Incision at delivery: when does it become necessary?
The most important reason why a doctor can make a cut is the threat of spontaneous breaks, and those in turn arise for their own reasons. For example, with fast and rapid childbirth the child "breaks" out, and the crotch does not stand such pressure and begins to break, while it first protrudes, then turns blue, swells and whitens. In this case, a cut is made, as it is known that the smooth edges of the wound heal better, and the suturing is simplified in this case (the uneven edges of the lacerated wound are much harder to sew).
Of course, this is not the only reason the cut is made. Moreover, sometimes even doctors will not "wait" for the symptoms of the rupture if there are probable reasons for their occurrence. These include poor elasticity of the perineal muscles, which is almost always observed in women older than 35 years (especially in primiparas). The cause of possible ruptures (and hence of probable incisions) is also the developed crotch musculature, which is always found in female athletes.
Almost always an incision is made in childbirth with pelvic presentation in order to simplify the exit of the baby's head (after all, the born buttocks are smaller in size than the head, so the perineum is not ready for new stretches).
A cut is also made when there is a need to shorten the period of fetal expulsion, if a protracted process of childbirth threatens the health of either the mother or the baby. The same incision is made if there is a need for superposition of a vacuum extractor or forceps.
Incision at childbirth: how is it done?
What we all are so used to calling a cut, in medical "slang" has its name: an episiotomy or perineotomy. These two concepts differ in the way they cut the perineum. With perineotomy, the incision is made with scissors towards the rectum down from the vagina (by the way, it is rarely done, only in the most extreme cases due to the risk of rupture and the rectum itself). Episiotomy is a cut obliquely from the vagina (either one or the other way).
Many women are interested: does this procedure require anesthesia? In fact, the perineal tissues have no blood supply, and therefore pain sensitivity, as such, is absent. Yes, and the incision is an emergency operation, where there before anesthesia. Do the incision more often with the very eruption of the fetal head, then this "chick" can not even be caught. Blood loss in the cut is minimal, so that nothing terrible will happen to you. And only after the birth of the placenta, the doctors will take care of your wound, putting seams on it.
Section at childbirth: how does it end?
Just by stitching and caring for them, both episiotomy and perineotomy ends. Usually, the incision is sewn with a self-converging thread, so these wounds do not require any special care, nor an additional operation, in which you need to remove the stitches. The main condition for rapid and good wound healing is personal hygiene. Previously, the stitches for all women in the maternity hospital were treated with ordinary greens. Today they are not recommended to "bake", but rather "air". After each trip to the toilet, you should "bathe" the wound from front to back, that is from the pubic to the rectum, to avoid getting germs into the wound. To wipe the crotch is not recommended - it is better to lie down until it is completely dried and only then to put on panties with a gasket (the gasket to the statue should also be changed every 2 hours, regardless of its content).
After ruptures and incisions, a woman can not sit down for a long time (at least 10 days). Feed the baby and rest can only be reclining or lying down, and then gradually sit down on the ass. Also with caution you need to "walk around a lot." Perhaps the doctor will prescribe laxative candles to avoid pressure on the wounds wound.
If you ignore something from the above, then it is likely that your wound will "catch" the infection, inflame and then have to swallow pills (maybe even antibiotics) and smear seams with all kinds of compounds for a long time. However, it is usually the seams after the incisions that heal almost unnoticeably, and most importantly, painlessly.
Is it possible to avoid?
Doctors say: avoiding incisions is not always possible, but it is likely. And a very simple and banal way - gymnastics. If you systematically perform exercises that are aimed at increasing the elasticity of the perineal tissue, the risk of ruptures and incisions sharply decreases.
The most simple and effective are the so-called Kegel exercises:
- Tighten the muscles of the perineum, slowly count to three, then relax. You can also pinch the muscles and hold them in this state for up to 20 seconds.
- Clamp the muscles slightly (as if climbing the elevator, 1st floor), hold for 3-5 seconds and continue the climb, clamping slightly more (2nd floor), holding and gradually reach your limit . Down "down" in the same stage, delaying for a couple of seconds on each "floor".
- Strain and relax the muscles as quickly as possible for a few minutes.
- Try, from time to time, as with defecation.
By the way, you need to perform these exercises in the postpartum period.
Do not be lazy! Good luck!