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Episiotomy Essex Junction VT

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Nancy Fisher, MD
(802) 859-9500
364 Dorset St
South Burlington, VT
Business
Lake Champlain Gynecological Oncology
Specialties
Obstetrics & Gynecology

Data Provided By:
Kara Flaherty
(802) 879-1802
55 Main St
Essex Junction, VT
Specialty
Obstetrics & Gynecology

Data Provided By:
Dr.JOHN GALLAGHER
55 Main St # 3
Essex Junction, VT
Gender
M
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
John Gallagher
(802) 879-1802
55 Main St
Essex Junction, VT
Specialty
Obstetrics & Gynecology

Data Provided By:
Kara Ann Flaherty, MD
(802) 879-1802
55 Main St
Essex Junction, VT
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1999

Data Provided By:
George Till
(802) 879-1802
55 Main St
Essex Junction, VT
Specialty
Obstetrics & Gynecology

Data Provided By:
Nathalie L Feldman, MD
(802) 879-1802
55 Main St
Essex Junction, VT
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1987

Data Provided By:
Sally Annabell Stockwell, MD
(802) 879-1802
55 Main St
Essex Junction, VT
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1974

Data Provided By:
Sally Stockwell
(802) 879-1802
55 Main St
Essex Junction, VT
Specialty
Obstetrics & Gynecology

Data Provided By:
Paula M Miner
(802) 879-1802
55 Main Street
Essex Jct, VT
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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