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Normal anatomy:

The external female genitalia include the labia, the opening to the vaginal canal, and the clitoris. During birth, the vaginal canal expands to let the baby through.


Normal anatomy


Indication:

An episiotomy may be needed if the baby's head is too big for the mother's vaginal opening, or the baby is in a breech position (feet or buttocks coming first) and there is a problem during delivery.

Just before the baby is born and while the woman is awake and pain-free (local anesthesia), an incision is made at the bottom of the vaginal opening to enlarge it for the delivery of the baby's head.


Indication


Aftercare:

Stitches (sutures) are used to close the incision after both the baby and placenta have been delivered. The stitches are absorbed by the body and do not need to be removed.


Aftercare



Review Date: 8/17/2008
Reviewed By: Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100