What Are the Different Degrees of Episiotomy?

Perineal incision is a surgical incision to enlarge the vaginal opening during childbirth. It has become a routine in some medical institutions-generally more than 70% of women have a perineal incision during vaginal delivery. In other medical institutions, perineal incisions are used only when clinically needed (about 20% of vaginal births). The reasons for encouraging routine perineal incisions are to prevent perineal lacerations, protect pelvic floor muscles, and consider that surgical incisions are easier to repair and heal better. In addition, there are hints that perineal incision may reduce fetal damage. In the past 30 years, Western countries have reduced the use of perineal incisions. However, the rate of perineal incision in some hospitals in developing countries is still high.

Perineal incision

Right!

Perineal incision is a surgical incision to enlarge the vaginal opening during childbirth. It has become a routine in some medical institutions-generally more than 70% of women

When a primiparous woman gives birth, most people make a perineal incision. Perineal incision is often used in the following situations:

1. The perineum is tight in primiparous women, and there are often tears in different degrees during childbirth. Cutting the yin is to prevent irregular tears and damage to the anus.

2. To prevent the operation during the midwifery

Should the perineum be cut during production? It has always been a controversial issue. Some physicians who support the opinion believe that domestic women have a small pelvic cavity and a tight vulva. Perineotomy can help to end the labor process early and prevent natural lacerations from being uneven. Physicians believe that natural production should start slowly. As long as you wait patiently, the ductility of the perineum will naturally manifest. But no matter how strong the opinions of both sides are, the perineotomy does play an important supporting role in some unsuccessful production processes.

But the crux of the problem is that such a high incidence of surgery is indeed appropriate.

Many mothers believe that lateral incision can still be tolerated, but 1 to 2 weeks after surgery is the most difficult, and some physical treatments can be taken to make the wound recover as quickly as possible:

1. Bathing. Fill your tub with warm water. Make a special cushion with an ice pack.

2. Care of the wound. That is, when you wash, you can fill a disinfected bottle with water, rinse the wound with a jet of water, or pat the perineum with water, which is much better than dry wiping.

1, poor perineal elasticity, narrow vaginal opening or inflammation of the perineum,

Divided into side cuts and median cuts.

Side cut: The left cut is commonly used.

Perineal incision wound hematoma

It is manifested as severe pain at the incision area within 1-2 hours after suture, and it is getting heavier, and even anal bulging. At this time, you should tell the medical staff immediately and check in time. It may be that the doctor does not stop bleeding during suture. In this case, as long as the suture is disassembled in time, the hematoma is removed, the bleeding point is sewn, and the wound is sutured again, the pain will soon disappear, and most of them can heal normally.

Perineal incision wound infection

Presented as 2-3 days postpartum, local inflammation such as redness, swelling, heat, pain, and induration, and purulent discharge when squeezed. In this case, take appropriate antibiotics and remove the sutures to allow the pus to drain. At the same time, physiotherapy can be used to help reduce inflammation, or a 1: 5000 warm potassium permanganate aqueous bath. After taking these measures, because the perineum is rich in blood flow and has strong healing ability, it usually improves or heals after 1-2 weeks.

Perineal incision splits after suture removal

Some women have had perineal wounds after suture removal. If they have been discharged at this time, they should go to the hospital immediately for treatment. If the wound tissue is fresh and the dehiscence time is short, a second suture can be performed immediately after proper disinfection. After 5 days, the suture is removed and most of it can grow again. If the wound tissue is not fresh and there are secretions, it cannot be sutured. Potassium manganate solution sits on a bath and takes antibiotics to prevent infection, and heals after local scar formation.