Perineotomy

Perineotomy during labor

What is perineotomy?

Very often in labor to facilitate the birth of the fetus doctors resort to sections of the perineum. They are divided into 2 types. A perineotomy is a cut directed to the rectum, that is, a straight incision. Episiotomy is an incision directed to the side, a lateral incision. If you draw an analogy of the crotch with the dial, the episiotomy is done at 5 or 8 hours.

What method to choose for a cut, doctors decide taking into account the obstetrical situation and the size of the fetus. Perineotomy is done in the normal birth process if there is a threat of rupture of the "high" perineum or in premature birth. This incision is made in the second stage of labor. The doctor performs the operation. In emergency cases, she is entrusted to a midwife.

Perineotomy surgery does not require anesthesia (anesthesia), since the lack of blood supply in the perineal tissues contributes to the loss of pain.

Before cutting the perineum, it is treated with an antiseptic agent (iodine), and the cut itself is made at the moment of cutting the child's head. The length of the incision is about 2-3 cm, and the loss of blood during this operation is small. Restoration of the perineum is carried out after the release of the after-effect by the application of sutures.

Care of the perineotomy after perineotomy

After birth, the sutures on the perineum are necessarily treated with hydrogen peroxide, "potassium permanganate" or "green". The midwife does this once a day. With pain in this area, anesthesia can be prescribed for three days. An important role in the healing and restoration of perineal tissues is the behavior of women and the observance of certain rules.

So, you can go to a woman in labor by the end of the first day after delivery, and sit - only after the removal of stitches in 2-3 days, that is, on the 8-10 days after delivery. For such mothers in maternity homes, high tables for nutrition are provided. They look like bar counters and are thus designed to take care of the comfort and health of a woman.

Feed the baby such mothers will only be lying.

In the maternity hospital and at home after visiting the toilet, a woman needs to treat the perineum. To do this, just rinse it with boiled water and then dry it. After this procedure, it is recommended to lie down for a while to dry out the skin. It is worth changing the pads every 2 hours to keep the wound dry.

Complications after perineotomy

Sometimes, in the seam area, not only pain, but also swelling, wound infections, abscesses can occur. If a woman feels a ripple and twitching in the area of ??the sutures, you should immediately inform the treating doctor about this in order to avoid complications. Treatment in this case can be therapy with ointments, applying ice.

In most cases, crotch healing with proper care goes without complications. There is only a skin scar.

Is it possible to avoid perineotomy?

Many women are interested in whether perineotomy surgery can be avoided. There can not be an unambiguous answer to this question. Much depends on how calm the woman in labor, how she owns herself and observes the doctor's instructions in the process of giving birth. But even with such preconditions, there are situations in childbirth when there is simply no way to avoid a perineotomy. Therefore, you need to tune in for the best, Do not let pessimism take possession of yourself and be ready for every force majeure. Proper preparation for childbirth helps to avoid surgical intervention.

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