
What exactly is an episiotomy?
An episiotomy, also known as a perineotomy or episiotomy, is a surgical procedure performed near the end of labor.The incision is made when the baby's head or shoulders pass through the vaginal opening.A tricky moment, because
on the one hand, the child must be born quickly so that it can breathe.On the other hand, it must not go too fast, otherwise the perineum will tear, since the stretching pressure on the vaginal opening is greatest now.To prevent the child from being endangered by insufficient oxygen or an uncontrolled tear, in some cases the perineum is cut as a precautionary measure, which gives the head more space.Before an episiotomy, the affected tissue is usually anesthetized and then severed with scissors, which are rounded at the bottom for safety reasons.
When is an episiotomy performed and by whom?
The episiotomy used to have a slightly better reputation than it does today.At that time it was carried out much more frequently because it was believed that it could prevent a perineal tear.In truth, however, it is the case that the episiotomy can only promote a larger tear because the tissue is destroyed in its normally solid structure and becomes a predetermined breaking point, so to speak.In the past, it was also believed that mothers whose perineum had been incised were less prone to bladder or pelvic floor weakness.Nowadays, both assumptions are no longer up to date, so that mostly only cuts are made when there is danger.For example, when the baby's heart beats weak or the baby's head is too big.An episiotomy is also performed when the child is in the breech position,i.e. with the head below the mother’s pelvic floor.Either a doctor or a midwife and obstetrician are responsible for the incision.

What should I know about the treatment and care of an episiotomy injury?
Episiotomy these days is sewn with self-dissolving threads, so you don't have to worry about that.Even if it used to be assumed that an episiotomy would heal better than a perineal tear, the opposite is apparently the case.The reason is that an episiotomy cuts structures that might not have been destroyed by a tear.However, the difference in time is relatively small.You can allow about a month for the healing.It also applies to episiotomy healing or episiotomy care that you should be careful with the wound when going to the toilet so that the episiotomy seam does not open.It's best to take very small steps to the toilet to protect the area.You will quickly get a feeling for what is good for you and the perineal seam.Cooling pads, a hip bath with anti-inflammatory agents and our butt shower for going to the toilet are helpful.You can use it to gently clean yourself around the wound with water.Without having to rinse or touch seams.

