I had my wife as the delivery of our third child care. She was pushed into the last phase of delivery where the last would lead to the birth of our second daughter. As the crown of the head of our daughter protruded slightly from the end of the birth canal, my wife screamed obstetrician, "Stop! Not press ..."
Soon positioned a hypodermic needle and injected anesthetic into a portion of my wife perineal tissue - the skin between the vagina and anus. Next he grabbed aScalpel and carefully addressed the area just anesthetized. The nurse attending the wheels and I instinctively head to one side so that our eyes could see what happened next. "I've never seen this part," the doctor told me how quickly performed a simple procedure known as an episiotomy. Our daughter was born minutes later. As a mother and daughter met face to face for the first time, the doctor was busy stitching the cut created during the episiotomy.
The ideabehind the creation of an episiotomy is twofold. The first reason is the concern for the child. If through the vaginal canal is the stressful time for a child experiencing a traditional vaginal birth. Cut the perineal tissue creates a wider opening so that the child can easily slip through. The second reason is, in theory, to prevent uncontrolled tearing of perineal tissues of the mother. The idea is that affected by an incision, the area to be cut or reduced in a controlled mannerto some extent by the doctor. The problem is that not all mothers experience tearing, so that the tear may be unnecessary.
According to an article published by WebMD of Salynn Boyle (http://my.webmd.com/content/article/110/109783.htm), The Journal of the American Medical Association (Vol 293, No. 17, May 4 was the 2005) researchers reported that about 1,000 medical resources in the last 60 years screened in search of published data to measure the effectiveness of the procedure. Data20-6 contained relevant content and products were combined to form conclusions.
The article reports that there is "fair to good" evidence that the results of routine episiotomy is not beneficial on the results of a restrictive use of episiotomy. In cases where episiotomy was performed routinely, the severity of the injury, the degree of pain, and the amount of medication needed to treat was no better than in cases where episiotomy was notroutinely performed.
Although most of the people who were not seen until late in life, studies on episiotomy does not compete for the prevention of urinary incontinence or pelvic floor muscle relaxation showed. Studies have also shown that the procedure was "impaired sexual function - - pain during sexual intercourse was more common in women." A report in the British Medical Journal in January 2000 that women who received episiotomies during delivery had aa significantly higher incidence of anal incontinence - the inability of bowel movements and gas-control - than their counterparts who did not receive the procedure.
Something better episiotomy is that no one wants to observe, in the worst cases can cause pain, lengthen the time it normally for a couple of sex again and cause fecal incontinence. The ideal situation would not only avoid episiotomy, but not tearing.
Informed mothers learn aboutthis problem and take the time to talk with their obstetricians about it, even in advance of their date of birth. They have a strategy that includes specific exercises using a device called EPI-NO. The EPI-NO is a soft balloon-like device that is inserted into the vagina and gently filled with air at a given pressure.
When the balloon is inflated, the tissue is gently stretched. The pressure is maintained for a period, so that theFabric that can adapt to the new opening. Every day the amount of air a bit 'so that the vaginal opening is gently prepared to receive increases the baby's head. The end result is that the tissue not only better prepared for the birth process, but - because the fabric is not stretched suddenly and violently - the tissues more readily return to its previous state.
The philosophy is not new. In fact, there is an old African custom by which a pregnant woman gently insert aPumpkin or gourd bottle into the vagina to stretch the hand muscles of the pelvic floor and perineal tissue. This process is still in use today in many parts of Africa. Modern science gives us the knowledge and materials that perform a similar function, but in a safer and more sterile.
Unlike the pumpkin or bottle, the EPI-NO can be prepared for the birth not only the muscles of the pelvic floor and perineal tissues, can also be used to regenerate tissuePost-partum exercises. Approximately 3-6 weeks after birth (check with your OB / GYN when they start), a mother can resume with the EPI-NO.
Squeezing the pelvic floor muscles - a process as a "Kegel exercise" - is the new mother can see the pressure gauge on the EPI-NO increase. This report is a "bio-feedback" and helps you to do your pelvic floor muscle exercises are done correctly and your progress as muscle strength to follow again. PendingMothers may experience mild to severe anxiety the approaching birth. With EPI-NO for a few weeks before birth can help reduce this fear.
Clinical studies have shown that EPI-NO:
Reduce the incidence of elective episiotomy Reduce the incidence of perineal tissue tearing Increase APGAR scores (measuring the overall health of the newborn) Reduce the need for certain drugs during labor Reduce anxietymother
Women who have used EPI-NO relationship in preparation for childbirth some very satisfactory results:
"My daughter was born after 12 hours without problems and spontaneously without cut or tear, through training with the EPI-NO perineal massage e. State, but the interesting fact that during the adoption of the child's head, are The idea came: You know that feeling you did before I instinctively knew what!happened and the press, particularly the direction in which I did. (Of course, during training, I did not press, but was aware in which direction ...) I also can not forget that I am able to 'let go' of the pelvic floor first, and then the practice was, was much far less afraid of the birth ... "
"I just did on the delivery table, and began a serious matter, 3 pressing pains and my son was there! Dam No cutting, no tears, only a small scratch on the left labiumand my baby is perfectly healthy. It was only 1 ½ hours after entering the clinic is born! And he was my first child! I started out with EPI-NO, as recommended reached [3 weeks before the due date], and finally an expansion of 9.5 cm in diameter. Based on this experience, I can only recommend your EPI-NO to other women, and I'm actually doing just that ... "
"The birth was very quick (2 hours). I had a very short second stage (about 15Minutes) and has created a dam intact. I think these factors are determined by the EPI-NO. ... I think that without EPI-NO, there were definitely a perineum injury, because if the exercises you can feel the progress and as the tissue gradually more extensible. The device is simple. All in all, I highly recommend EPI-NO ... "
More information about the EPI-NO can be found by visiting the "AvoidEpisiotomy "website (http://www.avoidepisiotomy.com).
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