| Register  | FAQ  | Search | Login 
It is currently Fri Sep 19, 2014 11:02 pm

All times are UTC - 6 hours [ DST ]




Post new topic Reply to topic  [ 69 posts ]  Go to page 1, 2, 3  Next
Author Message
 Post subject: episiotomy
PostPosted: Mon Jan 21, 2013 1:33 pm 
Offline
Dislikes Rick Santorum
User avatar

Joined: Fri Apr 01, 2011 11:51 am
Posts: 5298
Location: United States of New England
just wondering what peoples' thoughts are on episiotomies.

i definitely have a "no intervention unless necessary" attitude but i recognize that things dont always go the way you want.

originally episiotomy was right up there with induction as DO NOT WANT NOOOOOOOOO!!!!!!!!
based on my (possibly biased) readings it sounded like bad news. i cant remember where i read everything but ive definitely read alot on this forum, i read the Dr Sears pregnancy book, a book called Your Vegetarian PRegnancy, and a book called the Everything Vegan Pregnancy book, and i am about 1/3 of the way through the Hypnobirthing companion book. so everything is heavily skewed towards natural birthing.

it seemed to be the conscensus that episiotomy can be worse that labor and extremely painful afterwards and difficult to heal from. it made it sound like walking and sitting were very uncomfortable.
one book (Dr Sears???) even went as far as to say natural tearing was better than an episiotomy because an episiotomy could still tear more since you just made an incision anyways so there is no guarantee you wont have natural tearing plus the episitomy. there was a couple other points why natural tearing is better that i cant remember cause im super tired today.

so anyways then i was having a conversation with my mom the other night about people shoving their opinions of what not to do and what to do down my throat and she was like "i will give you my 2 cents on one thing!" and she explained her thoughts on episiotomies. also my mom is a nurse so she is more guided towards the medical side of things.
she was saying dont say no to it just because i dont want to be cut or i dont think it's natural. she said it's WAAAAAY better to get an episiotomy than to tear naturally because then the surgeon can have a really hard time stitching up a jagged natural tear and if it's really bad you can tear all the way into your rectum and well then you're just really screwed. she said she had 2 episiotomies (one per kid) and while it wasn't like skipping through park on a sunny day it wasnt HORRIBLE.

also is there any sort of numbing of the area that they do or at that point is it too late and you dont care about getting sliced?

i still dont *want* one but maybe i wont like running screaming from one now.

when i was doing a search of the forum to see if there was already a thread on this it seems like several ppkers have had one.

_________________
Unimpressed Baby Blog


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 2:18 pm 
Offline
Semen Strong
User avatar

Joined: Tue Oct 19, 2010 7:10 pm
Posts: 19035
Location: Cliffbar NJ
I didn't have one and my midwife said that she didn't see a real benefit to them. I had a wee bit of tearing and got stitched up, but I don't see the point of preventatively getting a cut, which could rip further any way.

This is one of the threads that certain other PPKers without kids are going to be reading as birth control (looking at you linanil!)

_________________
My oven is bigger on the inside, and it produces lots of wibbly wobbly, cake wakey... stuff. - The PoopieB.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 2:31 pm 
Offline
Nooch of Earl
User avatar

Joined: Sun Dec 12, 2010 2:18 pm
Posts: 3718
Location: Bella Napoli
It's an emergency procedure that has its place, in my mind, but should not be routine. If it becomes very important to speed up a second stage labor (delivery), it is useful (and probably easier to heal from than a c-section!

The threat of an episiotomy if I didn't get the baby out in like 15 minutes, however, gave me the push I needed to finally wrap things up after a 5 hour second stage labor. ;) I didn't ask how many times the midwife who delivered V had performed them, but one of the less experience midwives (less experienced == she'd worked there 7 or 8 years) could think of about 3 times when she'd felt the need to do one. I trusted that they would not recommend it unless it was important for the baby's health.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 2:34 pm 
Offline
Saggy Butt
User avatar

Joined: Sun Nov 20, 2011 12:16 pm
Posts: 1200
Location: ATX
I guess my thinking was that there was a chance I might not tear, so why do it? And even if I did tear, the tear might still be less serious than the episiotomy. (Despite my midwife applying olive oil and warm cloths I did have a 2nd degree tear, probably due to Sven's nuchal arm, but everything healed up just fine.)

If it looks like your labor is going that way, they can always do it in the moment, can't they? I don't know if they routinely anesthetize beforehand but I couldn't feel myself tearing at all so I probably wouldn't have felt an episiotomy either.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 2:57 pm 
Offline
Not NOT A Furry

Joined: Wed Jan 11, 2012 8:38 am
Posts: 498
Location: Aarhus, Denmark
I (big surprise) didn't want to have one, but in the end it was basically part of the "OK if this doesn't work NOW you'll be off to the emergency C-section" plan. So I'm glad it was that and not the C-section. Overall I did find recovery from childbirth as a whole super long and difficult, but not necessarily the episiotomy. For me getting my strength back and getting through the postpartum bleeding were much more of a big deal.

I did not really feel it, at least as a distinct sensation separate from everything else that was going on--and I had no pain medication-- but I did hear the scissors go and that creeped me out a bit. The midwife used a local injectable anesthetic to stitch me up afterwards and she also informed me that when she did her PhD, her thesis was on episiotomies, so she claimed to have done a really good job both cutting and stitching.

I guess someone has to do it but even at the time I thought episiotomies would be a pretty weird thesis subject.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 3:17 pm 
Offline
Dislikes Rick Santorum
User avatar

Joined: Fri Apr 01, 2011 11:51 am
Posts: 5298
Location: United States of New England
from my reading it does seem like it *used* to be fairly routine and now it's not so there is that.
it kind of sounded like my mom's were both routine but i was the last kid in my family and im 35 now so that was quite a long time ago (yay 70s!)

i just want a good amount of info on both sides to think about so thanks for all the info.

yes i agree episiotomy sounds better than C-section if you need 1 of the 2!

_________________
Unimpressed Baby Blog


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 3:22 pm 
Offline
WELFARIST!
User avatar

Joined: Wed Oct 20, 2010 1:57 pm
Posts: 5127
ScandinaVegan wrote:
I guess someone has to do it but even at the time I thought episiotomies would be a pretty weird thesis subject.

It's not at all weird to me but I work as a medical transcriber (also known as medical language specialist). I can understand it seeming strange to someone out of the field though.

One of my English professor's focused on references to urine in medieval texts. Actually, her interest might have even been more specific than that (medicinal uses of urine, I think), but yeah, that was what she nerded out about and was her life's scholarly pursuit in between teaching gigs and whatnot.

Sorry, back to episiotomies. My thoughts: I don't want one but if I had to have one were I about to give birth, I would.

_________________
"I'm sorry! I'm Canadian!"


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 3:37 pm 
Offline
Married to the wolfman
User avatar

Joined: Wed Oct 20, 2010 9:49 pm
Posts: 5949
Location: Santa Cruz, CA
I read a lot about it during my first pregnancy and the scientific literature seemed to indicate that having an episiotomy actually increases your chances of having a more serious natural tear along with it. Makes sense-- some hippie book I also read likened it to tearing a piece of paper. An intact piece of paper is hard to get started tearing but a paper with a cut made in it (episiotomy) is very easy to tear along the cut part.

I tore in both my pregnancies. They were both really minor despite the fact that I'm small and my babies were 9+ lbs.

_________________
"Hummus; a gentleman's vice." -- Mars

coldandsleepy cooks, THE BLOG!


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 3:51 pm 
Offline
Attended Chelsea Clinton's Wedding

Joined: Thu Oct 20, 2011 3:01 am
Posts: 205
Location: Oslo, Norway
My birth plan said I would rather tear than have an episiotomy. When the birth was actually happening, they had to give me a episiotomy to save LittleMap's life, There was no time for a C-section and he had to get out (he wasn't breathing and his heart rate was low for too long). I wasn't offered a choice; the doctor was acting in an emergency situation. I heard her say "I'm cutting now" and I didn't care at all. Immediately after the birth, I had no problem sitting up and walking. Literally- they had taken LittleMap to NICU and as soon as they were done sewing me I got out of bed and dressed to go after him. I have a noticeable scar and vaginal intercourse is painful. It is getting less painful every time we do it, but it isn't much fun now. I still want to have vaginal intercourse but it is painful and not much pleasure. I'm four months out now and sex IS getting less painful, so I trust this won't last forever. So, my opinion: it's an emergency medical procedure. You get it if you have to, you don't if you don't.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 6:24 pm 
Offline
Not NOT A Furry
User avatar

Joined: Wed Oct 20, 2010 3:04 pm
Posts: 493
Location: massachusetts
I hadn't really given it a though either way, but after pushing for over two hours, the midwife called the ob in and they said I could have an epidural and try again later or have an episiotomy with either forceps or the vacuum. At that point I went the episiotomy/vacuum route because I was so tired I couldn't imagine pushing again later. I had been nervous about having to have an IV put in - if the vacuum didn't work in a certain number of tries it was going to be automatic c-section - but at that point I totally did not care. It was pretty tender but not unbearable afterwards, but it took a while to feel better because a piece of tissue was hanging out of the incision - fun! Like mapmapmap, sex was pretty painful, but seems to be getting better, although I'll admit we've only done it a handful of times in the past year.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 6:37 pm 
Offline
Bought a used copy of Natural Harvest
User avatar

Joined: Tue Oct 19, 2010 6:29 pm
Posts: 6121
Location: Land of Maple and Beavers
Tofulish wrote:
This is one of the threads that certain other PPKers without kids are going to be reading as birth control (looking at you linanil!)


You are so right about that. <3

_________________
Did you notice the slight feeling of panic at the words "Chicken Basin Street"? Like someone was walking over your grave? Try not to remember. We must never remember. - mumbles
Is this about devilberries and nazifruit again? - footface


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 7:14 pm 
Offline
Invented Vegan Meringue
User avatar

Joined: Tue Oct 19, 2010 12:16 pm
Posts: 3842
Location: Panama City, Florida
I had episiotomies both times, and a little tearing the second time. Just local anesthesia and I didn't feel either one. They are a bisque to heal though. Just uncomfortable to sit and stuff for awhile.

_________________
etsy shop: teeny tiny tantrums


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 7:15 pm 
Offline
Not NOT A Furry
User avatar

Joined: Sat Sep 15, 2012 7:11 pm
Posts: 474
If anyone needs me, I'll just be over there in the corner curled up in a ball and whimpering.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 7:26 pm 
Offline
Married to the wolfman
User avatar

Joined: Wed Oct 20, 2010 9:49 pm
Posts: 5949
Location: Santa Cruz, CA
The thing is, I don't think an episiotomy is necessarily any worse to recover from than a small natural tear. Natural tearing takes time to heal and makes sex uncomfortable too.

Can I tell you guys something terrifying about my cooch? I'll put it behind a spoiler because it's really kind of freaky.

Spoiler: show
I just discovered the other day that my tear from my second birth healed bizarrely, such that I have a... Hole where a hole should not be. It's really small and from the placement (and some other things I have been experiencing) I think that what happened is that the doctor accidentally gave me an extra stitch. Either that or it just healed funny. I'm going to ask about it at my next well woman visit!

I discovered this while trying to get my diva cup out... I was bearing down, started to stick my fingers where they should've gone, hit that thing instead and then was like oh god what is happening, my vaginal opening is sealing over! (This is probably the only circumstance ever where one might feel a little relieved to find that one "just" has an extra hole.)

_________________
"Hummus; a gentleman's vice." -- Mars

coldandsleepy cooks, THE BLOG!


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 7:48 pm 
Offline
Drinks Wild Tofurkey
User avatar

Joined: Tue Nov 09, 2010 12:16 am
Posts: 2725
Location: SF Bay area
Pyewacket wrote:
If anyone needs me, I'll just be over there in the corner curled up in a ball and whimpering.

Yep.

_________________
http://hotveganchickpeas.wordpress.com (food blog)
http://baybalcony.wordpress.com (gardening blog)


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Mon Jan 21, 2013 8:43 pm 
Offline
***LIES!!!***
User avatar

Joined: Sun Feb 12, 2012 4:10 pm
Posts: 3764
Just repeating what everybody else said. They used to be routine and now are not (unless your doc is totally out of date). They almost definitely increase the risk of serious tearing, but at this point should only be done in an extreme emergency anyway, so you might be willing to take that risk. I would think that a natural tear that is as severe as an episiotomy would hurt as much to heal from, but you would almost never have a natural tear like that. Episiotomies often go through multiple layers of flesh where a natural tear wouldn't and are likely to be longer, besides the increased risk of a 3rd or 4th degree tear (which is a very bad thing to have or to heal from). Interestingly, there is a point in the stretching of the perineum where it no longer has any nerve sensation and an episiotomy could be cut then without you feeling it even if you have no anesthetic.

Also, prepare to be a little uncomfortable sitting for awhile after birth, whether you are intact, tear, or have an episiotomy. Some people feel totally comfortable afterwards, but most don't, because your flesh will be swollen and bruised from stretching and pushing, you may be healing from a tear, you may have hemorrhoids from pushing, etc. Use the ice packs they give you and a peri bottle!


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 12:23 am 
Offline
Bathes in Braggs
User avatar

Joined: Thu Oct 21, 2010 6:01 am
Posts: 1296
Location: sunshine coast, australia
what ariann said :)


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 1:25 am 
Offline
Moving To Sheepshead Bay
User avatar

Joined: Tue Oct 19, 2010 9:39 pm
Posts: 5968
Tofulish wrote:
This is one of the threads that certain other PPKers without kids are going to be reading as birth control (looking at you linanil!)


This thread will also work great as appetite control. I feel so queasy right now. You people who grow new people inside you are so brave!

_________________
"I'm no elephant, but now I want molasses." -Moon


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 3:27 am 
Offline
Plays The Sims 2 religiously
User avatar

Joined: Wed Oct 20, 2010 11:20 pm
Posts: 7402
Location: Portland, OR
couroupita wrote:
Pyewacket wrote:
If anyone needs me, I'll just be over there in the corner curled up in a ball and whimpering.

Yep.

Holy jeezuz yep.

_________________
i would schmear marmite on a moist scrotum for Mars. - interrobang?!
"Not everything." ~ mumbles (1973-2013) - mumbles


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 4:17 am 
Offline
Should Write a Goddam Book Already
User avatar

Joined: Wed Oct 20, 2010 6:08 pm
Posts: 1017
Location: Notavandownbytheriver
Ariann wrote:
I would think that a natural tear that is as severe as an episiotomy would hurt as much to heal from, but you would almost never have a natural tear like that. Episiotomies often go through multiple layers of flesh


I'm curious what the rate of occurrence for severe tears is...and the source(s) you have to substantiate that. I'm not saying I disagree because, honestly, I haven't done much research. I do think making the statement that something is medically rare should be accompanied by some context or source of information.

I know at least two women who tore nearly irreparably during birth and they didn't have episiotomies. In each of their cases, an episiotomy would have have resulted in a lot less trauma to their bodies. Of course, my anecdotal evidence doesn't disprove the risks of the procedure but there are reasons besides "extreme emergency" for the procedure. One of the women wasn't having what would be considered a medical emergency--her son wasn't in danger of losing air or getting stuck but she suffered months of pain because her doctor didn't believe an episiotomy was ever necessary. The force of labor wouldn't have torn her body as much had there been the extra room.

I just think it's dangerous to say anything other than it should be decided on a case-by-case basis and doctors should neither be absolutely against or absolutely for.

_________________
"So often I wish Adam were a real boy." - interrobang?!
"If he was you'd hear him farting at the back of your yoga class." - 8ball


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 6:16 am 
Offline
Attended Chelsea Clinton's Wedding

Joined: Thu Oct 20, 2011 3:01 am
Posts: 205
Location: Oslo, Norway
Behind a spoiler in response to C&S-
Spoiler: show
C&S- I am sure this isn't your case now, because you would know now if it was- but when I went in for my 6 week exam to make sure everything was healing as it should, my doctor gave me an anal exam, because she said holes between the vagina and rectum are fairly common, and then you get all kinds of horrible infections. I was horrified, and asked wouldn't I already know if that was the case (I would hope I would notice shiitake in my vagina!) and she said yes, so I don't know why the exam was necessary then, but whatever. That hole of yours could have been horrible news!!!


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 8:17 am 
Offline
Dislikes Rick Santorum
User avatar

Joined: Fri Apr 01, 2011 11:51 am
Posts: 5298
Location: United States of New England
i kinda wish i didnt start this thread :-O

ill be with the people in the corner curled up in a ball whimpering. ;-)

seriously though my mom was like "you're gonna be sore down there no matter what"
hahahaa

im getting the vibe from everyone that it's an EMERGENCY procedure and i guess now that i think about it that was my original question whether i realized it at the time or not.
ill have to chat with my dr about their rate of doing them, etc.

_________________
Unimpressed Baby Blog


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 8:19 am 
Offline
Dislikes Rick Santorum
User avatar

Joined: Fri Apr 01, 2011 11:51 am
Posts: 5298
Location: United States of New England
oh and Ariann i think you brought up one of the points i couldnt remember. that a natural tear might only go through the first couple of layers of skin/flesh but an episiotomy goes through several.

ay yi yi....back to the corner to curl up in the fetal position..............

_________________
Unimpressed Baby Blog


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 9:23 am 
Offline
Semen Strong
User avatar

Joined: Tue Oct 19, 2010 7:10 pm
Posts: 19035
Location: Cliffbar NJ
If it makes you feel better, I honestly felt fine right after labor. I had a very minor tear, that required one or two stitches and I felt fine enough that I wanted to walk out of the L&D room and was fine the next day.

_________________
My oven is bigger on the inside, and it produces lots of wibbly wobbly, cake wakey... stuff. - The PoopieB.


Top
 Profile  
 
 Post subject: Re: episiotomy
PostPosted: Tue Jan 22, 2013 9:50 am 
Offline
Invented Vegan Meringue
User avatar

Joined: Tue Oct 19, 2010 12:16 pm
Posts: 3842
Location: Panama City, Florida
Yeah, honestly it wasn't the big of a deal to me in the grand scheme of things. Uncomfortable, but I was fully functional afterwards. I showered within a few hours of delivery and was up walking around and stuff. The one thing I wish I could change about my last pregnancy is that I wouldn't have worked myself up terrified of everything. Yes, labor & delivery are going to suck, but the best part is the bad stuff ends!

_________________
etsy shop: teeny tiny tantrums


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 69 posts ]  Go to page 1, 2, 3  Next

All times are UTC - 6 hours [ DST ]


Who is online

Users browsing this forum: No registered users and 2 guests


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum

Search for:
Jump to:  
Powered by phpBB © 2000, 2002, 2005, 2007 phpBB Group
Template made by DEVPPL/ThatBigForum and fancied up by What Cheer