Why is Episiotomy (sometimes) Helpful

Delivery method

Why is Episiotomy (sometimes) Helpful?

Episiotomy is a surgical incision made in the area between the vagina and the anus, known as the perineum, during childbirth.

While episiotomies were once routine, their use has become more selective in recent years.

The procedure is considered helpful in certain situations to aid the delivery process and minimize the risk of complications.

Facilitating Faster Delivery

Episiotomy may be performed when the baby's head is crowning but delivery is not progressing adequately, and there is a need to expedite the process. By creating a controlled incision, the size and position of the opening can be managed, allowing for a quicker and smoother delivery.
In certain emergency situations, such as fetal distress or maternal health concerns, when an urgent delivery is necessary, an episiotomy can be performed to facilitate a faster birth.

Preventing Unplanned Tears

By making a deliberate incision, an episiotomy can guide the direction and length of the tear during childbirth, reducing the risk of unplanned or uncontrolled tears that may extend deeper into the perineal tissues.
Controlled incisions can be easier to repair compared to extensive, irregular tears, and can result in better healing outcomes.

Protecting the Baby's Well-being

In situations where there is a risk of injury to the baby, such as shoulder dystocia, where the baby's shoulder becomes stuck behind the mother's pubic bone, an episiotomy may be performed to create additional space and facilitate safe delivery.
Episiotomy can also help in situations where instrumental assistance, such as vacuum or forceps, is required to safely deliver the baby.

Minimizing Severe Tears

In some cases, the use of episiotomy can help prevent severe tears that may extend into the anal sphincter or rectum. By making a controlled incision, the risk of more extensive and potentially more difficult-to-repair tears can be reduced.
Episiotomy may be recommended for women who have previously experienced severe perineal tearing during childbirth, as it can help minimize the risk of a recurrent injury.