Episiotomy

Episiotomy

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Minimum Cost
14,250
Average Cost
22,600
Maximum Cost
28,600
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What is Episiotomy Surgery?

Episiotomy surgery is a medical procedure that involves making a surgical incision in the perineum, which is the region between the vaginal opening and the anus. This procedure is generally done during childbirth to widen the birth canal and facilitate delivery, especially if the baby is large or if there is a risk of tearing.

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Types of Episiotomy Procedure

There are two types of episiotomy procedure, namely:
  • Midline Episiotomy

    A midline episiotomy involves making a straight incision in the perineum, which extends from the vaginal opening towards the anus. This type of episiotomy is the most common and is usually performed when the baby's head is crowning. It is quick and easy to perform, but it has a higher chance of extending into the anal sphincter, which can result in anal incontinence.

  • Mediolateral Episiotomy

    A mediolateral episiotomy involves making an angled incision in the perineum, which extends from the vaginal opening towards one of the buttocks. This type of episiotomy is less common, but it is preferred by some obstetricians as it reduces the risk of anal sphincter damage. However, it is more difficult to perform and may require more time and skill. Both types of episiotomy procedure require proper care and management to encourage and enable healing and prevent complications. This may include pain management, wound care, and pelvic floor exercises. Women who have had an episiotomy are also advised to avoid sexual intercourse and strenuous physical activity for several weeks after delivery to allow the incision to heal properly.

  • When is Episiotomy Operation Required?

  • Episiotomy is a surgical procedure in which a cut is made in the perineum – the area between the vagina and the anus – during childbirth. The procedure was once routinely performed to prevent tearing during delivery. However, it is now used less frequently and only when medically necessary. Here are some situations where an episiotomy may be required:

  • Difficult or prolonged labor:

    If a woman is experiencing problems during labor, such as the baby being too large to pass through the birth canal, an episiotomy may be necessary.

  • Forceps or vacuum delivery:

    If a doctor requires to use forceps or a vacuum to help deliver the baby, an episiotomy may be needed to prevent tearing.

  • Fetal distress:

    If the baby is showing signs of distress during labor, such as a slow heart rate, an episiotomy may be required to speed up delivery.

  • Perineal scarring:

    If a woman has had a previous surgery or injury to the perineum, an episiotomy may be necessary to prevent further tearing during delivery.

  • How to Prepare for Episiotomy Surgery?

    If your doctor has recommended an episiotomy, there are several things you can do to prepare for the procedure. Here are some tips:
  • Talk to your doctor:

    If you have any concerns or questions about the procedure, talk to your doctor. They can explain the process in greater detail and address any concerns you may have.

  • Practice relaxation techniques:

    To help reduce anxiety and stress before the procedure, practice relaxation techniques such as deep breathing, visualization, or meditation.

  • Stay hydrated:

    Drinking plenty of fluids before the procedure can help ensure that you are well hydrated and can help reduce the risk of complications.

  • Follow your doctor's instructions:

    Your doctor may give you specific instructions to follow before the procedure. Make sure that these steps are followed closely to ensure that you are well prepared.

  • Arrange for help:

    After the procedure, you may need help with daily tasks such as bathing, going to the bathroom, and caring for your baby. Arrange for help from family or friends in advance to make the recovery process easier. While episiotomy is no longer routinely performed, it may still be necessary in some situations. If your doctor recommends an episiotomy, it is important to prepare yourself mentally and physically for the procedure. By following your doctor's instructions and taking care of yourself before and after the procedure, you can help ensure a smoother recovery.

  • What Happens Before Episiotomy Surgery?

    Before undergoing episiotomy surgery, the patient is required to undergo a thorough medical examination. The doctor shall do a review of the patient's medical history and make a physical examination to determine if the patient is fit for surgery. It is important to inform the doctor of any medications or supplements the patient is taking, as some may need to be temporarily stopped before the surgery. The doctor will also explain the procedure, including the risks and benefits. The patient or their accompanying relative or friend will be asked to sign a consent form before the surgery can proceed. The patient may be given instructions to prepare for the surgery, such as fasting for a certain period of time before the procedure. The patient may also be advised to shower or bathe before coming to the hospital and to wear loose, comfortable clothing.

    What happens during episiotomy operation?

    During episiotomy surgery, the patient is given anesthesia to numb the area around the vagina. The doctor will then make a small incision in the perineum, the area between the vagina and anus, to enlarge the vaginal opening and make delivery easier. The doctor will carefully stitch the incision closed after the baby is delivered. The stitches may dissolve on their own or need to be removed after a few days. After the surgery, the patient may need pain medication to manage discomfort. The patient will also need to take care to keep the area clean and dry to prevent infection and promote healing.

    Methods/Techniques used for performing episiotomy procedure

  • An episiotomy is a surgical incision that is created in the perineum, which is the area between the vagina and the anus. The procedure is performed during childbirth to make the vaginal opening larger, which can help the baby pass through more easily. There are two types of episiotomies:

  • Midline episiotomy:

    This involves making a vertical incision in the perineum, which is the most common type of episiotomy.

  • Mediolateral episiotomy:

    This involves making a diagonal incision in the perineum, which is less common but may be necessary in some cases. The episiotomy is typically performed during the second stage of labor, when the baby's head is crowning. The doctor or midwife will numb the area with a local anesthetic before making the incision.

  • Post Procedure details

    After the episiotomy is performed, the doctor or midwife will stitch the incision closed using dissolvable sutures. The stitches will typically dissolve within a few weeks. It is important to keep the area clean and dry to prevent infection. Pain medication may be prescribed to alleviate any discomfort. It is normal to experience some swelling, bruising, and discomfort after an episiotomy. It may take several weeks for the area to heal completely.

    Risks and complications associated with episiotomy surgery

    Like any surgical procedure, episiotomy carries risks and potential complications. Some of the common risks include pain and discomfort in the perineum, swelling & bruising, infection, bleeding, difficulty urinating or having a bowel movement and scar tissue formation. In addition, there is some evidence to suggest that episiotomy may increase the risk of certain complications, such as: Third- or fourth-degree tears, Long-term pain and discomfort during sex, Urinary and fecal incontinence It is important to discuss the risks and benefits of episiotomy with your doctor or midwife before giving birth. In some cases, an episiotomy may be necessary to prevent more serious complications, but in many cases, it may be possible to avoid the procedure altogether.

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    DisclaimerThe cost of episiotomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.