An episiotomy is a cut made between the vagina and rectum, in the area called the perineum. It is made to enlarge the vaginal opening and thus allow the baby to deliver more easily without tearing the perineal or vaginal tissues. The Example shown is called a mid-line episiotomy. It is the most comfortable and easily healed. Whether you need an episiotomy will depend on the amount of tissue in your perineum, the size of the baby and your care giver's judgement on whether you are going to tear.
Tears are much more difficult to heal than clean edged cuts.
The perineal tissue can be stretched using massage and mineral oil as you are pushing. The baby's head will stretch the perineum also. All rights reserved.