When preparing to give birth, every woman will feel extremely happy and proud, but at the same time, she will feel a little uneasy. Don\’t let those tough questions bother you anymore. A more scientific and comprehensive understanding can make you more confident.
common childbirth procedures
1. Picking
Hair removal and enemas are usually performed in most maternity hospitals or clinics in China. Hair clipping during childbirth is usually done only near the perineum (anus to vaginal opening) rather than removing all pubic hair. The purpose of hair plucking is to make it easier to treat the perineal wound after delivery if the perineum is torn during delivery. This step is not absolutely necessary, but can be helpful to the obstetrician when dealing with perineal wounds.
2. Enema
Enema only allows the feces close to the rectum to be discharged first to prevent the mother from contaminating the perineal wound during delivery and increasing the chance of possible infection. Prenatal enemas are very different from general surgical procedures or gastrointestinal exams, where the entire bowel must be completely emptied. This enema method will not cause discomfort to the mother. This step is not absolutely necessary either.
3. Episiotomy
An episiotomy is a surgical cut through the perineum to enlarge the birth canal to aid delivery. Obstetricians typically use perineal scissors in three situations.
1. The fetus shows signs of distress and needs to be delivered normally as soon as possible.
2. If the labor process is too long, forceps or negative pressure must be used to assist delivery.
3. There is dystocia, such as breech presentation or shoulder dystocia (the fetal shoulder is stuck and cannot come out).
When performing an episiotomy, the general procedure will begin with a local anesthetic. The incision can be made along a straight line from the posterior end of the perineum or along a diagonal line from the middle end of the perineum. Once the fetus and placenta have been completely delivered, they will be repaired with surgical sutures. Generally speaking, the perineum of first-time mothers is tight. If the fetal head is also large at the same time, without episiotomy, it is easy to prolong the second stage of labor (the cervix is fully expanded until the fetus is born). This condition is a risk to both the fetus and mother.
However, if you are a delivery woman or a first-time mother with a loose perineum, the chance of encountering the above situation is relatively small, and the necessity of episiotomy will be greatly reduced.
Additionally, studies have shown that moderate uterine depression techniques combined with perineal massage during the second stage of labor, with the assistance of a professional midwife, may also reduce the need for an episiotomy.
The average fetal head circumference is several times that of the perineal opening. Even if the perineum is not incised, most cases will still cause perineal dehiscence during delivery, but the direction of the dehiscence is unclear; the purpose of episiotomy is sometimes to \”guide\” the direction of the wound dehiscence to avoid damage to the anal sphincter or rectum.
Carry out prenatal medical communication
But regarding the size of the wound, future recovery, andThe impact of related complications such as anal sphincter disorder, dyspareunia, etc., and whether there is a difference between natural dehiscence and episiotomy, have been studied in different studies, but the results obtained have not yet reached a consistent conclusion.
In other words, it cannot be concluded that the perineum will heal better in the future, or that the sequelae will be less than those caused by incision. Because of this, there has been much discussion and debate recently about whether \”routine operations\” or steps are required in the production process.
Recently, many experts, scholars and officials from the Ministry of Health across the country discussed the above issues and put forward suggestions for reference. A more feasible way is to communicate with doctors and patients before death, so that the mother can understand the possible pros and cons and choose whether to implement it. If the prenatal hospital or doctor does not ask, the mother can also take the initiative to ask, and the hospital or doctor must be willing to cooperate; some hospitals will also require relevant consent forms to be signed in advance to reduce future disputes.
Respect professional production judgment
However, it needs to be emphasized that each mother’s individual situation is different, and there are many changes during labor that cannot be completely predicted in advance. Therefore, obstetricians cannot predict whether relevant examinations are “necessary” or “unnecessary”. Pre-delivery procedures. Surgery or procedure.
Therefore, the professional judgment of the doctor or nurse around you remains the most important criterion during delivery.