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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/episiotomy/art-20047282
Oct 23, 2018 · An episiotomy is an incision made in the perineum — the tissue between the vaginal opening and the anus — during childbirth. Although the procedure was once a routine part of childbirth, that's no longer the case. If you're planning a vaginal delivery, here's what you need to know about episiotomy and childbirth.
https://www.healthline.com/health/pregnancy/episiotomy-complications
An episiotomy is a surgical cut made in the perineum during childbirth. The perineum is the muscular area between the vagina and the anus. After you’re given local anesthesia to numb the area, your doctor makes an incision to enlarge your vaginal opening before you deliver your baby.
https://www.babymed.com/labor-delivery/operative-procedures-pregnancy-forceps-vacuum-episiotomy
Jul 05, 2019 · The use of operative procedures, such as forceps, vacuum, and episiotomy during a vaginal delivery provides a little boost to mom's birthing process. In order for a doctor to use an operative birthing tool, the cervix will need to be fully dilated and the baby will need to be able to move into the birth canal without disruption.
https://elearning.rcog.org.uk/easi-resource/forceps/traction/episiotomy
In the UK the recommended technique is a mediolateral episiotomy, starting at midline of the vaginal forchette (to avoid the Bartholin’s duct) and usually directed towards the right side. The angle to the vertical axis should be 45–60°. An episiotomy performed close to the time of delivery will prevent excessive blood loss.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805174
Oct 21, 2019 · In such women, more liberal use of an adequate mediolateral episiotomy with operative vaginal delivery, especially forceps, may be warranted, given the protective association between episiotomy and obstetric anal sphincter injury.Author: Giulia M. Muraca, Shiliang Liu, Yasser Sabr, Sarka Lisonkova, Amanda Skoll, Rollin Brant, Geoffrey W...
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