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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/in-depth/episiotomy/art-20047282
Oct 23, 2018 · For some women, an episiotomy causes pain during sex in the months after delivery. A midline episiotomy puts you at risk of fourth-degree vaginal tearing, which extends through the anal sphincter and into the mucous membrane that lines the rectum.
https://www.healthline.com/health/pregnancy/episiotomy-complications
In a situation where the first twin is delivered normally and the second twin must be delivered from a breech position, episiotomy allows adequate room for the breech delivery. Episiotomy type
https://www.momjunction.com/articles/ways-for-episiotomy-care_00103484/
Massaging the perineum at least six weeks before the delivery date makes it flexible. Controlled pushing during labor can prevent the need for an episiotomy . Avoid lying on the back (supine position) while pushing. The lateral and upright birthing positions help reduce the need for an episiotomy .Author: Shreeja Pillai
https://icea.org/wp-content/uploads/2016/01/Episiotomy_PP.pdf
Historically, episiotomy has been indicated in circumstances such as abnormal labor progression, nonreassuring fetal heart rate pattern, vacuum- or forcepsassisted vaginal delivery, and stage of labor and reduce the risk of spontaneous perineal tearing, subsequent pelvic …File Size: 559KB
https://evidencebasedbirth.com/evidence-birthing-positions/
The lower episiotomy rate with upright birthing positions, however, seems to hold in both high and low-episiotomy settings (Thies-Lagergren 2013). Importantly, the Italian researchers found that supine delivery positions increase the risk for postpartum urinary incontinence and in particular of stress urinary incontinence, defined as involuntary leakage on effort or exertion or sneezing or coughing.
https://www.babygaga.com/12-pros-and-cons-to-getting-an-episiotomy/
Apr 18, 2017 · Your doctor may choose to do an episiotomy if the baby is in an unusual or breech position. A breech birth is when the baby has not turned so it is in the head down position which is normal for a vaginal delivery.
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