Episiotomy is a cut given in the perineum when a woman has crowned during labor to make baby come out easily and also to prevent possible tears or complications. It’s not a routine. Should only be done when it’s very necessary with a woman’s concern.
Healing will depend on the degree of tear and also the care given to the wound
With no infection or complications, it should heal fast. Some can heal within two weeks. Others can take a month to six weeks
If you realise it’s gapping, having offensive discharges, Stiches coming out, bleeding and too painful, you should report back for further examination
Remember the Stiches will be absorbed and should not ne coming out. Most episiotomies use the absorbable Stiches unless your doctor stated other wise
Also take your nutrition, Selfcare and Exercise serious to help heal faster.
This is to some extent expected. The baby puts on most of its weight in the third trimester. This weight puts pressure on the perineum . It can be painful since it’s stretching and the nerves there are sensitive
To reduce the pain and discomfort you feel in your perineum, don’t assume one position for a long time. Change your position frequently. It helps a lot.
If the pain in the vagina or perineum is extreme, report to the hospital for further investigations .
It’s not a routine. It has to be done only when it’s extremely necessary.
It’s done when the baby’s head has crowned.
If the doctor or midwife anticipates that the woman will have a bad tear or she needs more space for the delivery process she may give you an episiotomy
It’s also done with the woman’s consent
A pain relief can also be given be for you are cut.
Cooperate with your doctor for the best outcome
We invite you to join our class WhatsApp +233242281957
Alhamdullilah, and a very big Thank you to all the Midwives on the page and all the Midwives of Madina . I am a follower of this humble page, I read a learnt from this page. My journey was a smooth one, no nausea ,no vomiting. At 32 weeks months I had issues with my eye so I had to an early maternity leave from work. At 36 weeks, I kept praying labor should set in latest by 38 weeks. I prayed so much but God’s time is the best.
I started feeling some waist pains on 18th April. The following morning around 10 am contractions began and i started recording it. It was very severe so I endured and went about doing my chores and did some exercises afterwards, around 6am the following day I saw the blood show. I called my midwife and she suggested I wait till the contractions become unbearable then I report to the hospital. Surprisingly the contractions stopped till later that evening then my water broke. As I learnt on this page about the possibilities of an infection after the water breaks, I hurriedly reported to hospital but when I was checked I was only 1 cm, I was hospitalized and then they infused some antibiotics. The contractions were on and off, I was restricted from exercises or doing anything vigorous as the water kept ozing out. On Thursday 21st April, I began feeling pains in the chest I did a scan and was told the baby was alright and the water around him was adequate it’s his butts that is pressing my chest eeeiii.
I was checked around 2 pm and was 4 cm eeeeiii after all the pains I was enduring. Well to shorten the long story, I was given a drop which I believe had some kind of drug in it to fasten the contractions because at some point I got tired , whenever I was down, l remembered your words of encouragement. At some point I disconnected the drip because I was shivering
. There was blood everywhere and was from my hand.
Around 4:40 am on 22/4/25, I called the nurse on duty to come and check how much I have dilated because at that point I was really getting tired and breathing in and out during contractions wasn’t helping. She felt reluctant at first because I wasn’t shouting like the rest of the women in the ward, she was surprised when she checked and I was fully dilated. I was very happy also, I was asked to push around 5 am and I did 3× all that came was poo
, eeii another wahala. They cleaned me up, and after the 2nd push my baby boy was out. I actually gave birth on the estimated due date : 22/4/25, baby weighed 3.5kg no episiotomy, no tear. And am a first time mum. I was able to go through this because I read a lot and followed almost all the advice you gave on this page.
Some information about your pregnancy should be at your finger tips You should ask your midwife or doctor whether these specific things are within normal and what you can do After reading take your antenatal book and check Its not enough if you are just told all is ok!
Your blood pressure (BP) Your Haemoglobin level (HB) Your expected date of delivery (EDD) Your placenta location Your specific health condition, example previous c/s, diabetes, fibroids etc Sickling status Your weight gain
The placenta with nourishes the baby with nutrients and oxygen during pregnancy is supposed to be located in the upper part of the uterus. If it is in the lower segment, we call it placenta previa
In placenta previa the location of the placenta is low and it comes with risk.
Some of the risk include
1. It can lead to bleeding during pregnancy and at birth. The placenta can detach pre maturely because it’s not in the right position
2. It can lead to preterm birth
3. It can affect the growth of the baby since the placenta is not in the right position
A scan can help diagnose placenta previa. If it is diagnosed, your doctor can help you go through the pregnancy with ease.
Your birth should be planned and the hospital you give birth should at least have a theatre and blood bank in case you need it.
In severe forms of placenta previa, your activity level will be limited and a cesarean section will be the mode of delivery. You will also be monitored closely throughout the pregnancy.
Our pregnancy class will help you go through your pregnancy with ease
WHY DO WE PASS A CATHETER DURING BIRTH/ CESAREAN SECTION?
During birth, women are encouraged to empty the bladder. This helps the baby’s head to descend or come down. A full bladder can slow the progress of labor.
If you can urinate freely you will be encouraged to do so. But if not your midwife will empty the bladder with a catheter
If you have to go through a caesarean section, it’s usually mandatory to have a catheter in place. A full bladder can cause injury to the bladder. The bladder is close to the uterus so if not emptied when the doctor is performing the operation, he/She may cause injury to the bladder
Always cooperate with your doctor or midwife for the best outcome
Your blood pressure (BP)
during pregnancy and at birth. The placenta can detach pre maturely because it’s not in the right position
