General Question

Harper1234's avatar

Do doctors not use episiotomy anymore?

Asked by Harper1234 (829points) June 13th, 2019

My daughter in law told me that doctors do not use episiotomy anymore and she is much more up to date on pregnancy than I am. Is that true and what do they do now?

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8 Answers

stanleybmanly's avatar

I think the current prevalence of c sections renders the very suggestion of the other procedure rather terrifying to the parents.

Caravanfan's avatar

No it is not routine to do that any mire

jca2's avatar

Copied from Mayo Clinic:
Routine episiotomies are no longer recommended. Still, the procedure is sometimes needed. Your health care provider might recommend an episiotomy if your baby needs to be quickly delivered because:

Your baby’s shoulder is stuck behind your pelvic bone (shoulder dystocia)
Your baby has an abnormal heart rate pattern during your delivery
You need an operative vaginal delivery (using forceps or vacuum)

Dutchess_III's avatar

I opted for no episiotomies. This was in the 80s when it was still standard. They billed my insurance for one, though, along with an epidural which I didn’t have either. And stitches, which I didn’t have.

raum's avatar

Routine episiotomies aren’t standard anymore. Though they’re still used for certain situations like @jca2 mentioned.

My ObGyn said that natural tears actually heal better than a clean cut.

LadyMarissa's avatar

According to the Mayo Clinic episiotomies are rarely use but still an option IF the baby is in distress & time becomes critical.

Harper1234's avatar

About 28 years ago after I couldn’t get my big headed son out I remember the nurse telling me that “we had to cut you from stem to stern!” I don’t know how they did it without getting into my rectum area. That was something I didn’t need to hear!

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