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Episiotomy Honolulu HI

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DeNise W l Hew
(808) 536-3700
1380 Lusitana St
Honolulu, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Norman Etsuo Sato, MD
(808) 538-3787
1329 Lusitana St Ste 402
Honolulu, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Tx Med Sch At San Antonio, San Antonio Tx 78284
Graduation Year: 1972

Data Provided By:
Melanie Midori Lau, MD
(808) 536-3690
1329 Lusitana St
Honolulu, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1990

Data Provided By:
Letah Yang, MD
1010 Pensacola St
Honolulu, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: La State Univ Sch Of Med In New Orleans, New Orleans La 70112
Graduation Year: 1974

Data Provided By:
Dr.Christopher Miura
(808) 432-2000
1010 Pensacola Street
Honolulu, HI
Gender
M
Education
Medical School: Univ Of Hi John A Burns Sch Of Med
Year of Graduation: 1987
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Dr.Steven T. Emura
(808) 203-6500
550 S Beretania St # 610
Honolulu, HI
Gender
M
Education
Medical School: Univ Of Hi John A Burns Sch Of Med
Year of Graduation: 1978
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 2, reviews.

Data Provided By:
H Lorrin Lau
(808) 596-0164
1010 S King St
Honolulu, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Keijiro Yazawa
(808) 945-3719
1441 Kapiolani Blvd. #2000
Honolulu, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Franklin Vuhuy Dao, MD
(808) 537-2211
550 S Beretania St Fl 5
Honolulu, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Hi John A Burns Sch Of Med, Honolulu Hi 96822
Graduation Year: 1995

Data Provided By:
Gordon C Ontai
(808) 523-9300
1329 Lusitana St
Honolulu, HI
Specialty
Obstetrics & Gynecology

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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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