There is no benefit to 'routine' episiotomy. Episiotomy should be considered where there is:
1. A high likelihood of severe laceration;
2. Soft tissue dystocia [difficult birth, typically caused by a large or awkwardly positioned fetus, by smallness of the maternal pelvis, or by failure of the uterus and cervix to contract and expand normally.]
3. A requirement to accelerate the birth delivery of a compromised fetus;
4. A need to facilitate operative vaginal delivery;
5. A history of Female Genital Mutilation (FGM).
I had an episiotomy for my first baby, I also ended up with a 3rd degree tear. No epi for the second baby and a second degree tear. Cutting the tissue is going to weaken it and make tearing even more likely. Think of a piece of paper, if you make a cut in it then apply stress to that area then it's more likely to tear than if there was no initial cut.
We need to have more faith in our bodies!! They are awesome!!
I don't think anyone doesn't have faith in their bodies to begin with. If I had continued to have faith in my body after 33hrs in labour I would have been in a hell of a mess I have no doubt and baby probably wouldn't have survived. Sometimes intervention is a necessity.
If you are cut enough in the first place you shouldn't tear. I'm sure my ob could estimate how much I needed to be cut when the baby was coming hence no tearing.
Last edited by Blessedwith3boys; 20-03-2014 at 12:49.
I got cut enough. I got a 3rd deg epi, that's from my vagina to my anus. My entire perenium. I then tore 4th degree from there. I am 100% positive that I did not need to be cut, if I wasn't cut I wouldn't have torn. So no I wont have blind trust in drs because they are 'experienced', and I will tell others my experience so they are careful too.
Sometimes you won't tear, which has happened to me with all 5 of my births.
i was told after 2.5 hours of pushing with my first that I needed an episiotomy. He was crowning that whole time, he had a bump on his head for a week.
every birth after the midwife had tried to avoid cutting to no avail.
After my 3rd I was told by an ob that u have a longer perenium than usual and it won't stretch down. No idea if that's correct.
as much as I'd love to avoid it, looks like I'll be going for a 6th cut in August. I'd still prefer to be cut there than have a section.
My babies have always torn me inside as well, I guess because they are all born between 8 and 9lbs and I'm a size 8/10?
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