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| | MedlinePlus Medical Encyclopedia: Episiotomy |
 | | Episiotomy is a procedure where the skin between the vagina and the anus (the perineum) is cut. | | | An episiotomy may be needed if the baby's head is too big for the mother's vaginal opening, or the baby is in a breech position (feet or buttocks coming first) and there is a problem during delivery. | | | A systematic review of episiotomies in the U.S. found that the procedure offers no benefit, and stated there was no evidence to suggest it improves a woman's sexual function. |
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http://www.nlm.nih.gov/medlineplus/ency/article/002920.htm
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| | Episiotomy AHealthyMe.com |
| | Though episiotomies are often standard procedure, they have lately become controversial as some compelling new studies question their effectiveness and necessity. | | | Ask your practitioner if she performs perineal massage to help avoid episiotomies and if she has any suggestions for you, such as breathing techniques to control the urge to push too soon. | | | Sometimes an episiotomy can be performed virtually pain-free during pushing when the perineum is already quite numb from the stretching and pressure of the baby's head coming out. |
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http://www.ahealthyme.com/topic/165
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| | episiotomy: Definition and Much More From Answers.com |
| | An episiotomy /ɛˌpiːziːˈɔːtʌmiː/ is a surgical incision through the perineum made to enlarge the vagina and assist delivering the baby. | | | Expectant mothers frequently make "birth plans" during their antenatal care, and are generally encouraged to discuss their views on episiotomy with their carers, or as early as possible in labour. | | | The usual cut (incision) for an episiotomy goes straight down and typically does not involve the muscles around the rectum or the rectum itself. |
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http://www.answers.com/topic/episiotomy?method=8
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| | Benefits and risks of episiotomy |
| | It is concluded that episiotomies prevent anterior perineal lacerations (which carry minimal morbidity), but fail to accomplish any of the other maternal or fetal benefits traditionally ascribed, including prevention of perineal damage and its sequelae, prevention of pelvic floor relaxation and its sequelae, and protection of the newborn from either intracranial hemorrhage or intrapartum asphyxia. | | | Use of an episiotomy in a patient in stirrups almost doubled her risk of deep laceration from what it would have been with just one of these interventions. | | | The restricted use of episiotomy was associated with a lower risk of third-degree perineal laceration, 1.8% versus 13.2%; when subjects were subdivided by parity, this difference remained significant among nulliparous, but not parous, women, though a similar trend was apparent even in the latter. |
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http://www.gentlebirth.org/format/woolley.html
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| | MidwifeInfo.com Episiotomy |
| | The authors identify several factors that may influence whether an episiotomy is performed including a physician's time pressures, malpractice concerns, lack of experience with slow perineal stretching, and a style of practice that emphasizes intervention. | | | Perineal massage, in which the perineum is massaged with or without oil in the weeks preceding childbirth gets mixed results in medical studies. | | | However, the study authors conclude that the procedure is still performed too frequently (one third of live births in 1996) and does not result in decreased incidents of urinary incontinence. |
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http://www.midwifeinfo.com/topic-episiotomy.php
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| | Episiotomy |
| | With this caveat, relevant studies are consistent in demonstrating no benefit from episiotomy for prevention of fecal and urinary incontinence or pelvic floor relaxation. | | | Episiotomy is probably the #1 most unnecessary surgery performed on American women today. | | | Evidence Synthesis Fair to good evidence from clinical trials suggests that immediate maternal outcomes of routine episiotomy, including severity of perineal laceration, pain, and pain medication use, are not better than those with restrictive use. |
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http://www.circumstitions.com/episiotomy.html
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| | Episiotomy |
| | If your practitioner decides she needs to do an episiotomy, she'll give you an injection of a local anesthetic and use surgical scissors to make a small cut in your perineum. | | | Tears that go through the rectum result in more perineal pain after the birth, require a significantly longer recovery period, and are more likely to affect the strength of the pelvic floor muscles. | | | There are a few situations in which an episiotomy is still medically necessary for your own or your baby's well-being: |
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http://www.babycenter.com/refcap/pregnancy/childbirth/165.html
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| | AllRefer Health - Episiotomy - Surgery & Procedures |
| | Episiotomy is a surgical procedure that involves cutting the perineum (skin between the vagina and the anus) during labor to enlarge the vaginal opening. | | | AllRefer Health - Episiotomy - Surgery and Procedures | | | You are here : AllRefer.com > Health > Surgery and Procedures > Episiotomy |
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http://health.allrefer.com/health/episiotomy-info.html
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| | Episiotomy May Not Help Most Mothers |
| | Some doctors advocate never doing an episiotomy, and some want to do one on every patient who walks through the door. | | | They found 26 clinical trials that examined women's outcomes after episiotomy. | | | The study appears in the May 4 issue of The Journal of the American Medical Association. |
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http://my.webmd.com/content/article/105/107840?src=RSS_PUBLIC
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| | Postpartum: Perineal pain |
| | Even if you didn't tear or have an episiotomy, your perineum is bound to be bruised and tender after a vaginal birth. | | | • Most midwives and doctors will give you a prescription for painkillers such as Vicodin or Percocet to cope with the pain of recovering from serious tearing or an episiotomy. | | | An episiotomy (a surgical cut through the muscular area between the vagina and anus) is considered a second-degree laceration. |
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http://www.babycenter.com/refcap/baby/physrecovery/256.html
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| | Episiotomy |
| | Techniques such as perineal massage or warm compresses may assist in softening and stretching the skin of the perineum. | | | An episiotomy may or may not be needed. | | | An episiotomy is a surgical incision made in the perineum (the area between the vagina and the rectum) to enlarge the vaginal opening. |
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http://babies.sutterhealth.org/laboranddelivery/ld_epis.html
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| | Episiotomy |
| | Tears are much more difficult to heal than clean edged cuts. | | | The Example shown is called a mid-line episiotomy. | | | About 50% of women will need an episiotomy. |
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http://www.mjbovo.com/Episiotomy.htm
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| | Pregnancy & Birth > Episiotomy |
| | Find out more about this common surgical procedure. | | | Episiotomy has generated discussion and debate: does it protect the vaginal opening from damage or is it an unnecessary medical intervention in the natural birth process? | | | Mention or advertisement of any product, service, or brand does not constitute endorsement, guarantee, or recommendation by The Dr. Spock Company. |
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http://www.drspock.com/topic/0,1504,577,00.html
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