Why Episiotomy

Episiotomy is an important simple surgical intervention or procedure that maybe done in childbirth. Though simple the action carries good results. It is not necessary for every childbirth but has to be done when the situation calls for it.

What is and Why an Episiotomy?

An episiotomy done is responsive to the well-being of the mother. A third-degree laceration would not be very good for the mother. A third-degree laceration made by the forceful push of the baby on the perineum can cause complications both presently and later on.  Therefore, the doctor has to prevent this by making a clean clear cut (the incision) to prevent the jaggedness.

  • To have a jagged laceration to stitch proves some difficulty
  • The area (the jagged stitched area, the perineum) is likely to give way in the future.
  • May cause problem concerning fecal matter from the anus into the vaginal area. That is the stitches become loosed or give way.

Therefore, an episiotomy is done to prevent these.

Episiotomy procedure is done by the person in attendant (doctor or nurse). This procedure is done by making a small incision in order to facilitate the head of the baby in making its headway out of the birth canal.

What really happens in most cases is that the tissues of the birth canal is not sufficiently stretched or is not elastic enough to accommodate the baby’s head going through.  Therefore, there is a great measure of resistance.   By all means the baby is still on its way out.  There is great pressure as the baby is making its way out by the contractions of the uterus.

If there is no intervention the pressure from the baby’s head on the perineum (that is that narrow passage between the vaginal opening and the anus) will cause a tear to occur.  This tear is most likely to be jagged.  You can imagine the difficulty this may pose.  In order to prevent this, a simple incision is done.

While this is being done it is not felt by the woman in delivery mostly because of the pressure which is placed on the perineum.  After the third stage of labour, that is when the placenta (also called afterbirth) comes out the incision  is stitched.

I must tell you that this procedure will cause some discomfort a short time after. It causes some uncomfortable effect.   Who is better able to speak than those who has been in and through it? For some people, there is the fear of sitting. There is pain.There is some pressure if one tries to laugh.  There is the pain. Walking is done cramply, as there is pain.  This is much discomfort.

On the other hand, remember, getting an episiotomy prevents uncomfortable and maybe embarrassing effects also.  In other, words it can also prevent a future problem.

I hope I did not frighten you, some persons fear of pain is higher than some others.  As you know there are some persons who suck in pain. Pain is truly pain for me all the time. I do not know what it means to have  a very slight pain.  I may be exaggerating, but it is just to let you understand how I feel about pain.


Treatment for Episiotomy Pains

Anyhow, do not be afraid.  There is a solution.  The thing that gives the greatest ease to this situation is the sitz bath.  The sitz bath is restorative, healing, it is soothing. There is nothing like the sitz bath (if there is, another proven one, I do not know of it) in this case.

Therefore, your report of another will be very good.  Please let me hear from you.

How To Do A Simple Sitz Bath

Firstly I must tell you that even a simple sitz bath will work well.  Therefore, I will tell you of a simple sitz bath that works just as good as any other.  I guess you are seeking relief first.

Get a bath one that you can sit in. Even if you cannot sit in it a pail can do. Pour  an amount of water enough to cover your whole bottom area. That is your vaginal area and buttocks must be in. You do not even have to have your feet in the bath.  If you want to have your body in, wash your feet before going in.

Pour in some salt in the water. Your may put the amount of salt depending on the amount of water.  You may use about two tablespoons of salt to a gallon of water. (Remember you do not have to corn it. Laugh).  Unrefined Sea Salt is the best salt to use for this.  But ordinary table salt will help.

The water must be warm, as warm as you can bear it. Remember you are going to sit in it. Sit for about ten to fifteen minutes. That is a great help.If you use a pail. Prepare in the same way. To administer, keep washing up the mixture on the affected area for the same length of time.

This will be very good.  There are other sitz baths prepared with herbs and other types of salt, but this is the simple one which gives just what you are looking for at the moment.  Relief and healing from the discomfort.

Make sure your bath or pail is very clean.  Frequent handwashing is important.  Try not to get the incision infected. You can do the sitz bath two times per day. Rest well.

Have you ever experienced having an episiotomy? I would like to hear from you about this.  Secondly, do you have a fear that you may have to get one?

I would like to hear from you.  You may do so in the comments section below. If you have any questions you may also ask them in the comments section.  I will be willing to answer them.



6 thoughts on “Why Episiotomy”

  1. Hey there!

    This was very informative, I had no idea what an episiotomy was until I came across your article. Very well written and I liked how thorough the bits of information presented were. However it sounds painful! Unfortunately I have not undergone any of these procedures, but I do have one question, how common are these procedures?


    1. Thanks for visiting and for your comment. An episiotomy is not felt as being painful at the time when the procedure is being done. Is done on the spur of the moment when it is necessary. At that time when much pressure is on the perineum.

      As stated in the post, it is then the best thing to do to prevent a jagged laceration where there will be difficulty in having the perineum properly stitched, thus preventing further or future complications. The painful situation is experienced some hours after the procedure. As you see there are things that can be done to bring some measure of relief.

      Episiotomies are very common as the aim is to do the best for the patient and as a matter of necessity.

      Thanks again for your visit and your participation. Please come again.

  2. Very informative article. I only heard about this a few months ago and it was completly new to me…something like this happening had never crossed my mind. Now, I recently found out I am pregnant and am very worried I may need this done. Just doesn’t sound pleasant but I understand the need. Thanks for the tips on the bath. Who knows, I may need that information in the future, so at least I know where to come and get it! Thanks

    1. Thanks for visiting.I am happy to know that you have found the post very informative. Let me encourage you, do not worry. If your doctor or birth assistant see the necessity for an episiotomy, they will do it with the best consideration. Most times it is not felt when it is being done. The best time for this in the labour process is when the head is bearing down on the perineum. Do not be overly anxious. It is important to be calm even while taking into focus some of your concerns.

      Let me wish you all the best in pregnancy and delivery. All will be well. Thanks for visiting . Please come again.

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