World Health Organization Recommends Against Routine Episiotomy
The World Health Organization (WHO) is reinforcing its stance against routinely performing episiotomy during vaginal delivery. Historically, the procedure was more frequently utilized, but current recommendations limit its use to situations with specific medical justification. Episiotomy is an obstetric surgical intervention involving a controlled incision made in the perineum – the area of tissue situated between the vaginal opening and the anus – during vaginal birth.
The primary aim is to widen the exit of the birth canal and facilitate the baby’s delivery. In certain instances, it may also be employed to prevent uncontrolled tissue tearing. Typically, the incision is executed at the precise moment the baby is emerging.
Following delivery, the area is stitched, often utilizing sutures designed to naturally separate. The WHO’s updated guidance reflects a shift in understanding, emphasizing that episiotomy should not be performed when it isn’t medically necessary. The procedure’s purpose is to facilitate a smoother delivery, and its use is now reserved for cases where a wider birth canal is deemed crucial.
Topics: #when #vaginal #facilitate
