If you’ve never given birth before, labor is considered stalled if you’ve pushed for a period of two to three hours but haven’t made any progress. If you’ve given birth before, labor might be considered stalled if you’ve pushed for a period of one to two hours without any progress.
If your health care provider is concerned about changes in your baby’s heartbeat and an immediate delivery is necessary, he or she might recommend vacuum extraction.
If you have certain medical conditions — such as narrowing of the heart’s aortic valve (aortic valve stenosis) — your health care provider might limit the amount of time you push.
First time delivery, big baby, prolonged labour, if you need ventouse of forceps to deliver the baby, in case the heartbeat of the baby is slowing down and various such situations.
It is safer to allow the doctor to do an episiotomy than to try delivery without the cut especially if the perineum is not stretched. If the perineum is not well stretched, then the muscles may tear leading to a tear through important structures like the anal sphincter and that will not only be difficult to repair but also affect function in the future.
The episiotomy is safe and once stitched and healed, will not have any long term implications. In some cases, there may be swelling, excess bleeding, infection and delayed healing. This may happen in anaemia, diabetics, instrumental delivery, and where vaginal manipulation may have been done eg manual removal of placenta.
After the delivery you must look after the episiotomy. You must keep the area clean and dry. You can apply a simple anti-septic cream in the area. Hot or cold fomentation and sitz bath can help reduce the pain and the swelling in the first few days.
You must avoid sex till the stitches have healed and ideally till the bleeding has stopped. It is advisable to avoid tampons in the post delivery period.
Episiotomy is safe, helps to deliver the baby and in most cases, heals well.
Whilst you are breast feeding it is advisable to have a healthy well balanced diet, drink plenty of water, take the supplements and avoid foods that can cause diarrhea / gas and distension in the baby.
It is important to look after the breast and the nipples. One should cleanse and wipe them dry after the feed. Keep the nipples well moisturized so that they do not crack. If a crack develops then one can use a nipple shield. It is easily available at the chemist. It is important to note that if the breast has a lump that persists, or it feels red hot tender to touch then one must report to the doctor.
EXPERIENCE
TREATMENT
Copyright © 2022 Tendulkar Medicare - Designed & Developed by TLPGLOBUS SOLUTIONS PRIVATE LIMITED.