Certified Medical Magazine by WMA, ACSA, HON
FAQs
0
Menu

What risks or complications could episiotomy involve?

By Dra. Lydia Pilar Suárez.
Last Update: 09/24/2019

An episiotomy is a minor surgery that increases the opening of the vagina for fetal outflow during delivery. It involves cutting the vaginal mucosa as well as the skin and muscles of the perineum.

Like another surgical wound, the risks of episiotomy are the same as those of other deep incisions, but taking into account the location of the same in the perineal region where the patient urinates or makes a bowel movement. In addition, during the postpartum period there is a "quarantine" characterized by a genital bleeding of about a month and a half of duration that always keeps the area moist.

Consequently, we may find the following complications:

  • Enlargement of the cut, into the vagina including the anus rectum.
  • Bleeding or bruising.
  • Infection, due to the fact that many bacteria live in the genital area.
  • Edema.
  • Painful cicatrization: the points that are applied for the closure "pull" and bother the patient.
  • Dyspareunia: pain during sexual intercourse time after complete healing.

Usual clinical practice avoids performing an episiotomy whenever possible by weighing risks/benefits intrapartum.

Suggested for you: What is Episiotomy and How Can It be Prevented?.

Dra. Lydia Pilar Suárez
Dra. Lydia Pilar Suárez
Gynecologist
Bachelor degree in Medicine and Surgery at the Universidad de Oviedo in Asturias. Specialization in Obstetrics and Gynecology at the University Hospital of San Carlos de Madrid. Master in Assisted Reproduction at the University of Rey Juan Carlos in collaboration with the Valencian Fertility Clinic IVI.
Zulassungsnummer: 64136
Gynecologist. Bachelor degree in Medicine and Surgery at the Universidad de Oviedo in Asturias. Specialization in Obstetrics and Gynecology at the University Hospital of San Carlos de Madrid. Master in Assisted Reproduction at the University of Rey Juan Carlos in collaboration with the Valencian Fertility Clinic IVI. Zulassungsnummer: 64136.
We use own cookies and third party cookies to offer you personalized ads and gather statistical data. If you continue the navigation we understand that you accept our cookies policy.