomes. Instead, the review says an episiotomy can increase the risk of anal incontinence and other complications, particularly if the incision extends into an injury of the anal sphincter. This entry records what is held in the literature and is not medical advice.
Connections
Treats
Source Episiotomy (Wikipedia)
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
Episiotomy (Wikipedia)
https://en.wikipedia.org/wiki/Episiotomy, lead section
Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by an obstetrician.
Treats: Perineal Tear, Article text, use for Perineal Tear
Episiotomies are used to prevent soft-tissue tearing (perineal tear) which may involve the anal sphincter and rectum.
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