other cute nicknames include the lover's knot and the husband's stitch
Think about it this way...a woman's labia are like lips, and the perineum is kina like the cheek on the face. The episiotomy cuts into the perineum--that's like cutting, with scissors, into your cheek.
That extra stitch will make that fleshy entrance to the vagina tighter, but OBVIOUSLY, a stitch cannot change the muscle tone of the vagina!
I'm another mama who can attest to horrendeous unpleasantness with marital relations and simple tampon use (as in, couldn't use--too painful) as a result of fancy needlework. And let the record show, even if an OB doesn't intentinally put in an extra stitch, it is very possible and very common to sew too tightly (something about how the tissue is so swollen and as it heals the tissue swelling decreases but the tight tension on the stitches remains the same.)
My auntie gave birth to her daughter in 1976 & the OB turned to her dh, in the delivery room, as he stitched her episiotomy, and made some crude joke about adding a second stitch, just for him. My auntie, bless her, told the doc to go to hell, but that didn't do much for the sake of her perineal sew-job at the time.
Once, a long while ago, we had a thread about extra stitches here at mdc, and someone knowedlgeable person posted something about how all these circumcized men think that it's the childbearing vagina that's the 'problem', when really, it's the mens' deformed anatomies that are the 'problem', and their lack of foreskins is what drives this "I want it tight" concept. I wish I could find the link to the thread, because I thought it was very interesting.
AND OF COURSE, the best part about the husband's stitch is that is is the CHERRY atop the UNECCESARY INTERVENTIONS CAKE, because episotomies are archaic uncessary bs, brought about by uneducated, unelnligtened 'care givers' scissor-happy hands and flat-on-their-back mamas pushing babies uphill and off a bed.