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Episiotomy Nashua NH

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Karen Kay Maynard, MD
(603) 577-3100
19 Tyler St Ste 103
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1994

Data Provided By:
David Saul Deifik
(603) 577-4300
21 E Hollis St
Nashua, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Cecilia Warpinski Stuopis
(603) 577-4300
21 E Hollis St
Nashua, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Carolyn Drake, MD
(603) 577-3170
10 Prospect St # F
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Stanford Univ Sch Of Med, Stanford Ca 94305
Graduation Year: 1988

Data Provided By:
DeNise D McHugh
(603) 577-3131
10 Prospect St
Nashua, NH
Specialty
Obstetrics & Gynecology

Data Provided By:
Denise Dawn Mc Hugh, MD
(603) 881-8500
10 Prospect St
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1992

Data Provided By:
Cynthia Ann Rasmussen, MD
(603) 577-3170
10 Prospect St Ste 402
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Med Coll Of Pa, Philadelphia Pa 19129
Graduation Year: 1981

Data Provided By:
Zoe Ann Gillis, MD
10 Prospect St
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1998

Data Provided By:
Dr.Valerie Bell
(603) 577-4300
21 East Hollis Street
Nashua, NH
Gender
F
Education
Medical School: Univ Of Vt Coll Of Med
Year of Graduation: 1999
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Jeffrey Earl Hubley, MD
(603) 577-4300
21 E Hollis St
Nashua, NH
Specialties
Obstetrics & Gynecology
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1985
Hospital
Hospital: Southern New Hampshire Regiona, Nashua, Nh; St Joseph Hospital And Trauma, Nashua, Nh
Group Practice: Hitchcock Clinic

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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