The presence of a surgical cut and sutures calls more attention to the area, and increased pain with healing may help explain the results, said study co-author Lisa Kane Low, associate professor of nursing. Indeed, these cosmetic procedures are getting more popular: A recent report from the American Academy of Plastic Surgeons showed a 39 percent increase in labiaplasty, a cosmetic procedure which involves reshaping the labia through surgery or by injecting fillers.
The takeaway for obstetricians and midwives is that most women will be fine after childbirth, but listening to women is important.
If you have an episiotomy, your doctor will give you a shot of local anesthetic to numb the area before cutting, unless the area is already numb from your epidural.
The cuts range from superficial to deep: An episiotomy is said to be first-degree if only the skin is cut; second-degree if the skin and underlying tissue are cut; third-degree if skin, underlying tissue, and the muscle around the anus are cut; and fourth-degree if the cut goes through the rectal mucosa as well as the other three layers.
Usually only a second-degree cut is made, but the baby's head extends the cut to tear the muscle or rectum. After your baby is born, your doctor will stitch the episiotomy and other tears with dissolvable sutures. All content on this Web site, including medical opinion and any other health-related information, is for informational purposes only and should not be considered to be a specific diagnosis or treatment plan for any individual situation.
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By Dr. Laura Riley November 02, Save Pin FB More. Do I have to have an episiotomy? Parents Magazine. Laura Riley. Comments 1. Sort by: Newest. In the procedure was performed in nearly two-thirds of deliveries. There is no national requirement that hospitals publicly disclose their episiotomy rates — or other measures related to maternal safety.
And there is no publicly available national data on doctors' episiotomy rates. The federal Centers for Medicare and Medicaid Services requires hospitals to disclose their rates of a wide range of medical complications on its Hospital Compare website. But for childbirth, the government website includes only how often babies are delivered early by choice, which can lead to complications from prematurity. The agency requires no public reporting on childbirth safety measures, such as how often women experience severe complications, receive prompt treatment for emergencies, or have C-sections or episiotomies.
It did not explain what those actions might be or provide any timeline. Elliott Main, chairman of the Leapfrog panel and national expert on childbirth safety. Since , Leapfrog annually asks hospitals about a variety of safety and quality issues, including their episiotomy rates — information it posts on its website.
Facebook Twitter Email. Show caption Hide caption Emilee Strezinski says that doctors never discussed with her, or her husband, the risks or benefits of her undergoing an episiotomy.
Copy text Copy this quote's text The quote has been copied. LinkedIn Share this article on LinkedIn. Reddit Share this article on Reddit. Email Email this story. Share Share this story. Quote icon. Emilee Strezinski suffered a severe tear into her anus from the episiotomy and still ended up needing an emergency C-section to deliver her child.
Emilee Strezinski I ended up having to do physical therapy, which was odd and very uncomfortable for a young girl. It was degrading. How often are women enduring episiotomies during childbirth? USA TODAY calculated episiotomy rates at hospitals in eight states where we obtained data — along with other kinds of serious childbirth complications in 13 states. Used by hospitals, insurers and researchers, this kind of information about maternal care often is kept secret from patients.
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