Medical students who have studied obstetrics and gynecology are familiar with episiotomy, which is a common knowledge point in obstetrics. Unlike cesarean section, it is a common operation in obstetrics. The purpose is to prevent the fetus from squeezing the anus and causing anal tearing and damage to the pelvic floor muscles of the mother during childbirth. For this reason, a large cut on the anus in advance is performed to expand the volume of the anus.
Some mothers do not understand this. They just hear that the doctor is going to cut a healthy part of their body and they don’t understand and are afraid of leaving scars.
In fact, the wound of episiotomy is much easier to heal than the irregular tear caused by vaginal tearing because the wound fracture surface is neat, and basically no big scar is left. Moreover, if the pelvic floor muscles are really injured during delivery, it will cause considerable sequelae to the mother's future health and life.
It is even more impossible for a doctor to casually perform a surgery on a patient. An extra cut would cause a lot of trouble for the doctor, and the doctor is responsible for the healing of the cut. The doctor will only perform surgery when it is determined that the mother's condition requires it.
**Episiotomy can be performed by a midwife, not necessarily a doctor, which further shows that the risk of this operation is very low.
From the above, it can be seen that the mothers’ concerns are more due to the fact that the doctors failed to explain the operation well to them before the operation, which led to their complaints.
The suspicion between doctors and patients is often reflected in these details.
Many doctors in China do not do enough in doctor-patient communication and are unwilling to make efforts. There is only one reason: Chinese doctors have to deal with too many patients every day and have no time to do detailed medical popularization.
In addition, clinical patients are suspicious and there are many patients who are very suspicious. If you tell them in advance but don't do it in the end, I am afraid that the mother will doubt again.
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"It's not that I don't know. I was just testing your sister's current condition to see why she needs an episiotomy." Lin Hao gritted his teeth and told Li Qian'an not to show off.
Judging when a parturient needs an episiotomy is a technical job, not something that can be learned by rote from a textbook. This probably requires some clinical internship experience to support it. Li Qi'an has seen many cases in the obstetrics department. After thinking for a while, he said, "Maybe it's because my senior sister is a first-time mother?"
Here, when Li Xiaobing heard that the boss was suddenly going to perform an episiotomy on her, she couldn't help but get nervous like the other women in labor, wondering why she had to have an episiotomy.
Seeing this, Dr. Tang skillfully helped the husband to comfort the patient and explained: "Xiaobing, don't be nervous. Episiotomy is very normal." Without saying any unnecessary medical terms, Dr. Tang directly cited his own example: "I also had an episiotomy when I gave birth to my son. After all, we had our first child."
For the first child, the anus of a primipara is more likely to be tight and difficult to open than that of a multipara. When the fetus comes out, the mother's anus is likely to be broken and cause anal tear. In most cases, an episiotomy is required.
So, Li Qian'an's guess was right? No, only about half right. Lin Hao narrowed his eyes, and the silence of the big guys at the scene showed that something was fishy. Li Qian'an sensed the subtle atmosphere and did not dare to show off his ordinary talent.
In Li Xiaobing's case, doctors may need to consider other special factors. For example, if the mother has heart disease, the second stage of labor needs to be shortened, and episiotomy can make the delivery faster. In addition, breech delivery is a difficult delivery, so episiotomy is inevitable.
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