Can I refuse episiotomy?

Women have the right to refuse any procedure in the hospital, including an episiotomy, but they're not always aware that the doctor is about to perform one. In Seidmann's case, for example, the doctor made the cut without her knowledge.
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Can you request no episiotomy?

No woman should be subject to medical procedures against her will." You can always refuse an episiotomy, but you should also talk with your doctor or midwife before the birth to express your feelings on the issue. If you feel your provider isn't on the same page, it might be time to find someone new.
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What if I dont want an episiotomy?

Try to stay in an upright position, and let gravity help. Choosing a different position from lying on your back, such as kneeling on all fours or lying on your side, can help you give birth without the need for an episiotomy. Some deep squatting positions, however, can increase the likelihood of tearing.
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Is episiotomy compulsory in normal delivery?

An episiotomy is usually not needed in a healthy birth without any complications. Experts and health organizations such as ACOG and the World Health Organization (WHO) only recommend an episiotomy if it is medically necessary.
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Do hospitals require episiotomy?

Routine episiotomies are no longer recommended. Still, the procedure is sometimes needed. Your health care provider might recommend an episiotomy if your baby needs to be quickly delivered because: Your baby's shoulder is stuck behind your pelvic bone (shoulder dystocia)
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Episiotomy VS Natural Tear - What You NEED to Know!



Is it better to tear or have an episiotomy?

natural tearing. Research has shown that moms seem to do better without an episiotomy, with less risk of infection, blood loss (though there is still risk of blood loss and infection with natural tears), perineal pain and incontinence as well as faster healing.
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Which is worse C section or episiotomy?

In some emergency circumstances where a baby needs to be delivered quickly, Levy said an episiotomy can be a lifesaving procedure that is less risky than a Cesarean section delivery, which is a major surgery.
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How can I avoid cut during normal delivery?

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  1. Prepare to push. During the second stage of labor, the pushing stage, aim for more controlled and less expulsive pushing. ...
  2. Keep your perineum warm. Placing a warm cloth on the perineum during the second stage of labor might help.
  3. Perineal massage. ...
  4. Deliver in an upright, nonflat position.
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How can I avoid tearing during birth?

Things you can do DURING childbirth to reduce your risk of severe tearing
  1. 1) Delay pushing until you feel an urge to push. ...
  2. 2) Consider open glottis pushing. ...
  3. 3) Stop pushing when your baby begins to crown. ...
  4. 4) Ask your doctor or midwife to apply a warm compress to your perineum as your baby begins to crown.
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How can I give birth without tearing?

Before childbirth
  1. Perform perineal massage.
  2. Consider Kegels.
  3. Practice birthing positions ahead of time.
  4. Make a perineal tear prevention plan.
  5. Consider fewer vaginal examinations during labor.
  6. Get in the water for pushing.
  7. Push with an urge and breathe through pushes.
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Should I shave my pubic area before giving birth?

In previous years, traditional childbirth recommended hair removal on the pubic area before delivery. However, modern childbirth finds that it's not necessary to shave your pubic hair before delivery. Clinical research shows that shaving or not shaving pubic hair doesn't necessarily affect birth.
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Why do hospitals make you give birth on your back?

"Most hospitals and providers prefer this position because of the ease of the doctor being able to sit at the feet of the woman, and the way in which hospital beds are designed to transform into a semi reclined or flat laying position," Biedebach explains.
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Does epidural increase chance of tearing?

Take away: One study shows that epidurals increase the risk of tearing. Another says that the reason more tearing occurs with epidurals is that more first time moms choose epidurals and first vaginal deliveries are already associated with a higher risk of tearing.
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Can you feel yourself tear during birth?

Due to the amount of pressure caused by your baby's head on your perineum, it is unlikely that you will feel any tearing. But everyone's birth is different and some women may find that they feel a lot of stinging, especially as the head is crowning (when your baby's head can be seen coming out of the birth canal).
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Do you tear less with second baby?

The report found that among women who had a vaginal delivery at second birth, the rate of a severe tear was 7.2% in women with a tear at first birth, compared to 1.3% in women without, a more than five-fold increase in risk.
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Can you refuse instrumental delivery?

You may have a friend who had a terrible experience and still feels traumatised, or perhaps you've seen pictures or videos of a ventouse birth online and are adamant that you don't want this to happen to you. As with all things in pregnancy and birth, you have the choice to accept or refuse any kind of intervention.
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How common is episiotomy?

How common are tears and episiotomies? More than 85% of women who have a vaginal birth have some kind of tear or episiotomy (Frolich and Kettle, 2015). In first-time vaginal births, you're more likely to have worse injuries if the perineum tears on its own than if you get an episiotomy (NHS Choices, 2017).
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Is natural birth better for the baby?

Enhances the baby's brain development: Natural birth helps in increasing the production of proteins in the baby's brain that helps in brain development and brain function. A caesarean section delivery does not prompt the body to release these proteins and thus the baby loses out on this precious benefit.
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Can an episiotomy cause problems later in life?

There is often less blood loss with a midline episiotomy as well. The main disadvantage of a midline episiotomy is the increased risk for tears that extend into or through the anal muscles. This type of injury can result in long-term problems, including fecal incontinence, or the inability to control bowl movements.
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Why are episiotomies bad?

USA Today further reports that unnecessary episiotomies lead to severe health consequences, including deep lacerations into the anal sphincter, infections, and psychological consequences. Some women also need surgery to repair their body after episiotomies.
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How do you poop after an episiotomy?

Drink plenty of fluids (unless your doctor tells you not to). If your bowel movements are not regular right after surgery, try to avoid constipation and straining. Drink plenty of water. Your doctor may suggest fibre, a stool softener, or a mild laxative.
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How painful is unmedicated childbirth?

Some people describe the feeling as being like intense period cramps, others say it feels like a tightening or pounding feeling in your uterus or across your belly, others describe the feeling as being like very intense muscle cramps, while still other people describe contractions as being like the sort of wrenching ...
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Can you feel baby coming out with an epidural?

You'll likely still feel the pressure of your contractions (which will be helpful when it's time to push) and be aware of (but not bothered by) vaginal exams during labor. And you'll still be able to feel your baby moving through the birth canal and coming out.
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Why do midwives not like epidurals?

Obstetricians and midwives have long believed that epidurals elongate labor or increase the risk of Cesarean deliveries. An epidural may increase labor time, but the exact numbers are up for debate.
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Why do they tell you not to push during labor?

Your baby's heart rate is monitored continuously through labor either with a machine or handheld Doppler. If your baby's heart rate starts to change as you push, your doctor might tell you to stop and only to push every other contraction. This can allow your baby to recover in between.
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