There are many practical reasons for women who need lateral incision now: modern women lack exercise, lack productivity and contractility, and the fetus cannot be born; Some pregnant women are overnourished, which makes the fetus too big; In addition, there are more and more elderly women. These are the reasons why "lateral cutting" is widely used, and we can't think that maternity is "lateral cutting".
Recently, there was a post in a big community entitled "All hospitals are killing women! You and your family have been sidelined, which makes many people panic. It is mentioned in the article that "doctors are indiscriminate, and about 99% of primiparas will" stand aside "100." "As long as primiparas want to give birth naturally, they must cut sideways!" "Almost all people who are sidelined will feel itchy and painful all the year round. More than 85% of people who are sidelined think that it will affect their sexual life, and a considerable number of people will be infected and even difficult to recover all the year round. "
The "lateral incision" mentioned in this article refers to the "lateral incision of perineum", that is, the operation is performed on the perineum of the parturient to help the delivery. Yang Jie, deputy director of obstetrics in the Third Affiliated Hospital of Guangzhou Medical College, said that this statement is too alarmist. Whether to do perineal lateral incision depends on the situation of pregnant women and fetuses.
There are many practical reasons for women who need lateral incision now: modern women lack exercise, lack productivity and contractility, and the fetus cannot be born; Some pregnant women are overnourished, which makes the fetus too big; In addition, there are more and more elderly women. These are the reasons why "lateral cutting" is widely used, and we can't think that maternity is "lateral cutting".
If the mother does not exercise, she can't give birth to a fetus without lateral incision.
Yang Jie said that when giving birth, the fetus should come out of the uterus and be born again after * * *. Even if the delivery is natural, the midwife should decide whether to "operate" on the perineum of the parturient according to the situation of the parturient.
Although * * * can expand the volume, if the fetus is too large and the diameter of the fetal head and carcass reaches 10 cm, it is particularly easy to cause perineal tear of the parturient, and in severe cases, it will also cause the sequelae of * * * prolapse and incontinence. Therefore, the midwife will make a lateral perineal incision for the parturient in time to prevent the perineal tear from being too serious, affecting the healing and easily forming scars. In addition, some fetuses have poor fetal position, so doctors need to rotate the fetal head during delivery to make the delivery process smooth. At this time, perineum also needs a knife.
Yang Jie said that the delivery should end two hours after the cervix is completely opened, because the fetus stays in the birth canal for too long, which will not only damage the muscles of the maternal pelvic floor, but also lead to swelling, urinary incontinence, hypoxia and even intracranial hemorrhage. However, some pregnant women are not physically strong enough, or when the elderly women are complicated with heart disease and pregnancy-induced hypertension, they can't end the delivery within 2 hours, so they have to take a * * * side incision.
Yang Jie emphasized the importance of pre-pregnancy examination. She said that some pregnant women do not pay attention to prenatal gynecological examination and have inflammation in their private parts. Such women are more likely to tear their mouths during childbirth, and the wound is uneven, which will affect the wound suture. Therefore, people with gynecological inflammation need to do perineal lateral incision.
Hard support does not cut sideways, affecting * * *
After all, a lateral perineal incision is an operation, so * * * cut a hole. Will it be as difficult to heal as the internet says, and will it have an impact on sexual life? Yang Jie said: "On the contrary, doing perineal lateral incision in time after delivery is conducive to restoring sexual life as soon as possible."
If the parturient who needs to have a lateral perineal incision insists on not having an operation, then * * * will have different degrees of tearing, and even serious * * * prolapse and incontinence will occur. After the perineum was torn, the edge of the wound was irregular. This will not only prolong the healing time of the wound, but also easily form scars, which will make the postpartum feel foreign body. This scar is larger than the lateral incision of perineum. For example, perineum 1 degree tear, maternal pain for more than a few weeks, more bleeding, healed wounds will be ugly. If it reaches 3 degrees, it will crack * * * and * * *, and it may * * * directly and * * *, and the sexual problem will be even bigger in the future.
Lateral episiotomy made an incision 1 4-5 cm long at the external orifice of * * *. Small incision, timely suture, will soon heal. Unless the fetal head needs to be rotated, this kind of wound is relatively large. Generally, the incision will grow and be removed in about 5 days, and no knot will be left in * *, and it will not make the parturient feel foreign body during postpartum sex.
In addition, elastic fibers in women are like rubber bands. When you pull it hard with your hand, it will stretch, and once you let go, it will return to its original state. After delivery, the elastic fibers in * * * will contract and return to the prenatal state, which will not affect the quality of * * *.
Want to get rid of the knife and have a gynecological examination before pregnancy?
Not every woman has to be circumcised. If the maternal body is not sick, the labor process will end soon, and don't get a knife at all. Therefore, pregnant women really want to avoid being stabbed, not to stop the operation during childbirth, but to spend their time before and during pregnancy.
Yang Jie said, first of all, we should pay attention to gynecological examination before pregnancy, check cervical and * * * diseases, and make reasonable arrangements before getting pregnant. At present, too many pregnant women are pregnant with inflammation, which will definitely affect delivery. In addition, pregnant women should know how to control their weight, exercise more and eat reasonably. Generally speaking, the fetal weight is controlled at about 6 kg, which is of great benefit to pregnant women, fetuses and delivery.
Conclusion:
Of course, it is best for pregnant women to "assist" without moving the knife. You can't blame the doctor for the transverse incision. The only preventive method is to do gynecological examination before pregnancy and exercise more to control weight.