Which is better, vaginal tear or episiotomy? Compare the pros and cons of the two

Nowadays, most women will have an episiotomy during normal childbirth to avoid tearing the birth canal. During delivery, you should cooperate with the doctor to do the episiotomy and do not reject it. After the episiotomy, take good care of the wound and clean it in time to avoid inflammation so that you can recover as soon as possible.

1. Purpose of episiotomy

1. From the perspective of the fetus, episiotomy is performed when there is intrauterine distress or premature birth to relieve pressure on the fetus and to end delivery as soon as possible.

2. From the mother's perspective, sometimes assisted delivery is needed, such as vacuum extractor or forceps. When the perineum tissue is less elastic, episiotomy is sometimes performed to avoid more serious tearing.

3. Episiotomy can quickly reduce the resistance of the soft birth canal, speed up delivery, and prevent perineal tearing of the parturient and protect the pelvic floor muscles. Accidental, uncontrolled tearing, especially lacerations near the 6 o'clock area, can easily lead to anal sphincter lacerations, and in severe cases, fecal incontinence - causing endless troubles. And surgical incisions are easier to repair and heal better.

2. Symptoms

In primipara delivery with head presentation, the perineum is tight, long, the tissue is tough or underdeveloped, there is inflammation, edema, or the perineum fails to fully expand during emergency delivery. It is estimated that a degree II or above laceration will occur when the fetal head is delivered.

Head-pelvic disproportion caused by various reasons.

Multiparous women who have undergone episiotomy and suture, or who have large scars after repair that affect the expansion of the perineum.

Forceps-assisted delivery, vacuum extractor-assisted delivery, or vaginal delivery for first-time breech presentation.

Premature birth, intrauterine growth retardation or fetal distress require relief of fetal head pressure and early delivery.

Pregnant women who suffer from heart disease or high blood pressure and need to shorten the second stage of labor.