Episiotomy: causes of occurrence

Some bad habits (for example, smoking) can have a negative effect (although there is not enough clear and unambiguous data confirming this), and the role of overweight and obesity during pregnancy is still unclear.

The most common causes of episiotomy during vaginal delivery:

- large fetal size: large fetal size, especially in combination with inaccurate measurement of pelvic size in a woman in labor, at some stage can become a serious problem requiring timely measures;

- fetal distress data: in the case of fetal oxygen deficiency and fetal distress data, this intervention is required;

- inappropriate fetal position: an episiotomy may be necessary in the supine position or when the shoulders are clamped in the main position, which helps to facilitate the expulsion of the fetus;

- at the beginning of the birth process, with an unprepared perineum,

the need to use forceps or vacuum to remove the fetus;

- in the case of a prolonged second phase of labor and a weakening of the maternity forces (difficulty in bending, insufficient flexion).

It is believed that the need for an episiotomy is higher in the case of the birth of the firstborn, during the prolonged second phase of birth, in the supine position and miscarriage.

Episiotomy in such cases turns out to be a vital procedure that facilitates the process of childbirth and accelerates fetal extraction.

It is believed that if there are indications for an episiotomy, the latter should not be postponed, since the risks for the mother are much higher with tissue rupture due to deformation and large size or incorrect position of the fetus.

Restoration of tissue integrity after episiotomy is more gentle, with a shorter recovery period (usually complete recovery occurs after 4-6 weeks) and a lower risk of complications than with tissue rupture during childbirth.

Knowledge of possible complications and risks after episiotomy helps to minimize them and optimally restore a woman's condition.

Despite the fact that there are well-studied benefits for certain indications during natural childbirth, episiotomy has its own risks that need to be taken into account.

When planning a vaginal delivery, it is recommended to acquaint a pregnant woman with the various stages of childbirth, the risks associated with each of them, and possible complications.

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