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Re: EpisiotomyFrom: K.Tice (anonymous@obgyn.net)Mon, 19 May 1997 21:33:49 -0500 (CDT)
At Thu, 15 May 1997, Don Shuwarger, M.D. wrote: > >At Thu, 15 May 1997, K.Tice wrote: >> >>I would appreciate advice/information from woman who have had an >>episiotomy during delivery, or Obstetricians who have extensive >>experience in this area. I need answers to the following questions: >> >>1) Which is more painful to recover from between a tear and a deliberate >>cut? I understand a cut is easier for doctors to repair, but that a tear >>may heal better and be less painful. > >I think it doesn't matter. Stitches in the vaginal/vulvar area do hurt, >but neither one is "more" painful. > >>2) Do you physically/anatomically return to normal after having had one? > >No, but neither does one "return to normal" if she doesn't have an >episiotomy. The vaginal introitus and perineum can, and often does, >change regardless. > >>3) Do you loose sexual feeling and if so how long does this usually >>last? > >No, sexual feeling does not change unless there is nerve damage in the >pelvis, which has nothing to do with whether or not there is an >episiotomy or tear or neither. > >>4) What are the risks of forcpes/ventouse delivery with an episiotomy? > >Same as without an episiotomy. > >>5) If I had an epidural anaesthesia would a be at higher risk of having >>an episiotomy? > >No. > >>Thanks in advance for any advice you can give. I posted the email on >>elective c-sections and now I am trying to weigh up the >>advice/information between VBAC and c-sections. >> >>Kelly Tice > >-- >Don Shuwarger, M.D., F.A.C.O.G. >obdoc@inmind.com > To all those interested, I received the following reply in relation to episiotomies which is on complete contradiction to the above reply: * I forgot to warn you about episiotomy. Your md might sugar coat it but many women who have had them complain of painful sex for years after the birth. Some authors have gone as far as to call it genital mutilation. I would't wish it on anyone. I had two lovely births with no tear of episiotomy, which is how most women birth around the world except in your country (Australia). For more on that subject read wainer-Cohen. I would tend to take personal advice like this seriously, especially as it is noted that some women this person knows have experienced bad outcomes as a result of episiotomies. Of course like any other method of delivery there is good and bad outcomes alike, but this woman has certainly answered one of my most important questions about episiotomies, and in this country (Australia) where OB's seem to unecessarily use alot of proceedures during childbirth, I would be weary of episiotomies, regardless of what they tell you. All OB's I have discussed this with have told me you loose no sexual feeling unless there is nerve damage, which I would assume is almost inevitable when being sliced open or tearing from an episiotomy. I have some minor nerve damage from my caesarean section with my first child, but fortunately that is in place where it will never physically cause concern to me. K. Tice
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