Episiotomy

Women have been giving birth since the dawn of time, and in all that time the childbirth process has engendered more than its share of discussion and debate. In recent years, much of the talk has centered on the use of episiotomies. It seems that every expert has a differing opinion on the subject and every opinion has its merits. So how do you go about figuring out what’s right for you?

Start with the facts. An episiotomy, a surgical incision in the perineum or area of skin between the vagina and the anus, is performed in order to help speed up birth and prevent tearing. Episiotomies are said to prevent against incontinence and relaxation of the pelvic floor and will generally heal easier than tears. While these may sound like beneficial results, there is actually no medical proof of their occurrence.

As a matter of fact, in most cases, episiotomies have been known to cause more harm than benefit. Side effects have included everything from infection, increased pain and vaginal lacerations to increased discomfort when intercourse is resumed. Many women have also reported experiencing much longer healing times after undergoing the procedure.

All of which has led to a lot of debate among the medical community as to the viability of the episiotomy. Some midwives believe that the procedure is over-used and urge expectant mothers to weigh their options carefully before agreeing to it. They also recommend that you employ preventative measures which can actually help you to avoid the need for an episiotomy. These can be as simple as maintaining good nutrition to encourage skin elasticity, doing Kegel exercises to strengthen pelvic muscles, using controlled pushing to ensure a slowed second stage of labor and using warm compresses and support during delivery.

Of course, as with any medical intervention, there can be times when it does become necessary. Knowing your body and being aware of your rights as a patient is the key to ensuring a safe and healthy delivery, so don’t hesitate to discuss the subject of episiotomy with your doctor and/or midwife. Your right to control your own body is one subject that should never be debated.