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Episiotomy for vaginal birth

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An episiotomy is a minor surgery that widens the opening of the vagina during childbirth. It is a cut to the perineum -- the skin and muscles between the vaginal opening and anus. There are some risks to having an episiotomy. Because of the risks, episiotomies are not as common as they used to be. The risks include:.
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Selective versus routine use of episiotomy for vaginal birth

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Episiotomy: MedlinePlus Medical Encyclopedia

Washington, DC — Obstetrician-gynecologists should take steps to mitigate the risk of obstetric lacerations during vaginal delivery, rather than using routine episiotomy, according to a new Practice Bulletin from the American College of Obstetricians and Gynecologists ACOG. Although between 53 percent and 79 percent of vaginal deliveries will include some type of laceration, most lacerations do not result in adverse functional outcomes. Perineal massage, either antepartum or during the second stage of labor, can decrease muscular resistance and reduce the likelihood of laceration. Moreover, use of warm compresses on the perineum during pushing can reduce third-degree and fourth-degree lacerations. These prophylactic interventions may also be advantageous for women with previous OASIS during future pregnancies.
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Women's Health Care Physicians

A Systematic Review. Lohr, PhD. Practice patterns vary widely, as do professional opinions about maternal risks and benefits associated with routine use. We included randomized controlled trials of routine episiotomy or type of episiotomy that assessed outcomes in the first 3 postpartum months, along with trials and prospective studies that assessed longer-term outcomes.
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Some women need an episiotomy when they give birth. Episiotomies help to make the vaginal opening wider to allow the baby through more easily. The procedure is only performed when there is a medical reason to do so NICE,
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