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Episiotomy Kailua Kona HI

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Russell Eugene Rees, MD
(808) 329-0907
75 5751 Kuakini Highway
Kailua Kona, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ De Monterrey, Fac De Med, Monterrey, Nuevo Leon, Mexico
Graduation Year: 1982

Data Provided By:
Melissa C Smith
(808) 334-4400
75-184 Hualalai Rd
Kailua Kona, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Nancy Kathryn Stukan, MD
(808) 322-3488
81-990 Halekii St Lwr Lvl
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Ca, San Francisco, Sch Of Med, San Francisco Ca 94143
Graduation Year: 1978

Data Provided By:
Edwin Payson Gramlich, MD
(808) 949-5305
PO Box 696
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1957

Data Provided By:
Sira, Santad, Md - Sira Santad Inc
(808) 329-6447
Hualalai Medical Ctr # 202
Kailua Kona, HI

Data Provided By:
Santad Sira, MD
(808) 322-3434
Honalo Business Center
Kailua Kona, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mahidol Univ-Siriraj Hosp, Fac Of Med, Bangkok, Thailand
Graduation Year: 1970
Hospital
Hospital: Kona Hosp, Kealakekua, Hi
Group Practice: Sira Santad Inc

Data Provided By:
David Alan Arthurs, DO
(808) 327-4504
77-6466 Pualani St
Kailua Kona, HI
Specialties
Family Practice, Obstetrics
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1983
Hospital
Hospital: St Benedicts Family Med Ctr, Jerome, Id
Group Practice: Family Care Physicians

Data Provided By:
Robyn Margaret Cook, MD
(808) 322-2880
PO Box 9012
Kealakekua, HI
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Mayo Med Sch, Rochester Mn 55905
Graduation Year: 1989

Data Provided By:
James A Ruiz
(808) 322-1733
81-990 Halekii St
Kealakekua, HI
Specialty
Obstetrics & Gynecology

Data Provided By:
Thomas Sidney Kosasa, MD
(808) 949-2304
1319 Punahou St
Honolulu, HI
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1971

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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