সংজ্ঞা
The perineum is the area between the vagina and the anus. It is made up of skin and muscle. During an episiotomy, an incision is made in the perineum.
পদ্ধতির কারণ
The incision is made to make the vaginal opening larger during birth. In the past, this incision was common. But it is no longer routinely done.
Your doctor may do an episiotomy if:
- The baby is:
- Premature or otherwise fragile
- Large and the shoulders may be hard to deliver
- Forceps or a vacuum are needed to assist in the delivery
সম্ভাব্য জটিলতা
Some short-term complications may include:
- রক্তপাত
- সংক্রমণ
- ক্ষত
- ফোলা
- Difficulty controlling your bowels
জটিলতার ঝুঁকি বাড়াতে পারে এমন কারণগুলির মধ্যে রয়েছে:
- Severe scar tissue in the area
- Prior problems with chronic pain in the vulva
- Short perineum
কি আশা করছ
পদ্ধতির আগে
During a prenatal visit, talk to your doctor about the benefits and risks of an episiotomy.
এনেস্থেশিয়া
If you have not had epidural anesthesia during labor, the doctor may use local orregional anesthesia.
পদ্ধতির বর্ণনা
The infant’s head will start to stretch the vaginal opening. The doctor will then use special scissors to make an incision in the perineum area.
There are two different incisions that may be used:
- Midline incision: starts at the vagina and follows a straight line to the anus
- Mediolateral: starts at the vagina and continues at an angle
After delivery of the baby and placenta, your doctor will close the incision with absorbable stitches.
এতে কতক্ষণ সময় লাগবে?
This is done during childbirth.
এটা আঘাত করবে?
If you receive anesthesia, you will not feel pain during the procedure. After delivery, most women have discomfort and swelling. You may need to take pain medicine.
গড় হাসপাতালে থাকার
The usual length of stay for vaginal delivery is two days. An episiotomy will not extend your stay.
পোস্টোপারেটিভ কেয়ার
Your stitches will dissolve in about 10 days. The cut will heal within about two weeks. There may still be some soreness until the skin gets its natural strength back. This could take up to six weeks. During that time, you may find it uncomfortable to sit or walk. Ways to care for your perineum include:
- For the first 24 hours after delivery, apply ice. Wrap the ice in a towel. Do not apply it directly to your skin.
- কখন গোসল করা, গোসল করা বা জলে ভিজানো নিরাপদ সে সম্পর্কে আপনার ডাক্তারকে জিজ্ঞাসা করুন।
- When your doctor says it is okay, take a sitz bath several times each day. This involves immersing your hips and buttocks in water. Cool water may help to relieve discomfort.
- Do not strain when moving your bowels. Your doctor may ask you to take a laxative or stool softener.
- Use a spray bottle of water to clean the area after going to the bathroom.
- Use spray, medicated pads, or medicine as directed by your doctor.
- When your doctor tells you to, do Kegel exercises. Simply squeeze the muscles you use to stop the flow of urine. This strengthens the pelvic floor and can help the area heal faster.
- Avoid having sex, douching, and using tampons for six weeks or as directed by your doctor.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
আপনার ডাক্তারকে কল করুন
After arriving home, contact your doctor if any of the following occur:
- Signs of infection, including fever and chills, swelling, redness, foul-smelling discharge
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- Bleeding from the episiotomy site
- Continuing problems with loss of urinary or bowel control
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।