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Episiotomía - Medical Animation

 

This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.

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Episiotomía - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: Si va a tener un parto vaginal el doctor puede realizarle una episiotoma para agrandar la abertura vaginal. Durante el embarazo, el beb crece dentro del tero o matriz y se alimenta por la placenta. Cuando el beb est listo para nacer comienza el trabajo de parto. Durante el trabajo de parto, el tero se comprime o se contrae para empujar al beb a travs del cuello uterino abierto y hacia la vagina, la que se expande para permitir el paso del beb y su nacimiento. Se puede realizar una episiotoma a fin de evitar el desgarre espontneo durante el parto. Si el beb es grande o est de nalgas, si el trabajo de parto se est produciendo demasiado rpido o si se necesitan instrumentos como frceps o ventosa obsttrica para sacar al beb del canal de parto. Se puede realizar una episiotoma para ayudar a acelerar el parto. Si el trabajo de parto va demasiado lento o si usted o el beb estn sufriendo. Si no ha recibido anestesia antes del parto, el doctor le inyectar medicamento para adormecer la abertura vaginal y el perineo, que es el rea que separa la vagina del ano. El mdico utilizar una tijera quirrgica para realizar una incisin de entre una y tres pulgadas 2,5 y 7,5 centmetros en la lnea media o mediolateral del perineo. Una incisin en la lnea media se extiende de forma recta desde la vagina hacia el ano. Una incisin mediolateral se realiza en ngulos desde la vagina en la direccin del ano. La ventaja de la incisin mediolateral es que existe menor probabilidad de que se produzca un desgarro del ano. Sin embargo, la desventaja es que puede ser ms dolorosa y puede tardar ms en cicatrizar. Una vez que el mdico saca al beb y a la placenta, cerrar la incisin de la episiotoma con puntos. Estos puntos sern absorbidos por el propio cuerpo y no es necesario quitarlos. Por lo general, una episiotoma cicatriza sin complicaciones, aunque puede llevar varias semanas. Dentro de las primeras 24 horas, la enfermera probablemente la ayudar aplicarse bolsas de hielo en los puntos.

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