Brains On!® is a science podcast for curious kids and adults from American Public Media. Each week, a different kid co-host joins Molly Bloom to find answers to fascinating questions about the world sent in by listeners. Like, do dogs know they’re dogs? Or, why do feet stink? Plus, we have mystery sounds for you to guess, songs for you to dance to, and lots of facts -- all checked by experts.
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Вміст надано The Virtual Midwife. Весь вміст подкастів, включаючи епізоди, графіку та описи подкастів, завантажується та надається безпосередньо компанією The Virtual Midwife або його партнером по платформі подкастів. Якщо ви вважаєте, що хтось використовує ваш захищений авторським правом твір без вашого дозволу, ви можете виконати процедуру, описану тут https://uk.player.fm/legal.
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7: How to avoid an unnecessary episiotomy
Manage episode 236245102 series 2509831
Вміст надано The Virtual Midwife. Весь вміст подкастів, включаючи епізоди, графіку та описи подкастів, завантажується та надається безпосередньо компанією The Virtual Midwife або його партнером по платформі подкастів. Якщо ви вважаєте, що хтось використовує ваш захищений авторським правом твір без вашого дозволу, ви можете виконати процедуру, описану тут https://uk.player.fm/legal.
It's an uncomfortable conversation. You may be told that a cut is better than a tear but a tear sounds terrifying!
A recent Cochrane systematic review examining the evidence on selective versus routine episiotomies for vaginal birth concluded:
A recent Cochrane systematic review examining the evidence on selective versus routine episiotomies for vaginal birth concluded:
“Overall, the findings show that selective use of episiotomy in women (where a normal delivery without forceps is anticipated) means that fewer women have severe perineal trauma. Thus the rationale for conducting routine episiotomies to prevent severe perineal trauma is not justified by current evidence, and we could not identify any benefits of routine episiotomy for the baby or the mother.”
Despite this recommendation, health workers sometimes encounter institutional barriers that pressure them to perform the procedure. Fear of a woman developing a third or fourth degree perineal tear and a lack of proper training can also contribute to high episiotomy rates.
Evidence shows that episiotomies do not protect the perineum during birth and in fact increase the chance of a third or fourth degree tear. Once the cut is done the baby’s head emerging causes the cut to tear deeper into the muscle. Tears will heal much better than episiotomies as well. The scar tissue from an episiotomy can be weaker but will not restrict the perineum’s ability to stretch in future births. A previous episiotomy is not an automatic reason for an elective c-section.
In this episode I talk about some of the things that you can do to prevent an unnecessary episiotomy. Please connect with me on my Facebook page so that you can be kept up to date with the extensive resources that I am putting together for you about episiotomy.
Evidence shows that episiotomies do not protect the perineum during birth and in fact increase the chance of a third or fourth degree tear. Once the cut is done the baby’s head emerging causes the cut to tear deeper into the muscle. Tears will heal much better than episiotomies as well. The scar tissue from an episiotomy can be weaker but will not restrict the perineum’s ability to stretch in future births. A previous episiotomy is not an automatic reason for an elective c-section.
In this episode I talk about some of the things that you can do to prevent an unnecessary episiotomy. Please connect with me on my Facebook page so that you can be kept up to date with the extensive resources that I am putting together for you about episiotomy.
102 епізодів
Manage episode 236245102 series 2509831
Вміст надано The Virtual Midwife. Весь вміст подкастів, включаючи епізоди, графіку та описи подкастів, завантажується та надається безпосередньо компанією The Virtual Midwife або його партнером по платформі подкастів. Якщо ви вважаєте, що хтось використовує ваш захищений авторським правом твір без вашого дозволу, ви можете виконати процедуру, описану тут https://uk.player.fm/legal.
It's an uncomfortable conversation. You may be told that a cut is better than a tear but a tear sounds terrifying!
A recent Cochrane systematic review examining the evidence on selective versus routine episiotomies for vaginal birth concluded:
A recent Cochrane systematic review examining the evidence on selective versus routine episiotomies for vaginal birth concluded:
“Overall, the findings show that selective use of episiotomy in women (where a normal delivery without forceps is anticipated) means that fewer women have severe perineal trauma. Thus the rationale for conducting routine episiotomies to prevent severe perineal trauma is not justified by current evidence, and we could not identify any benefits of routine episiotomy for the baby or the mother.”
Despite this recommendation, health workers sometimes encounter institutional barriers that pressure them to perform the procedure. Fear of a woman developing a third or fourth degree perineal tear and a lack of proper training can also contribute to high episiotomy rates.
Evidence shows that episiotomies do not protect the perineum during birth and in fact increase the chance of a third or fourth degree tear. Once the cut is done the baby’s head emerging causes the cut to tear deeper into the muscle. Tears will heal much better than episiotomies as well. The scar tissue from an episiotomy can be weaker but will not restrict the perineum’s ability to stretch in future births. A previous episiotomy is not an automatic reason for an elective c-section.
In this episode I talk about some of the things that you can do to prevent an unnecessary episiotomy. Please connect with me on my Facebook page so that you can be kept up to date with the extensive resources that I am putting together for you about episiotomy.
Evidence shows that episiotomies do not protect the perineum during birth and in fact increase the chance of a third or fourth degree tear. Once the cut is done the baby’s head emerging causes the cut to tear deeper into the muscle. Tears will heal much better than episiotomies as well. The scar tissue from an episiotomy can be weaker but will not restrict the perineum’s ability to stretch in future births. A previous episiotomy is not an automatic reason for an elective c-section.
In this episode I talk about some of the things that you can do to prevent an unnecessary episiotomy. Please connect with me on my Facebook page so that you can be kept up to date with the extensive resources that I am putting together for you about episiotomy.
102 епізодів
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