You and your partner or birth companion can be involved in making decisions about your obstetrical care.
Some of the procedures described in this article were once carried out routinely. We now know, however, that certain procedures may be beneficial in certain circumstances, and other interventions should be abandoned altogether. Some interventions may be implemented when you give birth, but should be done in response to the needs of your particular situation.
Ask about your hospital or birthing center's policies on the various interventions. You should also ask your doctor or midwife about their beliefs and practices regarding these interventions. Knowing what your options are well before your due date will eliminate surprises and give you a chance to think them over.
Should a situation arise in which an intervention is suggested, you will have the knowledge to ask informed questions, such as:1. What are the benefits and risks?
Episiotomies do not appear to prevent severe tearing of the perineum, and may make tearing worse. Like a piece of cloth, skin will tear easier and further if cut first.
Research shows episiotomies are not less painful than tears, nor do they heal better. Episiotomies do not prevent urinary stress incontinence, nor do they improve sexual satisfaction after delivery.
Manual massage of the perineum before and during labour may help prevent tearing.
An amniotomy is the artificial rupturing of the membranes of the amniotic sac or 'water bag.' This is done to start or speed up labour. The membranes are broken using an instrument similar to a crochet hook.
This procedure will not hurt you or the baby. It is done during a vaginal examination. If the procedure is being done to begin labour, the exam may be more difficult than later on, as your labour progresses and the cervix is opened.
For some women, the water will break spontaneously before or during labour. For other women, labour progresses with the membranes intact. Therefore, amniotomy is only needed in certain situations.
Amniotomy in the early stages of labour has been shown to decrease the duration of labour by an average of one to one-and-a- half hours. Women have also reported experiencing fewer periods of 'excruciating' pain during labour following amniotomy.