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Episiotomy Durango CO

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James M Irish III, MD
1199 Main Ave Ste 218
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1985

Data Provided By:
Betty Helena Baca, MD
(505) 327-6487
2243 Main Ave Unit 3
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Nm Sch Of Med, Albuquerque Nm 87131
Graduation Year: 1984

Data Provided By:
Lloyd B Lifton
(970) 259-0701
575 Rivergate Unit 207
Durango, CO
Specialty
Obstetrics & Gynecology

Data Provided By:
Martin Philip Pirnat, MD
(970) 247-2611
1800 E 3rd Ave Ste 109
Durango, CO
Specialties
Family Practice, Obstetrics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1974
Hospital
Hospital: Mercy Med Ctr, Durango, Co
Group Practice: Durango-Animas Family Medicine

Data Provided By:
Christopher John Roach, MD
375W Park Ave
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1969

Data Provided By:
Alison W Jackson
(970) 385-9850
1 Mercado St Ste 160
Durango, CO
Specialty
Family Practice, Obstetrics & Gynecology

Data Provided By:
Leanne Eberly Jordan, MD
(970) 382-8800
375 E Park Ave Ste 3C
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Female
Languages
German, Spanish
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1989
Hospital
Hospital: Mercy Med Ctr, Durango, Co
Group Practice: Four Corners Women's Spec

Data Provided By:
Mary M Stengel
(970) 247-0042
575 Rivergate Unit 210
Durango, CO
Specialty
Obstetrics & Gynecology

Data Provided By:
Harry Howgate Winkworth, DO
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1968

Data Provided By:
Lloyd Bernard Lifton, MD
(970) 259-0701
575 Rivergate Unit 207
Durango, CO
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1974

Data Provided By:
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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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