Include in your birth plan that you don't want an episiotomy unless it's necessary. (Also ask about how other providers in their practice handle episiotomies, in case you end up with someone else at your delivery.) Talk to your doctor or midwife early on about the procedure.Īsk how often and under what conditions they would perform an episiotomy, and how they might help you avoid additional tearing. How can I avoid an episiotomy if it's not necessary? Your provider will weigh the potential risks of the episiotomy against the potential benefits for your baby. If your baby is crowning and their heart rate is low, for example, an episiotomy might be done to allow for a faster delivery of the head. The obstetrician or midwife will assess if an episiotomy is actually helpful on a case-by-case basis." However, not all babies in distress will benefit from an episiotomy to expedite delivery. "Sometimes the baby is in distress and we don't have the luxury to wait a few more minutes for the baby to deliver. "An episiotomy can become necessary when there's an urgent need to deliver the baby," says Layan Alrahmani, M.D., a board-certified ob-gyn and maternal-fetal medicine specialist in Chicago. There aren't any specific scenarios when an episiotomy is clearly indicated, and in most instances your healthcare provider will try to avoid doing one. You're at risk for asymmetrical healing of the skin.You have an increased risk of tearing in subsequent vaginal births.You're likely to have to wait longer before you have sex after pregnancy without discomfort. You're likely to have more pain during recovery.
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