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Learn about the types of episiotomy and what to expect during and The procedure can increase the risk of infection and other complications.

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Episiotomy, also known as perineotomy, is a surgical incision of the perineum and the posterior There are four main types of episiotomy: Medio-lateral: The incision is made downward and outward from the midpoint of the fourchette either to the right or left.

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Having an episiotomy or suffering a tear during childbirth is common. During childbirth, the vagina stretches to enable the baby to be born. A tear happens when the baby stretches the vagina during birth to the point at which the skin of the perineum strains and then tears.

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Midline Episiotomy: This type of episiotomy involves an incision from the vagina straight down towards the anus. This type of episiotomy is less.

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When the baby is in distress (fetal distress); other indications for episiotomy are not evidence-based and are proven to do more harm than good.

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This picture serves for a comparison of the locations of different types of episiotomy. The right side for the 'J'‐shaped, mediolateral and lateral.