Another thing to note is that the episiotomy itself is no longer a recommended procedure for routine births. The incision lengthens recovery time and brings complications of its own.
Unfortunately, medical violence is a thing and many professionals, even when saying the episiotomy is a decision for the woman, put it in such a way that the message conveyed is that the episiotomy makes giving birth easier and quicker. What is witheld is that it makes it easier for them.
Giving birth was turned into a surgical event, when it is only a phisiological one.
A C-section is a surgical act and extremely important as it has the potential to save lifes, both of mothers and children.
The matter at hand is not about deeming all medical acts performed during a delivery as useless but to acknowledge that many are performed routinely without need and even without the agreement, previous information or consent of the woman and mother to be.
One such is that oh-so-important act being routenily abused, with doctors pushing it to women with the argument that it is the safest way to plan the delivery. But planning a delivery is only a concern for the physician. If a pregnancy is normal under all aspects and there are no telling signs the delivery will be complicated, why point women to an unnecessary surgical act?
I was under the impression it was forthe woman’s benefit, that it is easier for a cut to heal than a tear. Is that not the case? Is the risk of tearing overblown?
I think you actually have that backward. In general, a jagged tear heals quicker than an incision because there is more surface area in contact between the two pieces, so a larger number of cells can be working to repair the tissue. That said, I’m not a doctor and it’s been 10 years since my wife and I looked into this before our first kid, so I may be misremembering.
These days, an epesiotomy is done to direct the tear. If the tear is allowed to happen spontaneously, it can go through nerves, arteries, and pelvic floor muscles, greatly increasing the chances of permanent problems with things like prolapses or fistulas at worst, and more commonly, long term problems with incontinence.
Glad your wife healed well; my wife had three c-sections and the first one was done by a very old-school OB in an emergency situation, so she never stood a chance. That said, even old-school c-sections are better than my wife and son dying in childbirth, so I’m still grateful for modern medicine, but it would have been nice if it was a little more “modern”
Were the second and third child almost guaranteed to be born by C-section? My GF first childbirth had 2 incidents that had risks for the second pregnancy. We were a bit scared for the second birth. But it when the opposite way. She almost gave birth in the car. There wasn’t even an hour and a half between the first real contractions and the birth of our child.
I’m asking because I am curious to hear about different experiences than mine
We live in a small town in a state that has a law that to attempt a VBAC, the hospital must have an full surgery team on site. It being such a small hospital meant they almost never had a full staff at any given point, so the second two were scheduled C-sections.
However, like your experience, my wife went into natural labor the night before the second C-section was scheduled and almost certainly could have delivered naturally, but the hospital went ahead with the C-section anyway
Ah I understand better. We have a lot of friends that have kids and they all pretty much had birth in a hospital, and to me it seems like they were a schedule and they all had a scheduled delivery and if the birth wasn’t done by then, the doctors provoked the labor.
We are lucky to have a midwife school program here that trains midwife as expert in pregnancy, birth and early weeks of the babies life, and our experience felt a lot more intimate. Like, they are legit medical expert in their field. The only restriction is that they cannot work with women with at risk pregnancy (so twins, mother ailments, etc).
We had both pregnancy with the same midwife and we were lucky that both times, she was on call when my girlfriend went into labor. We were both times in the same delivery room at the birthhouse. It was radically different than what our friends experienced.
It’s not about the surface area, a tear heals without creating a straight line of inflexible scar tissue in flexible tissue. You recover faster and better, because you distribute the new connections throughout the tissue, you don’t have this one rigid perforation to tear, so you don’t have to be healed up all the way before you can get back on your feet
In general, it’s the opposite though - a sharp cut heals much faster than a rip, there’s far less damage to repair
You recover faster and better, because you distribute the new connections throughout the tissue, you don’t have this one rigid perforation to tear, so you don’t have to be healed up all the way before you can get back on your feet
Isn’t this a function of the surface area, though?
I mean…sort of? I can’t say that’s wrong, but I also don’t think it’s the full picture
Like imagine a cut rope. Gluing the ends together joins it with a weak point, but if you unravel the ends and weave them back together, you can create a very strong connection, even without glue
Yes, the surface area in the latter is far greater, but in addition to the surface area you have the structure - the weave itself grants strength, because when you pull the rope the fibers compress against each other, making it stronger than just surface area contact
I think it’s kinda like that, surface area certainly plays a big part, but I think it’s more than that. It lets the muscles reweave themselves - as opposed to the skin and the uterus lining, which are cut in straight lines to minimize damaged surface area - they’re more like cloth than rope, you stitch them up in neat lines
Another thing to note is that the episiotomy itself is no longer a recommended procedure for routine births. The incision lengthens recovery time and brings complications of its own.
Unfortunately, medical violence is a thing and many professionals, even when saying the episiotomy is a decision for the woman, put it in such a way that the message conveyed is that the episiotomy makes giving birth easier and quicker. What is witheld is that it makes it easier for them.
Giving birth was turned into a surgical event, when it is only a phisiological one.
Speaking as someone who would have been stillborn if not for a C-section, there are some surgical procedures that are kind of important.
A C-section is a surgical act and extremely important as it has the potential to save lifes, both of mothers and children.
The matter at hand is not about deeming all medical acts performed during a delivery as useless but to acknowledge that many are performed routinely without need and even without the agreement, previous information or consent of the woman and mother to be.
One such is that oh-so-important act being routenily abused, with doctors pushing it to women with the argument that it is the safest way to plan the delivery. But planning a delivery is only a concern for the physician. If a pregnancy is normal under all aspects and there are no telling signs the delivery will be complicated, why point women to an unnecessary surgical act?
“If a … is normal under all aspects and there are no telling signs the … will be complicated, why point … to an unnecessary surgical act?”
Minzdrav, is that you? /j
Americans, please, for love of everyone you love, nationalize your healthcare.
How can a woman give birth without the machine that goes PING?
Which one?
Seventh. Or you mean the machine?
Which machine?
I was under the impression it was forthe woman’s benefit, that it is easier for a cut to heal than a tear. Is that not the case? Is the risk of tearing overblown?
I think you actually have that backward. In general, a jagged tear heals quicker than an incision because there is more surface area in contact between the two pieces, so a larger number of cells can be working to repair the tissue. That said, I’m not a doctor and it’s been 10 years since my wife and I looked into this before our first kid, so I may be misremembering.
These days, an epesiotomy is done to direct the tear. If the tear is allowed to happen spontaneously, it can go through nerves, arteries, and pelvic floor muscles, greatly increasing the chances of permanent problems with things like prolapses or fistulas at worst, and more commonly, long term problems with incontinence.
Nope, you got it right: my wife had to c-sections and afaik they cut just enough tissue to make possible to tear it apart. It healed very well.
Glad your wife healed well; my wife had three c-sections and the first one was done by a very old-school OB in an emergency situation, so she never stood a chance. That said, even old-school c-sections are better than my wife and son dying in childbirth, so I’m still grateful for modern medicine, but it would have been nice if it was a little more “modern”
Were the second and third child almost guaranteed to be born by C-section? My GF first childbirth had 2 incidents that had risks for the second pregnancy. We were a bit scared for the second birth. But it when the opposite way. She almost gave birth in the car. There wasn’t even an hour and a half between the first real contractions and the birth of our child.
I’m asking because I am curious to hear about different experiences than mine
We live in a small town in a state that has a law that to attempt a VBAC, the hospital must have an full surgery team on site. It being such a small hospital meant they almost never had a full staff at any given point, so the second two were scheduled C-sections.
However, like your experience, my wife went into natural labor the night before the second C-section was scheduled and almost certainly could have delivered naturally, but the hospital went ahead with the C-section anyway
Ah I understand better. We have a lot of friends that have kids and they all pretty much had birth in a hospital, and to me it seems like they were a schedule and they all had a scheduled delivery and if the birth wasn’t done by then, the doctors provoked the labor.
We are lucky to have a midwife school program here that trains midwife as expert in pregnancy, birth and early weeks of the babies life, and our experience felt a lot more intimate. Like, they are legit medical expert in their field. The only restriction is that they cannot work with women with at risk pregnancy (so twins, mother ailments, etc).
We had both pregnancy with the same midwife and we were lucky that both times, she was on call when my girlfriend went into labor. We were both times in the same delivery room at the birthhouse. It was radically different than what our friends experienced.
Thanks for sharing
It’s not about the surface area, a tear heals without creating a straight line of inflexible scar tissue in flexible tissue. You recover faster and better, because you distribute the new connections throughout the tissue, you don’t have this one rigid perforation to tear, so you don’t have to be healed up all the way before you can get back on your feet
In general, it’s the opposite though - a sharp cut heals much faster than a rip, there’s far less damage to repair
Thanks for the explanation!
Isn’t this a function of the surface area, though?
I mean…sort of? I can’t say that’s wrong, but I also don’t think it’s the full picture
Like imagine a cut rope. Gluing the ends together joins it with a weak point, but if you unravel the ends and weave them back together, you can create a very strong connection, even without glue
Yes, the surface area in the latter is far greater, but in addition to the surface area you have the structure - the weave itself grants strength, because when you pull the rope the fibers compress against each other, making it stronger than just surface area contact
I think it’s kinda like that, surface area certainly plays a big part, but I think it’s more than that. It lets the muscles reweave themselves - as opposed to the skin and the uterus lining, which are cut in straight lines to minimize damaged surface area - they’re more like cloth than rope, you stitch them up in neat lines