<u>Applying ice packs to the perineum</u> will minimize edema and lessen discomfort of a client required with an extensive episiotomy because her newborn was large.
<h3>What is an episiotomy?</h3>
An episiotomy is a cut (incision) through the area between your vagimal opening and your anus. This area is called the perineum. This procedure is done to make your vagimal opening larger for childbirth.
Normally, once the baby's head is seen, your healthcare provider will ease your baby's head and chin out of your vagimal. Once the baby's head is out, the shoulders and the rest of the body follow.
Sometimes the vagimal opening does not stretch enough for the baby's head. In this case, an episiotomy aids your healthcare provider in delivering your baby. It's important to make a surgical incision rather than letting the tissue tear. Your provider will usually do an episiotomy when the baby's head has stretched your vagimal opening to several centimeters.
Once you deliver the placenta, your healthcare provider will stitch the cut. If you don't have an epidural, your provider may inject a numbing medicine into the perineum. This will numb it before the provider repairs the episiotomy.
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