The Truth About Episiotomy: Tips No One Will Share

Mar 05, 2022

The Truth About Episiotomy: Tips No One Will Share

Pregnancy & motherhood is a beautiful phase no doubt. This is also a phase where you will learn a whole new set of English words about your body. Every visit to the doctor you will be introduced to a new set. So, equipping yourself with this jargon will help you have a more meaningful conversation with your doctor. Episiotomy is one such word that every pregnant woman should know.

Also read : Postpartum Incontinence – How To Deal With It?

What Is Episiotomy? 

The muscle between the vagina and the anus is called the perineum. A surgical cut to this muscle is called Episiotomy. It helps the baby to come out easily during childbirth if the vagina is not stretching enough. In India, episiotomy is a fairly routine part of childbirth. It is better that you talk to your gynaecologist/obstetrician about it during the last few weeks of your pregnancy so that you are better prepared. You can read about the must-haves in your hospital bag here.

Also read : 7 Must-Have Hospital Bag Essentials For New Moms

Why Is Episiotomy Required? 

Your obstetrician might suggest episiotomy

  • If there are complications & the baby needs to come out quickly.
  • It’s your first baby.
  • Your baby is large.
  • If your perineum is not stretching during labour.

How Can You Avoid It? 

Make sure that you talk to your obstetrician if you are having concerns about having an episiotomy. Here are ways you can avoid it.

  • Perineal massage during the last few weeks of pregnancy helps stretch it.
  • Relaxation or lamaze techniques help.
  • Upright position puts pressure on the perineum and helps stretch it, however, if you have had an epidural, lie on the side.
  • While the process of episiotomy might not hurt, the recovery might hurt you. Talk to your doctor about the painkillers you can take.

How Long After An Episiotomy Can You Have Sex?

You should take about a month till the stitches fully heal and after that, you can have sex. Tips before you start having sex.
Also read : How To Have Safe Sex During Pregnancy?

  • Do check with your doctor if you have fully healed.
  • Use a lubricant as you might feel tenderness or tightness.
  • Stay relaxed and ensure there is a lot of foreplay.
  • Do consult your doctor if you bleed or have a lot of pain after sex.


Episiotomy also known as perineotomy is a surgical procedure that involves a cut made in the perineum(the muscle between the vagina and the anus). It is only advised to women who are having complicated childbirth, has a premature baby, or if the baby is huge. While healing you will be needing some time when you face discomfort, try to be positive and take painkillers. Although having an episiotomy is entirely up to you, if it's truly required, you cannot avoid it.

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