Chronique Santé : L’épisiotomie (Par Dr Abdoulaye DIOP- Gynécologue Obstétricien)

Chronique Santé : L’épisiotomie (Par Dr Abdoulaye DIOP- Gynécologue Obstétricien)

L’épisiotomie est une incision sur le périnée de la femme, au moment du dégagement de la tête du bébé, pendant l‘accouchement.

Ce geste, très traumatisant psychologiquement et physiquement empêche bien des femmes de dormir plusieurs mois avant leur accouchement.
Démystifions ce geste ensemble:

1. Faut savoir que d’abord l’épisio n’est pas obligatoire.
Il est fait lorsqu’il y’a un risque de déchirure du périnée, déchirure qui pourrait toucher l’orifice urinaire ou l’orifice anal et être alors responsable de fuites urinaires ou fécales!

Si l’accoucheur constate ce risque , il fait une incision oblique, évitant ainsi ces 2 orifices.

2. L’épisio peut ne pas être douloureuse, si elle est faite lorsque la tête du bébé est bien couronnée ou en cas de péridurale ou même lorsqu’on fait une petite anesthésie locale avant d’inciser. D’ailleurs certaines femmes vivent très bien leur episio si elle a été bien faite et bien réparée.

3. L’épisio est quasi obligatoire chez les femmes excisées car le risque de déchirure en étoile souvent grave est important.

4. Il existe de très bons médicaments pour lutter contre les douleurs après episio avec des suppositoires, des pommades, des savons intimes et des antibiotiques.

5. Enfin il faut discuter avec votre gyneco ou votre sage-femme de la nécessité ou non de faire une episio car parfois on peut laisser le périnée se déchirer légèrement plutôt que de faire une grande incision traumatisante.

Dr Abdoulaye Diop

Toubibadakar

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