Episiotomy

An episiotomy is a surgical cut made in the area of the body called the perineum. This cut can be made right before delivery to enlarge the vaginal opening. In the past, these surgeries were often routine but these days most medical professionals are in agreement that they should not be performed routinely.

Because of the risks associated with this procedure, a doctor will only perform an episiotomy when all other alternatives have proved ineffective. For example, if your baby's heart rate indicates that he needs to be born very soon because he is not tolerating labor anymore, an episiotomy may be performed. Additionally, the baby may be very large, so the vaginal opening will need to be able to accommodate the child. An episiotomy may also be performed if your tissue is bleeding or tearing in multiple spots, but it is your physician's final decision as to whether those are actually preferable to an episiotomy.

If an episiotomy needs to be performed, you will be given a shot of a local anesthetic. Your doctor will then use surgical scissors to make a small cut in your perineum, following up with another dose of anesthetic prior to stitching the cut. Following the birth, your doctor will advise you on appropriate recovery methods if you have had an episiotomy or experienced a natural tear. There will be stitches, but they will disintegrate naturally after a few weeks. In general, it can take anywhere from one week to a month before the pain dissipates and you are able to resume normal activities again. As always, speak with your doctor about the best plan for you following an episiotomy.