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5:20 Indications - Rigid Perineum eg. elderly primiGravida Anticipating Tear - Forceps, Vaccum Perineal repair

Episiotomy Timing kzread.info/dash/bejne/lHmhpqOje5W4n9I.html

Wahh ma'am wahh .. helpful for my upcoming externals :)

The Plastic Surgeon's technique of 'skin tissue expansion,' gradual and most importantly painless, skin stretching, applied to the vaginal opening, with the 4 fingers of both hands pulling sideways, over 7 consecutive days, from 26 weeks, achieving 10cm diameter prior to birth, or even up to the second stage of birth, makes the destructive cruel episiotomy totally avoidable/obsolete. As 10cm is the maximal opening of the pelvic outlet. Wikipedia UK 'Perineal massage' being the traditional way of aiding a natural birth, with no damage to mum or baby. It avoids the possibility of death of mum from the complications of an episiotomy: notably, sepsis following 'necrotising fasciitis', and haemorrhagic shock, as the pelvic floor muscles have a good blood supply and bleed briskly and are not sutured immediately by skin-glue, so exacerbate the blood loss of detachment of the placenta in a prolonger labour, with resulting atonic uterus. It is rapidly losing favour, as it is destructive of the pelvic floor muscles, the foundation of the lower abdomen, so worse than FGM, predisposing to prolapse of urinary bladder anteriorly, the large bowel posteriorly and uterus around the menopause, when the uterus enlarges with fibroids and prolapse down through this weak spot and mums describe the intense burning pain when passing urine, every 4 hours, into this full thickness penetrating wound of the lower abdomen, over the first 1 days as it starts to heal, as torture. Yet it is totally avoidable. The associated antibiotic use hastens the day when bacteria will be resistant to antibiotics and invasive routine surgery will be a thing of the past. KZread video 'Childbirth explained for kids, from floor to trapdoor to floor, thanks to the property of muscle', ass once the fibrous coat of the pelvic floor muscles has been stretched, the muscles can stretch to 3 times their original length without damage. Epi-no and Aniball birth trainers now exist.

Mam if i have any doubts can u explain persenally

Episiotomy is considered part of Normal Vaginal Birth

Indications

Hi