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Episiotomy Wilmington DE

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Beth R Schubert, MD
(302) 224-9400
875 AAA Blvd
Newark, DE
Business
Just for Women Ob/Gyn PA
Specialties
Obstetrics & Gynecology

Data Provided By:
Domingo C Singson, MD
(302) 421-8282
1021 Gilpin Ave Ste 104
Wilmington, DE
Specialties
Family Practice, Obstetrics
Gender
Male
Languages
Tagalog
Education
Medical School: Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduation Year: 1975
Hospital
Hospital: St Francis Hosp, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Family Practice & Obstetrics

Data Provided By:
Elias Mamberg, MD
(302) 428-0337
1301 N Harrison St Ste 104
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1972
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

Data Provided By:
Margo Kanaga, MD
(302) 655-8440
2301 Pennsylvania Ave
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Female
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1974

Data Provided By:
Joseph Edward Patruno, MD
501 W 14th St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Brown Univ Program In Med, Providence Ri 02912
Graduation Year: 1995

Data Provided By:
William Alvin Hohman, MD
(302) 623-4175
2323 Pennsylvania Ave
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ De Lausanne, Fac De Med, Lausanne, Switzerland
Graduation Year: 1974
Hospital
Hospital: Christiana Care -Wilmington, Wilmington, De

Data Provided By:
Alvin Herbert Weiner, MD
(718) 837-1300
1207 N Scott St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Van Amsterdam, Fac Der Geneeskunde, Amsterdam, Netherlands
Graduation Year: 1957

Data Provided By:
Dr.Nieva Duque
(302) 655-5908
12B Trolley Sq
Wilmington, DE
Gender
F
Speciality
Gynecologist (OBGYN)
General Information
Accepting New Patients: Yes
RateMD Rating
2.8, out of 5 based on 26, reviews.

Data Provided By:
Richard Lee Fischer, MD
(650) 574-5823
1228 N Scott St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Univ Of Ca, Irvine, Ca Coll Of Med, Irvine Ca 92717
Graduation Year: 1967

Data Provided By:
John M Levinson, MD
(302) 655-8290
Fourth And Adams St
Wilmington, DE
Specialties
Obstetrics & Gynecology
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1953

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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