One of the most important events in the life of every person is his/her childbirth. The pregnancy is the biggest happiness for any woman, but it is very complicated. Fortunately, the present service system provides many possibilities that can make it easier the pregnancy running, labors and delivery itself. Many couples started a practice of very valuable birth planning and tending to the support of such professionals as childbirth specialist, midwives, doulas, etc. But even in the case of well-planned pregnancy and delivery support programs it is rather difficult to preview all possible complications and problems during the delivery. One of the problems that are constantly speeding up is the necessity of the episiotomy surgery.
Even general episiotomy description shows the complicity and importance of the problem. In brief episiotomy surgery can be described as a surgical operation that presents perineum cutting (the area between anus and vagina). The main purpose of the procedure is to enlarge the vagina spot that is necessary during the labor. The operation provides preventing of the vagina tearing. The episiotomy surgery level is still very high in many countries. But the debates on the topic if it is better to have small tears or episiotomy are still in the process.
Usually episiotomy surgery is performed in the following way: local anesthesia made just before birth. The operation can be performed by the obstetrician who makes some incisions at the bottom of opening. After the delivery the incisions are closed. This method is especially often used during the first delivery. Some doctors believe that well-planned and performed episiotomy surgery will be much more successful in healing than inevitable unforeseen tearing. But the mutual researches disapproved this theory and insist on operation prohibition. More complications usually occur after the episiotomy surgery than after natural spontaneous tears. The research results show that during the episiotomy surgery woman can lose blood that leads to later recover and sex renovation. So today in most cases doctors recommend natural delivery without special incisions but there are some certain precedents when the episiotomy surgery is inevitable and right choice. For example:
If there are some problems with the baby's heart rate and it is preferable to organize maximum quick labors and delivery; if baby's body is too large and the additional space for its coming out is necessary; in the case of forceps using; if it is obvious that tissue is starting to bleed and some tears can occur. Episiotomy prevent methods are decided after the thorough examination and complicated tests. The resent researches show that one of the effective methods of episiotomy prevention is perineal massage that should be arranged four-six weeks earlier the delivery. The healing process after the episiotomy procedure depends on personal health condition and concurrent. But usually it is as long as four-six weeks.