Is the incision at childbirth really necessary?

The incision at childbirth is a reason to be afraid for many mothers. They do not know what it consists of, how painful it is and above all, if they need it or not. They are afraid of it, they are afraid even of the healing process, the incision area being a fairly difficult environment.


Episiotomy, because this is what is about, is the incision of the perineum, the tissue which connects the vagina and the anus, aiming to ease the passage of the baby through the tight birth canal. The incision at childbirth is made either in median plane (towards the anus), or in the mediolateral plane, in order for the baby to pass easily, without causing problems.

Any incision, no matter how small or how controlled it is by the doctors, scares us. Either because of the fear of pain, or because of the fear of long-term recovery, this makes mothers ask themselves whether or not it is necessary at childbirth.

In the opinion of traditionalist doctors, episiotomy is necessary. According to them, episiotomy helps avoid ruptures caused by a difficult birth, which may affect both the rectum and the anal sphincter. The chances of recovery are much more difficult, this kind of uncontrolled ruptures causing the occurrence of other fairly major complications during childbirth. Moreover, all of these doctors think that, by an incision controlled by doctors at childbirth, the mother will overcome more easily the trauma of a painful birth, shortening fairly much the mother’s throes of childbirth.

However, these opinions have been contested lately. It was considered that it is much easier for a woman to recover after childbirth without an incision, and even more, that ruptures during childbirth will heal more easily because they are not as deep. Moreover, with the help of Kegel exercises, the woman will be able to heal the affected area more easily, just as perineal massage could also be a suitable solution.

Below you have pros and cons regarding the incision at childbirth:

Pros regarding the incision at childbirth:

  • birth time is shorter and the birth is less painful;
  • it prevents ruptures during childbirth caused by difficult expulsion;
  • the woman is not prone to urinary or anal incontinence, caused by the throes of childbirth.

Cons regarding the incision at childbirth:

  • fear of the incision;
  • local pain after childbirth;
  • possible occurrence of complications during childbirth;
  • slow healing of the wound;
  • pain during sexual intercourse.

Whether we like it or not, the doctors recommend the incision in the following situations:

  • the baby’s weight is too high;
  • the baby’s position is abnormal, the woman being exposed to a fairly excruciating childbirth;
  • incidence of assisted birth, by using vacuum or forceps;
  • obvious fetal distress.

Therefore, according to all of the above, the doctors may recommend incision as a mandatory condition for the baby’s health and for the mother’s safety. But, if the baby is in a correct position, it does not weigh too much, and the use of certain baby extraction instruments during childbirth is not necessary, then incision may not become mandatory. At the moment, the aim is to lower the percentage of births with episiotomy.

See how you can give birth without incision! Here are a few secrets!

In order to ease this moment and in order for an incision not to be necessary, the perineum needs either perineal massage or warm compresses applied to the area.

For this reason, before going to the maternity hospital, you should ask for the advice of certain specialists in perineal massage and to learn how to practice this kind of procedures at home as well, because their role is to soften the tissue. During childbirth, the doctors could apply warm compresses to the perineal area, with the same purpose – to soften the muscle in order to avoid strong uncontrolled ruptures and in order for an incision not to be necessary.

See here how we heal the incision or uncontrolled ruptures occurred during childbirth!

Nothing is unknown to you. Maybe you have already learned that this area may cause discomfort especially when running or sitting down. In both situations, the recovery is fairly long and this is why you must be patient and listen carefully to what the doctor says.

First of all, the area needs special care and hygiene. In order to heal, you can use both the medication recommended by the doctor and other alternative solutions. Lavender oil could help you recover more easily, but you need to ask the doctor’s advice, before using it.

Cold compresses applied to the affected area are another solution against persistent pain. Don’t forget Kegel exercises, which are extremely useful for the recovery of the area affected by childbirth.

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