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- Path: sparky!uunet!stanford.edu!bcm!pburch
- From: pburch@bcm.tmc.edu (Paula Burch)
- Newsgroups: misc.kids
- Subject: Re: Pregnancy and episomity
- Date: 18 Nov 1992 16:46:50 GMT
- Organization: Baylor College of Medicine, Houston, Tx
- Lines: 57
- Distribution: world
- Message-ID: <1eds1qINN2qr@gazette.bcm.tmc.edu>
- References: <17NOV199216304560@vstn1.math.uoknor.edu>
- Reply-To: pburch@bcm.tmc.edu (Paula Burch)
- NNTP-Posting-Host: roc.mbcr.bcm.tmc.edu
- Originator: pburch@roc.mbcr.bcm.tmc.edu
-
-
- In article <17NOV199216304560@vstn1.math.uoknor.edu>,
- smudd@vstn1.math.uoknor.edu (stephanie) writes:
- |> ....I have been reading all the posts on episomities and am
- |> getting a little scared. When my mother had my sister and I, she didn't
- |> dialate all the way to 10 (not sure what she did dialate to) and had us just
- |> fine. Although I don't know if she had an episomity or not, she doesn't talk
- |> much about it. When my grandmother (my mom's mom) had her she did not have an
- |> eposimity and she riped to her rectum. If you have a episomity what is life
- |> like after you are healed? Can you still have sex and will it be like before
- |> you had the baby? I know these questions may sound silly, but I am very
- |> anxious to know everything I can about these things.
-
- I can't give any personal perspective on episiotomies, since I had a
- c-section (and I'd be too embarrassed to give details of my own epis. over
- the net if I *had* had one :-), but an acquaintance of mine says that sex is
- better now, although she had an episiotomy.
-
- She says that in her drugged state, after the baby was born, she told the
- doctor who was sewing her up not to take in any extra stitches, she didn't
- need it any tighter, thanks. One does read horror stories of doctors
- deciding to do the husband a 'favor' and making it tighter than before--
- some favor, to have your wife find sex painful, eh? The doctor didn't know
- *what* she was talking about, though. The nurse told him, "I know what
- she's talking about, and you don't do it, so don't worry about it."
-
- Anyway, she says her episiotomy was bearable and now sex is actually more
- comfortable than before. Evidently a little bit of stretching from
- childbirth can be a good thing, and the episiotomy didn't bother her
- much at all. You really shouldn't be very afraid of the chance that
- you'll have one--it's not the end of the world if you do. Take steps
- to avoid one now--such as changing doctors, if necessary--but don't
- expend too much dread on the idea.
-
- I still hope I don't ever have one. Studies show that episiotomies
- increase the risk of tearing, and increase the degree of tearing. (I *wish*
- I hadn't lost the reference to that last definitive study--it was in the
- newspapers.) Ripping down to the rectum is much more likely with an episiotomy
- than without one. If you want to avoid ripping, far more effective than an
- episiotomy would be:
-
- 1) Practice perineal massage (I still have the file on this that Laura
- Watson posted last year)
-
- 2) Avoid the use of stirrups--these drastically increase the risk of a
- bad tear
-
- 3) Try alternative pushing positions, such as squatting--practice this now
-
- and most importantly--
-
- 4) Get a midwife or OB who coaches you in not pushing too hard right before
- the baby's head comes out, and supports the area with her hands at the
- right time.
-
- Paula Burch
- pburch@bcm.tmc.edu
-