Maternal inactivity during delivery is most likely to result in side cuts”

　　“"Episiotomy" refers to "episiotomy", which is to make an incision in the perineum of a woman giving birth naturally to help deliver the baby. The third affiliated school of Guangzhou Medical College Hospital Yang Jie, deputy director of the obstetrics department, said this statement is too alarmist. Whether episiotomy is necessary depends on the pregnant woman, fetus It depends.

　　Nowadays, many mothers who need to undergo lateral incision have practical reasons: modern mothers lack exercise, their labor force and vaginal contraction are not enough, and the fetus cannot be delivered.； Some pregnant women have excessive nutrition, which makes the fetus too large. ； In addition, there are more and more elderly mothers. These are the reasons why the use of "lateral incision" is so widespread. It cannot be considered that the mother has been "exposed".

　　If the mother does not exercise, the fetus cannot be born without side incision.

　　Yang Jie said that during delivery, the fetus should be Uterus Come out, pass through the vagina and then fall to the ground. Even if it is a natural delivery, the midwife must decide whether to "cut" the mother's perineum based on the mother's condition.

　　Although the vagina can expand, if the fetus is too large, with the diameter of the fetal head and body reaching 10 cm, it is particularly likely to cause perineal tears in the mother. In severe cases, it may also cause sequelae of vaginal prolapse and incontinence. Therefore, midwives perform episiotomy for the mother in time to prevent the perineum from being torn too seriously, which may affect healing and easily cause scarring. In addition, some fetuses are not in a good fetal position, and the doctor needs to rotate the fetal head during delivery to make the delivery process smooth. At this time, the perineum also had to be stabbed.

　　Yang Jie said that labor should end two hours after the cervix is ​​fully opened, because the fetus stays in the birth canal for too long, which not only easily damages the mother's pelvic floor muscles, but also easily causes vaginal swelling and urinary incontinence in the future. It can also cause hypoxia and even intracranial hemorrhage in the fetus. However, some parturients are not strong enough, or some older parturients are complicated by heart disease or pregnancy-induced hypertension, and cannot end delivery within 2 hours, so they have to undergo vaginectomy.

　　Yang Jie emphasized the importance of pre-pregnancy check-ups. She said that some pregnant women do not pay attention to pre-natal care. Gynecology After examination, it was found that there is inflammation in the vaginal area. Such mothers are more likely to cause vaginal opening tearing and uneven wounds during childbirth, which will affect wound sutures. Therefore, people with gynecological inflammation need episiotomy.