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Episiotomy Missoula MT

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Dr.Jeanne Hebl
(406) 549-0978
1211 South Reserve Street #101
Missoula, MT
Gender
F
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Community
Accepting New Patients: Yes
RateMD Rating
4.0, out of 5 based on 4, reviews.

Data Provided By:
John Trumbull Harlan, MD
325 9th Avenue
Missoula, MT
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Oh State Univ Coll Of Med, Columbus Oh 43210
Graduation Year: 1987

Data Provided By:
Lindsay Ann Richards, MD
(406) 721-5600
515 W Front St
Missoula, MT
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1977

Data Provided By:
Dr.Craig McCoy
(406) 728-8170
2825 Fort Missoula Rd # 217
Missoula, MT
Gender
M
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Cmc
Accepting New Patients: Yes
RateMD Rating
3.8, out of 5 based on 4, reviews.

Data Provided By:
Lindsay A Richards
(406) 721-5600
2835 Fort Missoula Road
Missoula, MT
Specialty
Obstetrics & Gynecology

Data Provided By:
Dr.Lynn Montgomery
1211 South Reserve Street #101
Missoula, MT
Gender
M
Education
Medical School: Univ Of Nd Sch Of Med
Year of Graduation: 1984
Speciality
Gynecologist (OBGYN)
General Information
Hospital: Community Medical Center
Accepting New Patients: Yes
RateMD Rating
3.7, out of 5 based on 13, reviews.

Data Provided By:
Jeffrey Karl Lindley
(406) 327-1850
3075 N Reserve St
Missoula, MT
Specialty
Family Practice, Obstetrics & Gynecology

Data Provided By:
Kristin Ann Rauch, MD
(406) 728-4292
2825 Fort Missoula Rd
Missoula, MT
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1982

Data Provided By:
Thomas Allen Baumgartner, MD
(406) 542-2116
2825 Fort Missoula Rd
Missoula, MT
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1972

Data Provided By:
Jesse James Pitt, MD
(406) 721-1640
2825 Fort Missoula Rd Ste 225
Missoula, MT
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1970

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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