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During labor, a doctor or midwife may occasionally need to make an incision in the region between the vagina and anus (perineum). A term for this is an episiotomy. A vaginal episiotomy widens the entrance, which makes it easier for the baby to pass through. Typically, an episiotomy is a quick surgery. To make the region around the vagina painless, a local anesthetic is used. If you've previously received an anesthetic, you can fill it off before the incision is done. When there are no difficulties with the birth, a healthy episiotomy is typically not required. Only when an episiotomy is medically required is it recommended by experts and health organizations like ACOG and the World Health Organization (WHO).

Is ripping preferable to an episiotomy:

normal tears. According to research, mothers who choose not to have an episiotomy appear to recover more quickly and are at lower risk of infection, blood loss, perineal discomfort, and incontinence (although there is still a chance of blood loss and infection with natural tears).

Episiotomy catagories:

Depending on how severe or extensive the tear is, episiotomies are categorized according to degrees:

  • A first-degree episiotomy is characterized by a little rip that merely penetrates the vaginal lining. The basal tissues are not involved.
  • The most typical episiotomy kind is second degree. Both the vaginal lining and the vaginal tissue are penetrated by it. The anal sphincter and rectal lining are not involved, though.
  • The vaginal wall, vaginal tissues, and a portion of the anal sphincter are all affected by a third-degree tear.
  • The vaginal lining, vaginal tissues, anal sphincter, and rectal lining are all affected by this degree of episiotomy, which is the most severe.

   Many OB/GYNs have found that it is not even feasible to make a vagina tighter with stitching, whether a rip occurs spontaneously or as a result of an episiotomy. This is due to the fact that a woman's pelvic floor muscles' strength, rather than the size of her vaginal opening, greatly influences the tone and stiffness of her vagina.

Care after episiotomy:

  • For the first six weeks after giving birth, stay away from tampons. Purchase a sitz bath, a shallow, over-the-toilet-seat mini-tub that enables you to soak the stitches for cleansing and pain treatment. Just keep in mind that you shouldn't begin a warmer bath for at least 24 hours after giving birth.
  • Take you prescribed medicines.
  • When you sit, squeeze your bottom's cheeks together to prevent uncomfortable pulling on the stitches. It might be more pleasant to sit on a pillow rather than a hard surface. When using the restroom, spray the area with warm water from a sprayer bottle and then gently allow it to dry.
  • Drink a lot of water (unless your doctor tells you not to). Try to avoid constipation and straining if your bowel motions are irregular shortly after operation. Take in a lot of water. A gentle laxative, a stool softener, or fiber may be recommended by your doctor.

In an episiotomy, how many layers are removed?

The interrupted suture (IT), which entails inserting three layers of sutures: a continuous non-locking stitch to seal the vaginal epithelium, will be used for the episiotomy in group A.

Risk in episiotomy:

Episiotomy problems could occur because of: Bloody. ripping into the muscles and tissues of the anal sphincter, which limits bowel movement.

Can you reopen an episiotomy years later?

Even years after your initial treatment, you can get a revision episiotomy. It's never too late to reclaim the standard of living you may have believed you had lost forever for good.

How much after an episiotomy need you rest:

Vaginal tearing typically recover in 3 weeks. But it might take more time. You can get a broad estimate of how long it will take you to heal from this illness from this care sheet. However, everyone recovers at their own rate.

Types of episiotomy:

Episiotomies can be classified as mediolateral, median lateral, or J-shaped. In order to expand the opening of the vagina when giving birth, a minor incision is made in the perineum (the region between the vaginal opening and anus) during an episiotomy.


The fourchette's midway marks the location of the incision, which is made either to the right or left. It faces away from the anus in a straight diagonal direction, about 2.5 cm (1 in) distant (midpoint between the anus and the ischial tuberosity).The incision starts in the centre of the vaginal entrance and angles downward at a 45-degree angle toward the buttocks.

episiotomy types

The fourchette, a little fold of skin at the back of the vulva, is where the incision starts. It runs 2.5 cm down the midline on the posterior part.


 To avoid the internal and external anal sphincters, the incision is made in the 5 or 7 o'clock position, starting in the middle of the fourchette and extending posteriorly along the midline for roughly 1.5 centimeters (0.59 in). Additionally, this treatment is not frequently used.

Your Healing:


There is no need to remove the stitches because they will fall out in one to two weeks. When you use the restroom, you can find bits of the stitches on the toilet paper or your hygienic pad. That is typical. A tiny tear may occasionally not be stitched up and instead left to heal naturally.

For two to three weeks after delivery, stiffness or soreness following an episiotomy is typical, especially while standing or sitting. As the wound heals, the stitches may itch, but this is typical. When urinating, sprinkling the region with body-temperature water can be helpful. The act of urinating might sting.

The healing process may be aided by exposing the stitches to the open air. It might be helpful to remove your underpants and lay on a towel on your bed for around 10 minutes once or twice a day. Pain following an episiotomy typically lasts for two to three weeks.


The consumption of chicken, eggs, tofu, and seafood has been linked to a rise in milk production. Additionally, consuming foods high in protein may maintain you satisfied during meals.


Since the body cannot store protein, it's crucial to consume a daily amount of foods high in protein, such as tofu, beans, salmon, egg whites, almond butter, and low-fat dairy.

Drink lots of fruit juice, milk, and water. Consume protein-rich foods including milk, cheese, yogurt, meat, fish, and beans to maintain your body's strength and aid in postpartum recovery.

The following fruits are all great sources of potassium and some also contain vitamin A, according to the United States Department of Agriculture (USDA): cantaloupe.

  • melon honeydew.
  • mangoes.
  • apricots.
  • prunes.
  • oranges.
    fruits healthy diet

  • pink or red grapefruit
  • Banana (Numerous minerals, including potassium, calcium, vitamin C, vitamin B6, iron, dietary fiber, and vit- B6 are abundant in it.)



  • Unhealthy food
  • processed food
  • sweet beverages
  • sodas
  • mercury-rich fish, etc.
  • Coffee and tea.
  • liquor.
  • Colic-Provoking/Gas-Provoking Foods.
  • Meals that cause allergies.

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