Disclaimer: lacey please don't read this part if you're nervous about episiotomies, I just have a general question about it, and I don't want to make you worry or think too much about it, k?
Just curious, what's wrong with episiotomies?? Is the concern that they won't stitch it up right? Or do they just do it as a preventative measure in the US hospital system? Cos over here in Aus, as far as I've heard they only do it if the baby is kinda stuck or if it looks like you're about to rip anyway. In my personal opinion, a cut wound heals much faster and with less pain than a tear wound....
In the US, about 80% or more of women get episiotomies. They aint done when there is a definite need, but they are done as a matter of standard routine becuz it makes it quicker and easier for the doctor to deliver the baby.
When you tear while delivering, its usually a tear to the superficial layer of tissue. It dont go very deep. When they cut an episiotomy, they make a deeeep cut, deep into the muscle, all the way to the butt. When you tear, the body can repair it much, much easier than a deep surgical wound.
Imagine if you try to break a piece of wood in half. It would be hard. Now cut the piece of wood in half, glue it back together, and try to break it now. It breaks much easier. when the body is able to heal a wound on its own, that area of tissue aint no weaker after than it was before. But when the episiotomy heals becuz of the deep nature of the cut it disrupts the integrity of the muscle tissue all the way down and will never be 100% again.
Not only that, but the recovery period from an episiotimy is long. The risk of infection goes up becuz you have a wound cut into you right on the perineum--imagine being constipated and tryin to go to the bathroom, while you got a raw wound and stitches right in that are? Its so incredibly painful, and to have a healing wound right there by that area means its much harder to keep clean than your average stitches. Having one can make it much harder for the mother to care for her child during the first month or two becuz it can take 6 weeks to heal up. that just adds more stress if your mans at work all day and you got the weight of all the child care on your own but can barely move around.
Episiotomys also can cause sexual problems. There is a lot of nerve endings in the area that is cut, and disrupting the tissue like that all the way deep down can cause loss of feeling, painful sex, and other sexually related problems. I aint saying that EVERYBODY who gets one is totally fucked up for life. Lots of women get them and are just fine and aint got no problem havin sex later on, but there are risks and problems that some women will have to deal with after havin one, and if you didnt need it in the first place, ending up with that shit to deal with aswell just sucks. I mean there are legitimate reasons that you might need to do one, and in that case you deal with the problems tht come with it becuz its for a good cause. But Im just talking about the unnecessary ones.
If you NEED the cut, then these side effects are balanced out by the need for the surgery and the good it will do.
But im just pointin out that if you DONT need it, then its horrible to take on all these other side effects for no damn reason. you feel me?
one of the main reasons that doctors will cut you is becuz its easier to stitch a straight cut than an irregular tear. For them, its just about convenience. It requires much more skill to sew up a tear in that area than it does to just suture a straight line.
Other countries got faaaaaaar lower episiotomy rates than the US. In europe, IIRC, the rate is around 10%. In the us the doctors are just crazy for it. Everything is geared to make shit quicker easier and more convenient for them including cuttin up women.
Certain techniques, like massaging the perineum with olive oil for the weeks leading up to birth and during labor, can almost completely prevent tearing. One of the free standing birthing centers that was profiled in the book Im readin right now delivered a 11 lb 4 oz baby naturally with no cut, with no tearing watsoever.
Tearing if it happens, is a natural process of birth. Episiotomy aint. If ima tear, let me fuckin tear, and that shit will be resolved. Nobody comin near me with a fuckin scalpel like that.
Im so glad that my moms gonna be there with me. She went thru 3 births with no epidural, and 2 of them with no episiotomy, and one of them at a natural birthing center outside the hospital. She got cut when she had me, the oldest, becuz the doctor didnt tell her wat he was doing, or ask for her permission, he just cut. She swore after that she was never havin one again. She had both of my sisters without one. With my youngest sister she said she had a little bit of tearing but it healed up just fine. With my middle sister there was no tearing at all. After she had both of them, she was up and walking around immediately after givin birth. She knows this shit from personal experience that it aint necessary to do all these crazy interventions, and Im so glad that I can have her by my side to help me advocate for my rights. I aint a quiet girl and I will tell somebody the fuck off. But havin the strenth of another older person there who knows the kind of shit they do from experience, when i am in the vulnerable state of labor will make it alot easier for me to make sure they know where I stand and not fuck witih my wishes.