An episiotomy is a surgical incision between the vagina and the anus (perineum) #midwifery #birth

An episiotomy is a surgical incision in the skin between the vagina and the anus (perineum).

They are usually done when the baby needs to be born quickly and waiting for the head to come down alone may compromise the baby, or if space is needed for maneuvers or instruments. This usually occurs with the use of forceps and sometimes in cases of shoulder dystocia (when the baby's shoulder becomes stuck on the pelvis).

The world health organisation and most health professionals agree that episiotomies shouldn't be done routinely or without urgent need. This is because they can take longer to heal than most natural, milder tears. They are also associated with higher blood loss and greater incidence of pelvic injury. Episiotomies are certainly not "just a little cut".

An episiotomy must always be given with CONSENT. If you say no, the scissors must be put away.

WHO suggest the rate of episiotomies should not exceed 10% but it is much higher than that in many areas.

It's worthwhile writing your thoughts on episiotomy in your birth plan and discussing with your care provider during pregnancy.

Having people with you that help support you into different labour and birthing positions, can in turn decrease the chance of needing an assisted birth, which often results in episiotomy. Studies have also shown that perineal massage can reduce the risk too. I have an IGTV video that talks all about this. . . . #midwiferycare #vaginalbirth #midwifery #midwifery #obstetrics #birthdoula #evidencebased #evidencebasedbirth #perinealmassage #perinealtear #childbirth #childbirtheducation