Is episiotomy scary?

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Episiotomy is an incision or cut given at the opening of the vagina to allow more space for the baby to come out. This is generally done by an obstetrician while delivering a baby during vaginal delivery. Since the baby is delivered through abdominal route in case of a cesarean section, episiotomy is not needed for this type of delivery.

Although this is still practised widely in many developing countries this not a scientifically  100% recommended procedure and the opinions vary among healthcare practitioners. Recent medical literature has a negative tone to continue this surgery as a regular practice for all vaginal deliveries.

Generally, two types of incisions can be given one posteriorly in the midline towards the anus and the other mediolaterally. In developing world posterolateral is commonly seen. Posterolateral incisions are less likely to extend to the anus.

This is a surgical incision and not necessarily free of complications. complications like pain, infection, dyspareunia (pain during intercourse) etc can be its short or long-term adversities. Such complications depend further on the practitioner’s experience. Unfortunately, a woman’s vulnerability to complications will probably rise if done by trainee professionals without enough experience.

This author witnessed the use of this surgery on almost all normal deliveries in certain parts of the developing world and condemn such practice. One possible explanation may be that some healthcare providers would choose this surgery to hasten the delivery. Another explanation may be they learn to do vaginal delivery by means of episiotomy only and they continue to practice it and propagate the same to their successors.

P.S.- This blog is not for professional medical advises of any sort. The information herein may not be error-free. For all your health concerns please visit your health care provider.
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