Advice for Women About Avoiding Routine Episiotomy
As early as possible in pregnancy:
Choose your maternity caregiver and birth setting wisely, and be sure that you will get support for your goals relating to episiotomy and other maternity practices. Talk with your caregiver about their use of episiotomy. A caregiver's caution about use of this intervention is a good sign; a caregiver's enthusiasm is a cause for concern.
Before labor, be sure that your caregivers and those who will provide you with labor support understand your wishes about episiotomy. Ask your labor support team to plan to remind you and your caregiver about your wishes just before the baby is born. During labor, tell your caregiver your wishes. Some providers cut episiotomies without any discussion and without obtaining your permission. During the pushing phase of labor and before your baby's head stretches your perineum, you and your labor support team should be very clear about your wishes.
Understand and be prepared to exercise your maternity rights, including your right to informed consent and informed refusal.
Responsibilities of health professionals and health systemsChildbirth Connection believes that health professionals and systems are responsible for:
Most recent page update: 3/6/2006
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Founded in 1918, Childbirth Connection has joined forces with and become a core program of the National Partnership for Women & Families. Together, these two women's health powerhouses are transforming maternity care in the United States.
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Check out our resource, "Hormonal Physiology of Childbearing: Evidence and Implications for Women, Babies, and Maternity Care"
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