Recently, there was a saying of "the husband stitch" circulating on the Internet. It is rumored that when the doctor sutures a postpartum laceration for a woman in a vaginal birth, she will deliberately stitch a few more stitches in order to increase her husband's sexual pleasure, which is called "husband needle".
The "husband needle" that is in line with circumcision
Searching online for "husband needles" in Chinese or English, you'll most likely find a short story called "The Needle That Stitched for Husbands" by American writer Carmen Maria Machado, whose collection of novels, Party Phobia, was shortlisted for the National Book Awards in 2017.
The book describes:
Related paragraph | "Party Phobia"
This is a novel with a strange literary style, and the classification is "science fiction/fantasy". However, the setting of the "husband needle" is not out of thin air, but has really existed in history, and it is in line with the infamous circumcision.
In some extremely backward areas, all women are subjected to brutal perineal surgery to ensure that their vaginas are both "chaste" and pleasing to their husbands. In the social atmosphere of "only a woman who has been circumcised is a qualified woman", doctors will inevitably become accomplices.
Against this backdrop, some doctors take it for granted that women would become "better" if the extra stitches made the vagina tighter. Thus, the infamous "husband's stitch" was born, also known as husband's knot, extra stitch, and vaginal tuck. In Europe and the United States, this operation was recorded from the end of the 19th century to the 1950s.
Fortunately, with the development of medicine and the change of social concepts, the "husband needle" has long been thrown into the garbage heap of history by obstetricians and gynecologists. The most direct reason is that this practice is harmful and not beneficial.
The principle of modern medical suture: what it looks like, it will be sewn into what it looks like
If you ask the current doctors about the "husband needle" such as an extra stitch, the first reaction of most doctors is probably "ridiculous".
What a thing! ｜Giphy
First of all, narrowing the vagina is a treatment that changes the physiological structure of the patient, and it is contrary to the principle of informed consent to operate without the consent of the person; secondly, there are strict regulations on the method of suturing tissue in modern medical education, and the behavior of extra stitches is not only very unprofessional, but also may lead to serious consequences.
The purpose of suturing is to align the anatomy, restore normal function, and promote wound healing. According to the specific characteristics of elasticity, mobility, blood supply and other specific characteristics, different tissues have made detailed regulations on the angle of the needle, the distance between the needle point and the wound, the distance between the sutures, the suture method and even the shape of the needle, the material of the suture, the thickness, the method of knotting, and the angle of the thread cutting.
Any violation of the operating norms may lead to adverse consequences, such as sewing too tightly may cause the sutures to slit the tissue; sewing too tightly may affect the blood supply, cause postoperative pain, and affect wound healing; stitching too loose or too loose can not effectively stop bleeding and align the wound.
There are many kinds of surgical suture techniques, and the doctor will choose | according to the actual situation Wellcome Images
Returning to the topic of suturing maternal perineal wounds, whether it is a lateral incision wound or a laceration wound, the suture follows the principles mentioned above, and the impact of different suturing techniques on postoperative pain and long-term recovery needs to be considered. How to minimize postoperative pain while achieving the purpose of suture, how to effectively prevent postoperative scar hyperplasia and abnormal vaginal narrowing, these are technical issues that need to be continuously studied and discussed by medical staff.
If the "husband's needle" causes severe postoperative pain or other problems, causing pain in women's sexual life, it is not worth the loss.
Real vaginal coarctation surgery
Many female friends feel that after giving birth to the baby, the following becomes "loose", which is not a psychological factor, but a change that really happens to many people. But the solution to this problem is not simply "stitching".
Our pelvis is a funnel-shaped bone, and the organs in the pelvis such as the uterus, bladder, rectum, etc. are supported by muscles, ligaments and other tissues at the bottom of the pelvis. Throughout the pregnancy, the growing baby and amniotic fluid, placenta, etc. bring a heavy burden to the pelvic floor tissue, the pelvic floor tissue is compressed, pulled, torn, and can no longer stably support the pelvic organs, which is the pelvic floor function is impaired. Pelvic floor injury can present with urinary or fecal incontinence and, in severe cases, prolapse of organs in the pelvic cavity.
"Having a baby is no small thing!" | Ali Wong's talk show "Hard Knock Wife"
Pelvic floor dysfunction plagues many pregnant women, and the more births there are, the higher the risk of pelvic floor problems. Fortunately, many people can recover on their own after childbirth, so obstetricians and gynecologists do not need to stitch the "husband's needle" more to the mother. A more mainstream approach is to recommend that pregnant women exercise kegel exercise during pregnancy and the postpartum period, exercise pelvic floor muscles (if there is local muscle damage in a vaginal birth, it is necessary to wait until the injury is repaired) to reduce the risk of urinary incontinence and promote postpartum recovery.
The main point of Kegel's movement is to find the point of force and long-term persistence, imagining that if you use the vagina to inhale something, the point of force can generally be found correctly. It should be done three times a day, and more than ten sets at a time is enough. The wrong point of force or insufficient frequency can not achieve the best results.
Some friends may have also heard of vaginal dumbbells or pelvic electrical stimulation therapy. The principle of vaginal dumbbells is to use the pelvic floor muscles to "hold" the dumbbells to prevent them from falling, so as to achieve the purpose of exercising muscles. Care needs to be taken to maximize the use of pelvic floor muscle strength when using, avoiding borrowing force. If the dumbbell size is too large, stuck in the vagina, or has a panty bottom, or tilts the pelvis, etc., the workout effect of the vaginal dumbbell will be reduced.
Vaginal dumbbells | Pexels
Pelvic electrical stimulation therapy is more direct, directly targeting the relevant pelvic floor muscles for electrical stimulation, so that the muscles can be passively contracted to achieve the purpose of exercise.
Some evidence proves that these two methods have a certain improvement effect compared to people who do not exercise Kegel at all, but they are not necessarily more effective than simply doing Kegel exercise. So in general, it is still the most recommended for pregnant women to do more Kegel exercise. If you can't grasp the method of exerting force, or it is difficult to develop the habit of insisting on exercise for a while, and there is a risk of pelvic floor function damage, and even related symptoms have appeared, you can increase vaginal dumbbells or pelvic electrical stimulation therapy as an auxiliary measure for Kegel exercise.
Surgery is required if the condition of pelvic organ prolapse affects normal life, or if there are other conditions that meet the indications for surgery. A commonly used procedure is vaginal anterior and posterior wall repair surgery, which removes a part of the skin in the center of the vagina and sews both sides of the incision margin. Compared with the "husband needle", this operation may be more in line with many people's expectations for vaginal coarctation.
Nowadays, the "husband needle" is always mentioned along with circumcision, and it is also spurned, and the credit for the progress of human civilization cannot be taken lightly except for the sake of more prosperous medicine. We should be thankful that the "husband's needle" is no longer a routine clinical practice. But since there have been real victims in history, it is not necessarily a bad thing that the old story has been turned over and brought up again. Some human rights cannot be backed down, and some past events cannot be forgotten.
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Author: Flying knife breaks the rain
Editing: Maya Blue, Flip
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