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Episiotomy Brentwood TN

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Katherine Clarke Haney MD
(615) 329-1242
2201 Murphy Ave
Nashville, TN
Specialties
Obstetrics & Gynecology

Data Provided By:
John Calvin Channell, MD
(615) 373-1255
343 Franklin Rd Ste 108
Brentwood, TN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Vanderbilt Univ Sch Of Med, Nashville Tn 37232
Graduation Year: 1989
Hospital
Hospital: Baptist Hosp, Nashville, Tn
Group Practice: Womens Health Alliance

Data Provided By:
Melissa Gay Reynolds, MD
(615) 284-2929
Brentwood, TN
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1992

Data Provided By:
Bradley N Bullock
(615) 376-8195
1607 Westgate Circle
Brentwood, TN
Specialty
Internal Medicine, Pediatric Internist

Data Provided By:
Stephen M Staggs
(615) 373-1255
343 Franklin Rd
Brentwood, TN
Specialty
Obstetrics & Gynecology

Data Provided By:
M Bruce Hirsch, MD
(615) 284-7755
2021 Church St
Nashville, TN
Business
Nashville Ob/Gyn Associates
Specialties
Obstetrics & Gynecology

Data Provided By:
Molly Syamali Chatterjee, MD
(615) 330-5629
1195 Old Hickory Blvd Ste 202
Brentwood, TN
Specialties
Obstetrics & Gynecology, Maternal & Fetal Medicine
Gender
Female
Languages
Hindi, Other
Education
Medical School: Med Coll, Univ Of Calcutta, Calcutta, West Bengal, India
Graduation Year: 1965
Hospital
Hospital: Baptist Hosp, Nashville, Tn; Centennial Med Ctr/West Side, Nashville, Tn

Data Provided By:
David Glen Truett, MD
330 Franklin Rd
Brentwood, TN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1995

Data Provided By:
Stephen Michael Staggs, MD
(615) 373-1255
343 Franklin Rd
Brentwood, TN
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Tn, Memphis, Coll Of Med, Memphis Tn 38163
Graduation Year: 1978

Data Provided By:
Roy P Burch
(615) 373-1255
343 Franklin Rd
Brentwood, TN
Specialty
Obstetrics & Gynecology

Data Provided By:
Data Provided By:

Episiotomy

Episiotomy

An episiotomy is a surgical procedure that enlarges the vaginal opening during labor by cutting the perineum, the skin and muscles between the vulva and anus.

Episiotomy is the surgery most commonly performed on women in the United States.

Between 50 and 90% of women giving birth to their first child undergo this procedure. For decades, episiotomies have been performed on a routine basis to help speed delivery during the second stage of labor; as well as to prevent tears to the mother's vagina, especially serious tears that may stretch to the anus. The procedure was also thought to lessen trauma to the baby and protect the mother's vaginal muscles.

Episiotomies May Be Useful Under The Following Conditions:

  • Labor is too fast. If you are unable to stop pushing and slow your labor, some health care providers believe a clean cut may help prevent a serious tear.
  • Fetal or maternal distress. An episiotomy may speed delivery if you or your baby are experiencing complications.
  • Extremely large or breech baby. An episiotomy may help ensure a safe delivery by widening the vaginal opening.

Currently, there is disagreement in the medical field about the routine performance of an episiotomy. One large study showed that routinely cutting an episiotomy increases the risk of tears in the back of the vagina, but reduces tears in the front. Based on these results, the World Health Organization, among other groups, recommends avoiding episiotomy unless it's absolutely necessary.

What Will Happen?

If an episiotomy is needed, then just before your baby is born, as the head is about to crown, your care health provider will inject a local anesthetic in the bottom of your vaginal opening and make an incision.

There are two types of incisions: median and medio-lateral. The median incision goes straight down the vagina toward the anus; the medio-lateral incision is made at an angle from the vagina to the anus. The medio-lateral is considered less likely to tear through to the anus, but is more difficult to repair and takes longer to heal than the median.

Your health care provider will then deliver the baby through the enlarged opening, followed by the placenta. The incision is stitched closed immediately after delivery.

For most women healing is uncomplicated, although it may take several weeks. You can help speed the process by asking nurses to apply ice packs immediately following the birth.

To Continue The Healing Process Over The Next Few Weeks You Should:

  • Use sitz bath a few times a day, change your pads frequently, and try a heat lamp or hair dryer after you bathe to keep the area around the stitches clean and dry.
  • Take stool softeners and eat lots of fiber to prevent constipation.
  • Perform Kegel exercises. Squeeze the muscles that you use to hold in urine for five minutes, 10 times a day, during your regular activities...

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