It is the incision starting from the lower end of the vagina
to allow the baby to come out easier during normal delivery and to prevent the
perineum from tearing. It can be done on the midline (median) or sideways
(mediolateral). It is not applied in every birth, it is applied only in the
births required. It does not always need to be applied, even at first births.
After the placenta is removed after delivery, the episiotomy cut is stitched.
Pain is not felt as this area is numbed with local anesthesia during the
incision and suturing. Episiotomy sutures heal within 7 - 10 days. It is not
necessary to remove the stitches, self-melting threads are used. In some women,
it may leave very few and in others more. This is generally not problematic.
Compared to a spontaneous rupture during childbirth,
episiotomy complications are less and their repair is easier.
Although rare, infection may occur in the episiotomy region.
Apart from this, bruises, swelling and bleeding may be seen. The most common complaint
is pain. Pain can be controlled with painkillers. It may be beneficial to apply
cold to the episiotomy area.
When is
episiotomy applied?
Episiotomy is applied if the baby's head is near the exit
from the vagina, and the perineum is fully reclined. Its earlier application
causes unnecessary blood loss during delivery.
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