Perineal incision is an unconventional means of vaginal delivery, but according to many mothers, in the obstetric departments of individual hospitals, this operation is used as a routine means by medical staff who try to save trouble. Foreign studies have long found that episiotomy will cause a lot of harm to women, and even destroy women's sexual happiness:
1. What is perineal incision?
Lateral perineal incision refers to the operation in which the doctor enlarges the vaginal opening by making a diagonal incision in the woman's perineum during childbirth. Usually, when making an incision, the doctor will give the mother-to-be a local anesthesia first.
This procedure can prevent perineal tearing caused by the fetus being too large or the pelvic floor muscles, and can speed up the labor process. Studies have shown that episiotomy can shorten the second stage of labour by 5 to 10 minutes.
In general:
1. When fetal distress occurs
2. It is difficult for the fetus to move in the pelvic cavity
3. When there is a risk of perineal tearing
4. When the mother cannot effectively push and squeeze due to physical exhaustion or other reasons
It is necessary to take a lateral cut of the perineum.
However, because lateral incision is more convenient, some hospitals generally apply lateral resection to normal delivery, and do not carefully measure whether the mother is necessary. Some hospitals have also saved the procedure of anesthesia during the lateral incision. Some people say that the best way to avoid this unnecessary side cut is to stuff the red packet!
Third, it is not necessary, do not let the doctor do side resection!
Not necessary, expectant mothers and family members must not let the doctor do a lateral incision, routine episiotomy will cause damage to women, such as increasing pain and recovery time, and may lead to severe tears, but also lead to urination and incontinence, and pain during sexual intercourse. People have to bow their heads under the eaves, and some unspoken rules we hate, but we have to obey.
What can be done to avoid the necessary side cuts? A few small recipes to send
Recipe 1. Perineal massage during pregnancy
In the UK, from around 34 weeks of pregnancy, doctors will recommend trying to increase the elasticity of the perineal muscles by taking a daily perineal massage. Here's how:
1. Trim your nails, wash your hands, sit in a warm and comfortable place, stretch your legs out in a semi-seated childbirth position.
2. Place a mirror in front of the perineum and face the perineum. This way you can clearly see the muscle tissue around the perineum.
3. Choose some massage oil, such as pure rapeseed oil, or water-soluble lubricant, and use your thumb and fingers to apply the massage oil around the perineum.
4. Insert your thumb as deeply as possible into your vagina and extend your legs. Press the perineal tissue towards the rectum. Gently continue to stretch your until you feel some slight burning or tingling sensation.
5. Maintain this stretch until the tingling sensation subsides, and then continue to gently massage the vagina back and forth.
6, massage, in the vagina to hook your thumb, and slowly stretch the vaginal tissue forward, the baby's head will also come out during childbirth.
7. Finally, gently massage the muscle tissue between the thumb and index finger before and after for about 1 minute.
Tips:
Too much force can cause bruising and tingling on sensitive skin in the perineum.
Do not press the urethra vigorously during massage, as this can lead to infection and inflammation.
Recipe 2. Perineal exercise during pregnancy
Tighten the muscles of the vagina and anus, almost 200 times a day for 8-10 seconds. You can also try to contract your muscles while urinating and stop.
Exercise of the sphincter has more benefits:
When you sneeze or cough, it can help you stop leaking urine.
Tough muscles can make childbirth easier, and the perineum remains intact (fewer tears and less chance of incision). It also helps to enjoy the sweetness of sex in the world of two people. Because it prevents the prolapse and aging of organs within the pelvic cavity.
3. Preparation for communication with the doctor
The doctor on duty is likely to be facing several women at the same time, so she is unlikely to have the patience to explain to you why you should undergo a lateral incision.
According to the data from our online survey, about 70% of mothers did not get noticed by the doctor at the time of the side resection, but were laterally cut under unknown circumstances.
In order not to be confused by a knife, it is necessary to communicate with the doctor in advance.
First of all, you should understand that there are several situations in which a side cut is not necessary:
Poor perineal elasticity, narrow vaginal opening or inflammation and edema of the perineum, it is estimated that severe tearing of the perineum will inevitably occur when the fetus is delivered.
The fetus is larger, the fetal head is not in the right position, coupled with the lack of productivity, the fetal head is blocked in the perineum.
In the case of advanced-age women over 35 years of age, or in high-risk pregnancies such as heart disease and pregnancy hypertension syndrome, in order to reduce the physical exertion of the mother, shorten the course of labor, and reduce the threat of childbirth to the mother and baby, when the fetal head descends to the perineum, a lateral incision is done.
The uterine orifice is fully open and the fetal head is low, but the fetus has significant hypoxia, abnormal changes in the fetal heart rate, or uneven heartbeat rhythm, and amniotic fluid is cloudy or mixed with fetal stool.
When assisting in childbirth with the help of forceps.
If the above situations occur, do not hesitate, you should try to cooperate with the doctor, as soon as possible to implement lateral resection.
Secondly, at the beginning of the pain, first estimate who the doctor on duty will be, and if you have the opportunity, try to talk to her and tell her what you think.
For example: if the situation allows, can you not do a side cut; Are you willing to take on the danger of perineal tearing, etc.
Usually, the doctor will tell you or your family about any possible problems before you enter the delivery room, and ask you to sign the consent form so that you can save time in communication in the event of danger. At this time, you can also seize the opportunity to enlist the help of a doctor.
4. Control diet during pregnancy
Doctors point out that as long as you control your diet slightly during pregnancy, avoid excessive fetal size, and develop good habits of exercise, you can not only make the labor process smoother, but also reduce the chance of perineum being cut. Women should eat less starchy foods and increase protein intake in 5-6 months of pregnancy, which can reduce the rate of weight gain and avoid excessive baby size.
5. Take more walks and climb stairs
Walking more, climbing stairs, etc., can strengthen muscle strength and help produce.