{"id":6276,"date":"2021-05-26T23:03:44","date_gmt":"2021-05-26T21:03:44","guid":{"rendered":"https:\/\/singularmom.com\/the-episiotomy\/"},"modified":"2026-06-22T21:37:20","modified_gmt":"2026-06-22T19:37:20","slug":"the-episiotomy","status":"publish","type":"post","link":"https:\/\/singularmom.com\/en\/blog\/labor\/the-episiotomy\/","title":{"rendered":"The episiotomy"},"content":{"rendered":"<p><strong>The episiotomy.<\/strong> Unknown word that will become part of your vocabulary once the most important date of your life approaches. This is undoubtedly one of the great fears that you are going to face when you think about the moment of childbirth.<\/p>\n<p>What is episiotomy? When is it done? How to prevent it? Is it the same as a tear? In this article we try to resolve all your doubts. Keep reading!<\/p>\n<figure id=\"attachment_1566\" aria-describedby=\"caption-attachment-1566\" style=\"width: 1080px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1566\" src=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia.png.webp\" alt=\"The episiotomy\" width=\"1080\" height=\"1080\" srcset=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia.png.webp 1080w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-300x300.png.webp 300w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-1024x1024.png.webp 1024w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-150x150.png.webp 150w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-768x768.png.webp 768w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-600x600.png.webp 600w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/La-episiotomia-100x100.png.webp 100w\" sizes=\"auto, (max-width: 1080px) 100vw, 1080px\" \/><figcaption id=\"caption-attachment-1566\" class=\"wp-caption-text\"><em>The episiotomy<\/em><\/figcaption><\/figure>\n<h2>What is episiotomy?<\/h2>\n<p>Episiotomy is neither more nor less than a <strong>1-3cm incision made with a scalpel or scissors in the perineum area<\/strong> and that directly affects the <a href=\"https:\/\/singularmom.com\/en\/blog\/uncategorized\/taking-care-of-the-pelvic-floor-during-pregnancy\/\">pelvic floor<\/a>. But&#8230; let&#8217;s go in parts so you can understand everything perfectly.<\/p>\n<p>On the one hand the <strong>pelvic floor<\/strong> It comprises a series of muscles and ligaments attached to the base of the pelvis that close the lower part of the abdominal cavity. On the other hand, when we talk about <strong>perineum<\/strong> We refer to the tissue between the anus and the opening of the vagina.<strong>The goal of this minor surgery is to widen the opening.<\/strong> to facilitate the work of <a href=\"https:\/\/singularmom.com\/en\/blog\/labor\/childbirth-the-most-anticipated-moment-of-pregnancy\/\">delivery<\/a>.<\/p>\n<p>In the past, episiotomy was a practice that was done with great regularity since it was believed that thanks to it, possible natural vaginal tears were prevented. After much research it has been suggested that this practice does not make much sense since&#8230; why make a cut in order to prevent a tear if episiotomies do not really heal better than tears? Efforts are being made to reduce this practice more and more <strong>carrying it out only in those cases strictly necessary<\/strong>.<\/p>\n<h3>When is episiotomy performed?<\/h3>\n<p>And now you may be wondering:<em>\u201cWill I need an episiotomy when it is time to deliver my baby?\u201d<\/em> Although the practice of <a href=\"https:\/\/dialnet.unirioja.es\/servlet\/articulo?codigo=7813152\" rel=\"nofollow noopener\" target=\"_blank\">episiotomy<\/a><strong>It has been significantly reduced and it is no longer a routine procedure. There are still cases in which its application is useful.<\/strong>.<\/p>\n<p>We talk about episiotomy with useful application in the case of those <strong>jobs of<\/strong> <strong>stressful birth in which delivery must occur as quickly as possible because the baby is suffering some type of damage<\/strong>(for example, an abnormal heart rate is observed). When <strong>an instrumented vaginal delivery is needed<\/strong>(with forceps) to help remove the baby or because it is a <a href=\"https:\/\/singularmom.com\/en\/blog\/babies\/premature-children-causes-survival-evolution-and-care\/\">premature child<\/a>.<\/p>\n<p>Episiotomy can also be performed <strong>when the baby is too big<\/strong> enough to come out through the vaginal opening (hence the importance of taking care <a href=\"https:\/\/singularmom.com\/en\/blog\/pregnancy\/nutrition-during-pregnancy-what-should-you-eat\/\">nutrition in pregnancy<\/a>\u00a0and pay attention to the <a href=\"https:\/\/singularmom.com\/en\/blog\/pregnancy\/gestational-diabetes\/\">gestational diabetes<\/a>) either <strong>when the baby is in a breech position<\/strong> which makes it difficult to get outside. The <strong>lack of dilation<\/strong> It may also be one of the reasons for performing an episiotomy. Here you can read more about the <a href=\"https:\/\/singularmom.com\/en\/blog\/pregnancy\/the-contractions\/\">contractions<\/a>.<\/p>\n<figure id=\"attachment_1577\" aria-describedby=\"caption-attachment-1577\" style=\"width: 2560px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1577\" src=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-scaled.jpg.webp\" alt=\"The time of delivery arrives\" width=\"2560\" height=\"1707\" srcset=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-scaled.jpg.webp 2560w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-300x200.jpg.webp 300w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-1024x683.jpg.webp 1024w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-768x512.jpg.webp 768w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-1536x1024.jpg.webp 1536w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-2048x1365.jpg.webp 2048w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-400x267.jpg.webp 400w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/Llega-el-momento-del-parto-600x400.jpg.webp 600w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><figcaption id=\"caption-attachment-1577\" class=\"wp-caption-text\"><em>The time of delivery arrives<\/em><\/figcaption><\/figure>\n<h2>Types of episiotomies<\/h2>\n<p>Before knowing the risks derived from episiotomies, we must know that <strong>will depend on the type of incision<\/strong> that has been practiced, finding in each one advantages and disadvantages over the opposite:<\/p>\n<ul>\n<li><strong>Median or midline incision<\/strong> performed vertically from the bottom of the vaginal opening towards the rectum.<\/li>\n<li><strong>Mediolateral incision<\/strong> performed at a 45\u00ba angle from the bottom of the vaginal opening to either side.<\/li>\n<\/ul>\n<p><em>\u201cHow is an episiotomy performed?\u201d<\/em>\u2013 you may be wondering. Before birth, the area is numbed and the incision is made to enlarge the opening through which the baby will later be removed. After that it will be closed with stitches. And here are some doubts between both types:<\/p>\n<ul>\n<li>What type of incision is <strong>easier to repair<\/strong>? The incision <strong>median<\/strong>. However, it has the risk of spreading to the anal area.<\/li>\n<li>What type of incision do you offer?<strong>better protection against a major tear<\/strong>? The <strong>mediolateral<\/strong>. However, it is more painful than the previous one.<\/li>\n<\/ul>\n<h3>What are the risks of episiotomy?<\/h3>\n<p>The episiotomy <strong>carries a significant risk that the tear will be much more serious than it would be if it occurred naturally<\/strong>. During childbirth, it is relatively normal for some tears to occur, which, if they occur naturally, will occur in the weakest area of \u200b\u200bthe tissue, the skin.<\/p>\n<p>When making the cut artificially, it will most likely also affect your muscles, so the tear will not only be at the skin level, but also at the muscle level, which will affect your recovery and could probably leave you with consequences.<\/p>\n<p>Be that as it may, in both types of episiotomies one suffers <strong>pain<\/strong> since we cannot forget that\u2026 it is a tear! Here you can read more about the <a href=\"https:\/\/singularmom.com\/en\/blog\/labor\/pain-during-childbirth-one-of-the-biggest-doubts-in-pregnancy\/\">labor pain<\/a>.<\/p>\n<p>Among the <strong>risks derived from these cuts<\/strong> we found.<\/p>\n<ul>\n<li>Possibility of major bleeding along with an increase in the size of the cut (greater tear that may affect the rectum).<\/li>\n<li>Possible infection of the cut and stitches.<\/li>\n<li>Behind him <a href=\"https:\/\/singularmom.com\/en\/blog\/postpartum\/the-postpartum\/\">postpartum<\/a> can be produced <a href=\"https:\/\/singularmom.com\/en\/blog\/pregnancy\/sexuality-in-pregnancy-is-it-possible\/\">sexual relations<\/a> painful<\/li>\n<li>It can make basic daily activities such as sitting, bending and even caring for the baby difficult, causing discomfort in the <a href=\"https:\/\/singularmom.com\/en\/blog\/babies\/breastfeeding-everything-you-need-to-know\/\">breastfeeding<\/a>.<\/li>\n<\/ul>\n<figure id=\"attachment_1568\" aria-describedby=\"caption-attachment-1568\" style=\"width: 1920px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1568\" src=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia.jpg.webp\" alt=\"Care after episiotomy\" width=\"1920\" height=\"1280\" srcset=\"https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia.jpg.webp 1920w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-300x200.jpg.webp 300w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-1024x683.jpg.webp 1024w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-768x512.jpg.webp 768w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-1536x1024.jpg.webp 1536w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-400x267.jpg.webp 400w, https:\/\/singularmom.com\/wp-content\/smush-webp\/2021\/05\/cuidados-tras-la-episiotomia-600x400.jpg.webp 600w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><figcaption id=\"caption-attachment-1568\" class=\"wp-caption-text\"><em>Care after episiotomy<\/em><\/figcaption><\/figure>\n<h2>What is recovery like from this tear?<\/h2>\n<p>If you have suffered an episiotomy during childbirth, the first thing we want to recommend is PATIENCE. Great doses of patience until you notice that the discomfort is gradually subsiding. The healing and recovery process is annoying and somewhat slow, yes, but nothing that time won&#8217;t heal!<\/p>\n<h3>Care after episiotomy<\/h3>\n<p>The wound will heal and the stitches will take between 2-3 weeks to fall off or be reabsorbed. Among the episiotomy care we want to highlight:<\/p>\n<ul>\n<li><strong>Extreme hygiene to avoid infections<\/strong>. Clean the wound with warm water and neutral soap. Keep it dry (DO NOT rub it) and try to leave it outdoors as long as possible.<\/li>\n<li>Use <strong>cotton underwear<\/strong> that is not tight.<\/li>\n<li>Put into practice <a href=\"https:\/\/singularmom.com\/en\/blog\/labor\/perineal-massage-what-it-is-and-how-to-do-it\/\">perineal massage<\/a>\u00a0to recover and care for your pelvic floor and allow it to recover its functions.<\/li>\n<li>Remember that the help of a <a href=\"https:\/\/singularmom.com\/tu-equipo\/\">specialized equipment<\/a> can be of great help to you.<\/li>\n<\/ul>\n<p style=\"text-align: center\">At SingularMom we recommend that you prepare and strengthen your body for <strong>avoid whenever possible both this type of practice and any instrumentalization of childbirth<\/strong>.<\/p>\n<p style=\"text-align: center\">As our Mar\u00eda, a physiotherapist specialized in pelvic floor and women&#8217;s health, says: &#8220;the best way to avoid an episiotomy is not to have scissors nearby.&#8221; Remember the importance of leaving your preferences written on your <a href=\"https:\/\/singularmom.com\/en\/blog\/labor\/birth-plan-can-it-be-done-in-times-of-coronavirus\/\">birth plan<\/a> or even talk about it when you are going to give birth.<\/p>\n<p style=\"text-align: center\">With <a href=\"https:\/\/singularmom.com\/en\/curso\/advanced-birth-training\/\">our childbirth preparation course<\/a> You can learn techniques to control your breathing and ways to push correctly that you can put into practice in one of the most important moments of your life. You will enjoy your pregnancy more, you will have a safe delivery and you will recover your pelvic floor quickly with just 20 minutes of physical exercise a day.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The episiotomy. Unknown word that will become part of your vocabulary once the most important date of your life approaches. This is undoubtedly one of the great fears that you are going to face when you think about the moment of childbirth. What is episiotomy? When is it done? How to prevent it? Is it [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1566,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[952,956],"tags":[986,999,995,1000,996,1001,984,1002,977,981,985,1003],"class_list":["post-6276","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-labor","category-pelvic-floor","tag-baby","tag-childbirth-preparation-classes-71","tag-childbirth-preparation-course","tag-contractions","tag-delivery","tag-episiotomy","tag-maternity","tag-natural-birth","tag-pelvic-floor","tag-pregnancy-29","tag-pregnant","tag-respected-delivery"],"_links":{"self":[{"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/posts\/6276","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/comments?post=6276"}],"version-history":[{"count":2,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/posts\/6276\/revisions"}],"predecessor-version":[{"id":6578,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/posts\/6276\/revisions\/6578"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/media\/1566"}],"wp:attachment":[{"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/media?parent=6276"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/categories?post=6276"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/singularmom.com\/en\/wp-json\/wp\/v2\/tags?post=6276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}