Recently, a post with the title \”All hospitals are killing pregnant women! You and your family are being transected\” appeared in a large community, causing panic among many people. The article mentioned that \”doctors do not distinguish right from wrong, and about 99 out of 100 first-time mothers who give birth naturally will undergo \’lateral incision.\’\” Itching and pain occur all year round. More than 85% of people who have undergone circumcision believe that it affects their sexual life. A considerable number of people will be infected with diseases and even have difficulty recovering all year round. \”
The \”lateral incision\” mentioned in the article refers to the \”episiotomy\”, which is to cut the perineum of women who give birth vaginally to assist in childbirth. Yang Jie, deputy director of the Obstetrics Department of the Third Affiliated Hospital of Guangzhou Medical College, said this statement is too alarmist. The need for an episiotomy depends on the condition of the mother and fetus.
There are many real reasons why parturient women now need to undergo lateral incision surgery: modern parturients lack exercise, labor and vaginal contraction are not strong enough, and the fetus cannot be delivered; some pregnant women are overnourished, resulting in oversized fetuses; in addition, there are more and more elderly parturients. These are the reasons why \”lateral incision\” is widely used. It cannot be considered that the mother has been \”incision\”.
If the mother does not move, the fetus will not be born without a side cut. Yang Jie said that during childbirth, the fetus has to come out of the uterus, pass through the vagina, and then fall to the ground. Even if it is a natural delivery, the midwife must decide whether to \”cut\” the mother\’s perineum based on the mother\’s condition.
Although the vagina can be dilated, if the fetus is too large, the diameter of the fetal head and fetal body can reach 10 centimeters, which is particularly likely to cause perineal tearing of the mother, and in severe cases, sequelae. Genital prolapse and urinary incontinence. Therefore, midwives should perform episiotomy for the mother in time to avoid severe perineal tearing, which will affect healing and easily form scars. In addition, some fetuses have poor fetal position, and doctors need to rotate the fetal head during delivery to make the delivery process go smoothly. At this time, the perineum also needs to be pricked.
Yang Jie said that labor should end two hours after the cervix is fully opened, because the fetus stays in the birth canal for too long, which not only easily damages the mother\’s pelvic floor muscles, but also easily causes vaginal swelling and urinary incontinence in the future, and can also cause fetal deficiency. oxygen, and even intracranial hemorrhage and other phenomena may occur. However, some parturients who are not physically strong enough, or elderly women with heart disease or pregnancy-induced hypertension, cannot end delivery within 2 hours, so they have to undergo a colpotomy.
Yang Jie emphasized the importance of pre-pregnancy check-up. She said that some pregnant women do not pay attention to prenatal gynecological examinations, resulting in inflammation of their private parts. Such women are more likely to suffer vaginal tearing and uneven wounds during childbirth, which affects wound sutures. Therefore, people with gynecological inflammation need to undergo episiotomy.
After all, an episiotomy is a surgery. After vaginal incision, will it be difficult to heal and affect sexual life as mentioned on the Internet? Yang Jie said: \”On the contrary, timely episiotomy can help resume sexual life as soon as possible after childbirth.\”
If a parturient woman with an episiotomy insists on not having surgery, her vagina will be affected to varying degrees.Tearing, severe cases may even cause vulvar prolapse and incontinence. After maternal perineal tear, the edge of the wound is very irregular. This will not only prolong the wound healing time, but also easily form scars, making postpartum sex life feel like a foreign body. This scar is larger than an episiotomy scar. For example, the pain of a once perineal tear will last for several weeks, the bleeding will be heavy, and the healed wound will be ugly. If it reaches 3 degrees, the vaginal opening and anus will rupture, and the vagina may pass directly through the anus, which will cause greater problems in sexual life in the future.
An episiotomy is a 4-5 cm long incision made at the external vaginal opening. The incision is small, the suturing is timely, and the healing is fast. Unless the fetal head needs to be rotated, the wound will be relatively large. The incision usually grows in about 5 days and the stitches are removed. No nodules will be left in the vagina, and the mother will not feel like a foreign body during postpartum sexual intercourse.
In addition, the elastic fibers in a woman’s vagina act like a rubber band. When you pull hard with your hand, it will stretch, and when you let go, it will return to its original shape. After childbirth, the elastic fibers in the vagina will shrink and return to their prenatal state, which will not affect the quality of sex.
If you don’t want to get stabbed, get a pre-pregnancy gynecological exam. Not every woman needs to be circumcised. If the mother is not sick, the labor process will be over soon and she should not be stabbed at all. Therefore, if pregnant women really want to avoid being stabbed, they should not try to prevent the operation during labor but should work on it before and during pregnancy.
Yang Jie said that first of all, we should pay attention to pre-pregnancy gynecological examination, check for cervical and vaginal diseases, and make reasonable arrangements for pregnancy. Too many pregnant women are currently pregnant with inflammation, which of course affects delivery. In addition, pregnant women should know how to control their weight, exercise more, and eat properly. Generally speaking, the weight of the fetus should be controlled at about 6 pounds, which is of great benefit to pregnant women, the fetus and delivery.
Pregnant women can give birth naturally without using a knife to assist vaginal delivery. Of course, it\’s best to \”deliver the baby.\” You cannot blame the doctor for needing a transverse incision. The only way to prevent it is to have a good pre-pregnancy gynecological examination and exercise more to control your weight.