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- Among private patients with an epidural, the most likely birth outcome was an instrumental delivery with an episiotomy.
- Childbearing women also undergo episiotomies to tighten the outer tissue of the vagina, but Stein says this does not restore muscle tone.
- But one thing is fairly clear - episiotomies should not be done simply to prevent perineal injury in the mother.
- The relationship between a woman and her clinician should be built on trust, and the benefits and the risks of a procedure such as an episiotomy must be openly discussed to ensure truly informed consent.
- This patient had been induced for maternal hypertension and had laboured well with a Pit drip and had a spontaneous vertex delivery without an episiotomy.
- Medical textbooks teach that episiotomies are necessary to prevent tearing and to protect the baby's head.
- Recent research shows that if your midwife takes a ‘hands on’ approach, putting pressure on the baby's head and guarding the perineum, you are slightly more likely to have tears or an episiotomy.
- If a Caesarean section is not appropriate, for example because the baby's head is already moving down the birth canal, an episiotomy can be the best way to speed up birth.
- An episiotomy is usually a very simple operation.
- There is some evidence that the pain and discomfort of an episiotomy can interfere with the bonding between mother and child in the early days after birth.