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episiotomy

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episiotomy

Incision made in the perineum (the tissue bridging the vagina and rectum) to facilitate childbirth and prevent tearing of the vagina.

Episiotomy may be necessary, mainly for women giving birth for the first time, to widen the birth outlet and prevent perineal tearing. The incision is made in the second stage of labour, as the largest part of the baby's head begins to emerge from the birth canal.

An episiotomy is quickly repaired using absorbable stitches under local anaesthetic.



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Women who had undergone a normal vaginal delivery with an episiotomy were randomised to have the incision site cleaned with either tap water or procaine spirit.
Agency for Healthcare Research and Quality (AHRQ) published a comprehensive study of episiotomy (surgical resection of the perineum--the skin between the vaginal opening and the anus).
11) In 2005, a major government review of episiotomy concluded that the benefits of the procedure don't outweigh the harm.
 
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