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Ass i sted B I RTH

Episiotomy

An episiotomy is a surgical incision made in the perineum which is the space between the vagina and the anus. An episiotomy is not considered a routine procedure. Your healthcare provider will assess your perineum as the head is crowning. Talk to your healthcare provider about the procedure and any concerns you may have.

The repair of the episiotomy and any tears of your birth canal tissue will be done after the delivery of the placenta. If you have an epidural, you will not feel the repair. If you experience discomfort, more local anesthetic can always be infiltrated into the tissue to block any unpleasant sensation during the repair.

Forceps

Forceps are not routinely used for birth. They are most frequently used in situations where a vaginal birth is felt to be safer than a cesarean birth. They can be used when the mother needs assistance in pushing her baby under the pubic bone or through the lower part of the birth canal. These metal “salad spoons” or blades are gently inserted into the vagina around the baby’s head by your healthcare provider, one blade at a time. The forceps cradle your baby’s head. The 2 blades lock in place and as you have a contraction and bear down, the healthcare provider will carefully pull on the forceps to guide the baby through the vagina.

Common Reasons For Use Of Forceps:

• Maternal exhaustion.

• Inability to push because of epidural anesthesia. • Persistent posterior position of the baby’s head.

• Fetal distress in which the head is low enough in the pelvis to be delivered safely and more quickly than a cesarean birth.

The blades are gently inserted into the vagina around the baby’s head.

The Gift of Motherhood – your personal journey through prepared childbirth 68

he perineum is the space between th vagina and the anus where the episiotomy is performed.

Vaginal Opening

Anus Midline Incision

Mediolateral Incision

Mediolateral Midline

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