DAY (3) Session 3 Myths and episiotomies: The unkindest cut of all?
Learning objective: • To find and interpret the appropriate evidence in a relevant systematic review Day 3 -Session 3
Misconceptions Truth, lies and the unexpected in the journey to motherhood Naomi Wolf (Chatto and Windus, London)
Excerpts: pages 145, 146. • …a “routine” cut in the perineum that widens the birth outlet • …many women remember it as the most painful and traumatic part of a medicated hospital birth
And yet more….. • The arguments for episiotomy are: • to prevent severe tears in the perineum that extend to the anus and/or rectum. • to prevent long-term damage to the pelvic floor. • to protect the baby from adverse consequences of an extended second stage of labour.
And more... • But the risks are: • blood loss • infection • pain • painful sexual intercourse • emotional trauma
Eva’s defence: • Break into groups and appoint a chairperson and a writer/reporter before you begin • Take 10 minutes to consult the systematic review entitled: “Episiotomy for vaginal birth” which is included in this manual in the appendices • Take 10 minutes to write a paragraph in defence of Eva