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When is an episiotomy truly necessary? - Page 2

post #21 of 25
From the research I've done they are almost never necessary. They are not necessary for vacuum or forceps deliveries, though often still used for those. They do not 'prevent tears' - what a ridiculous idea! - but in fact dramatically increase your likelihood of having a bad tear as well as PPs have mentioned. Shoulder dystocia is usually resolved by positional changes, and if necessary a HCP can get their fingers in to manoeuvre baby without cutting the perineum. And yes, I would think the adrenaline of being told you need to get your baby out *now* would be sufficient in many cases to get a distressed baby out quickly.

And as PPs have mentioned, although episiotomies are convenient for HCPs - both to cut a few minutes off a pushing stage if they're feeling impatient, and to sew back up, that does not mean they're better for the mom - generally the opposite. I had a very large one, and still have problems with it over 2 years later. My mom has trouble with hers over 30 years after she had me. We can't know for sure, but it's a fair bet that we would have recovered much better from a *potential* tear, since there was no reason to believe that we would even have torn for certain.
post #22 of 25
Quote:
Originally Posted by chandasz View Post
if mama is tearing into the clitoris.
When I discussed episiotomy with my mw (actually my opposition to an episiotomy) this is the only reason she gave for doing one, and I would have to agree, a tear into the perineum is preferable to me at least than one into the clitoris.
post #23 of 25
Quote:
Originally Posted by MujerMamaMismo View Post
What would a homebirth midwife (assuming she's the least interventionist person in this birthing community of ours) say?
When I asked my homebirth midwife this, she said, "When the baby is in distress and we need him out NOW, and I don't think mom will be able to get him out quick." She has cut 2 epis in 800 births - both first-time moms.
post #24 of 25
Quote:
Originally Posted by MujerMamaMismo View Post

What would a homebirth midwife (assuming she's the least interventionist person in this birthing community of ours) say?
Most homebirth midwives here don't cut epis- period.

-Angela
post #25 of 25
I consented to an episiotomy after 2 position changes (out of the pool and onto the stool, off the stool and onto the floor) neither resolved my son's heart rate being low nor effected immediate delivery. My midwife asked if she could (and mine is the 4th one she's done in 12 years), got her hand in (and jiggled his butt at the same time LOL), and he came right out. I'm satisfied with the reasoning and the repair.
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