Episiotomy…
A small incision made during childbirth.
But for many women, it's a lifelong story.
It's 3:20 AM in the delivery room.
The mother is tired, the baby is coming, the team has to make a quick decision.
Let's make an incision, it will be more controlled.
Ultimately, the thought is that a neat incision is better than a messy tear.
But the reality is now that
Episiotomy is not a routine procedure.
Today I see that this incision can lead to permanent sexual dysfunction problems in some patients.
In fact, a selective (when necessary) episiotomy approach
results in fewer complications than a routine incision.
So when is it really necessary?
✔️ In cases where the baby is in distress
✔️ In case of shoulder dystocia risk
✔️ In instrumental deliveries (vacuum/forceps)
✔️ If there is a high risk of uncontrolled tearing or if your doctor sees a serious risk at that moment…
The goal is not just to deliver the baby. The goal should also be to protect the mother's quality of life.