14 de maio

episiotomia, 23 semanas e o resto

por luíza diener

o que é episiotomia?
é uma incisão feita na parte inferior da vulva para aumentar-lhe o diâmetro e deixar passar a cabeça da criança no momento da expulsão. é efetuada pelo médico quase sempre com a ajuda de uma tesoura. corta-se ao mesmo tempo a parede vaginal e o músculo. a incisão pode ser mediana, entre a vulva e o ânus, ou médio-lateral, em direção à nádega. a episiotomia é realizada no momento de uma investida, quando a pressão da cabeça da criança provoca uma espécie de anestesia fisiológica, o que torna a intervenção quase indolor. quando se efetua antes da fase da expulsão, pode ser dada a anestesia local. a episiotomia é costurada após o delivramento (a expulsão da placenta). a costura é feita em três planos separados: vaginal, muscular e cutâneo. (quando o corpo consente, ed. martins fontes)

e aí que eu já me decidi em ter parto normal (melhor que seja natural). não tenho medo da dor do parto, de não dar conta ou qualquer coisa do tipo. acho que nascemos pra isso e nosso corpo consegue sim. mas estou simplesmente morrendo de medo de dar a louca na médica e ela me fazer a tal episiotomia (por mais que já tenhamos conversado sobre isso). ou, mesmo que não faça, to com medo de ficar naturalmente toda rasgada lá. minha vagina é muito preciosa, gente! prontofalei!

**

benjamin – que hoje completa 23 semanas – está bem. mexendo muito pela manhã e mais calminho no resto do dia. de vez em quando dá umas mexidas bem engraçadas, mas parece que está tudo nos conformes.
sexta que vem o veremos novamente na ultrassom. contando os dias!
a mamãe aqui também está ótima – exceto pelo fato de não conseguir ficar muito tempo sentada que já começa a doer na costela direita. a médica falou que é normal.
resultado: não consigo ficar nem meia hora assim que já tenho que ficar em pé ou deitar. por causa disso não tenho conseguido ficar muito tempo em frente ao computador, seja pra atualizar o blog, checar emails, responder comentários ou visitar outros blogs. mil desculpas a todos pela semi-ausência!

**

será que sou só eu que acho hiper invasivo colocar música na barriga pro bebê ouvir? será que a culpa é minha, por não gostar muito de escutar música?
perdões pra quem acha isso legal, mas meu filho já vai ouvir tanto barulho na vida externa que prefiro deixar ele quietinho pelos próximos meses.

**

hora de render-se às calças para gestantes.
o problema não é a coxa nem a bunda. é a pança que não cabe mesmo. toda vez que senta, enche o saco.
mas experimentei umas que couberam e até que ficam bonitas, quando não aparece aquele elástico da barriga. oi, me vê duas dessa jeans?

**

ótimo fim de semana a todos!

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264 Comentários »

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    Comentário by Lonnie Birchfield — novembro 29, 1999 @ 9:00 pm

  2. O macaquinho foi o grand finale! adorei!

    Comentário by HilanDiener — maio 14, 2010 @ 8:51 pm

  3. Lu, a episio é muito ruim no pós-parto, principalmente na 1a semana, mas não danifica sua "preciosa vagina" ad eternum não, pode ficar sossegada ;) É normal que haja uma pequena laceração, mas dizem que não é nada de mais (no meu caso teve episio). Eu fiz exercícios no períneo durante toda a gestação e massagem nas 4 últimas semanas. Recomendo, viu? A médica cortou por causa de intercorrências na hora do expulsivo, mas disse "seu períneo estava resistindo muito bem". E, particularmente, acho que me ajudaram na cicatrização. Depois se quiser te mando um material que ensina a fazer a massagem.

    Comentário by lia — maio 14, 2010 @ 8:58 pm

  4. ahhh fotos em preto e branco ficam lindas no blog.
    Pode ver como funciona bem!

    Comentário by HilanDiener — maio 14, 2010 @ 9:05 pm

  5. Ei Luíza
    =]
    Tomara que vc consiga o parto natural, sem a episio!
    E enquanto isso vai curtindo o Benjamin aí no barrigão!
    Beijoss

    Comentário by Ana Luísa — maio 14, 2010 @ 9:12 pm

  6. Oi Luíza, eu não tive episiotomia, tive uma laceraçãozinha, e o médico deu dois pontinhos que saíram em menos de 15 dias. Tranquilo… A idéia dos exercícios e da massagem é boa!

    Bjs e bom fim de semana pra vocês!

    Comentário by Carolina Pombo — maio 14, 2010 @ 9:24 pm

  7. Oie, vi seu blog linkado no da Carol e adorei. Adorei mais ainda o nome, que é o nome do meu namorido, hihi.

    Eu fiz parto normal sem episio, teve micro-laceração que nem precisaria de ponto, levei dois porque o médico explicou que cicatrizaria mais rápido. Lá no meu blog tem o relato do meu parto, que foi maravilha, se vc quiser ver.

    Bjos

    Comentário by Thais Bessa — maio 14, 2010 @ 9:33 pm

  8. Olá estou seguindo seu blog. Eu tb queria parto normal o mais natural possivel kkk Brincava que ia ter o bebe no onibus, viajo 1 hora ate a escola onde dou aula. Falei com o medico para so fazer cesaria ou episio sse for necessario kkk fiz hidro e yoga mas… minha bolsa estourou, esperei 10 h e nao tive contrações nem dilatação. Tive que fazer cesaria kkk É bom estar preparada para todas as opções. Bjs Cy

    Comentário by cynthia — maio 14, 2010 @ 9:42 pm

  9. Oi Luíza, tudo bem? Eu ainda não conversei com minha médica sobre o parto, mas por conta de um probleminha que tenho provavelmente será cesárea. Mas se eu pudesse também tentaria o parto normal. Com relação às músicas, eu também não sou muito adepta a essa prática de colocar música para o bebê ouvir. Beijos e bom final de semana!

    Comentário by Claudia — maio 14, 2010 @ 10:36 pm

  10. Morro de medo de parto normal. Eu sei que é estranho isso, mas é a mais pura verdade. A partir de agora só vou chamar vagina de preciosa kkkkkkkk.. Tomara que vc consiga o seu PN. Sobre a música na barriga, tmb não curto. Já é muito barulhento dentro da barriga, afinal ele escuta todos os nossos órgão funcionando e soma-se isso a nossa voz mais as das pessoas que falam com a gente.

    Bom findi pra vcs. Bjsss

    Comentário by Tathy — maio 14, 2010 @ 10:38 pm

  11. ah super entendo você ter medo. meu medo de só uma parte dele já me faz pensar em desistir…
    pois é, deixe para os bebês o canto natural do ventre que já tá de bom tom. :) *** bom fds

    Comentário by luíza diener — maio 14, 2010 @ 11:25 pm

  12. foi o que eu conversei com a minha médica também.
    falei que vou arrumar uma doula e ficar em casa controlando as contrações e dilatação e só vou aparecer no hospital quando já estiver pra parir, pq não quero parto induzido nem nada.
    quanto à anestesia, ainda estou pensando. ehhehehe.

    mas se tiver que ser cesariana, quero estar pronta pra não ficar frustrada também.

    valeu, cynthia! :) **

    Comentário by luíza diener — maio 14, 2010 @ 11:27 pm

  13. vou correr pra ler. isso pra mim é quase um sonho. :) ***

    Comentário by luíza diener — maio 14, 2010 @ 11:28 pm

  14. Luíza, também super recomendo o parto normal, tive a gabi assim. Tive episio que nem a Lia. E os exercicios de Kegel são otimos, e depois do parto ajudam na volta da preciosa ao normal. E não se preocupe que não estraga não, se não ninguem que fez PN engravidaria de novo né?
    Super apóio a idéia da doula, eu não tive(acho que nem existe na minha mini city) e acabei indo pro hospital no começo do TP, pois não sabia como estava a dilatação. Outra coisa boa é scolher bem o hospital, não precisa ser o mais chique(normalmente mais adepto a cesáreas), mas que seja a favor da humanização.

    boa sorte
    Beijos

    P.S: Outra coisa, com o PN a gente volta a 'usar' a preciosa mais rapido, já que, se vc fizer pontos, eles caem naturalmente. E olha, aqui em casa até melhorou depois da gabi, sabia?

    Comentário by Amanda — maio 15, 2010 @ 12:28 am

  15. kkkkkkkkkkkk…ai Luíza, ri demais. Adorei vc dizer com todas as letras que sua vagina é muito preciosa. A minha tb é amiga. Por isso tb tenho esse medo de que o parto normal deixe tudo flácido lá embaixo. Fui lendo o lance da episio e ficando com uma angústia, ai…tomara mesmo que vc não precise dela, mesmo mesmo…
    p.s: essa conversa toda me lembrou do gollum falando no filme Senhor dos Anéis: “my precious”, kkkkkkkkkk…
    Beijocas!!

    Comentário by Dani — maio 16, 2010 @ 7:20 pm

  16. Oi Luíza! Eu tive um parto normal (natural) depois de três cesáreas! Tive laceração. Levei alguns pontos que começaram a cair com 4 dias e terminaram com uns 10 dias. Mas tive inflamação nos pontos e ficaram um pouco doendo, mas onde não inflamou nem cicatriz tem mais. Sério mesmo, eu não consigo achar onde foi a laceração e só fazem 29 dias que o Francisco nasceu.
    Você conhece as listas de discução na internet, no yahoogroups? Tem uma lista que chama Parto Nosso e é fantástica! Lá vc pode aprender muita coisa sobre parto natural e muitos mitos que levam à cesárea desnecessárea como por exemplo cordão enrolado, bolsa rota, passou do tempo heheeh
    Se vc quiser o link da lista me avisa que eu te passo! Ajuda muito a fugir da cesárea!!!!
    bjs

    Comentário by Larissa M Hernandes — maio 17, 2010 @ 12:22 am

  17. Oi Luíza! Eu sei que o assunto corre em torno da episiotomia, mas eu não posso falar pq nada sei. O Dan nasceu de cesárea pq não dilatei o suficiente. Foi meio decepcionante ter cesárea para mim, e até hoje eu acho que foi desleixo do médico e da maternidade. Por isso é tão importante mesmo conversar bem com sua médica. No mais, se vc não gosta de música pro Benjamin agora, tem quem aposte nisso:http://coruja.updateordie.com/gravidez/2010/05/ri…

    Uau! Surround system pro bebê já demais né não? Hahahaha, lembrei do seu post na hora, tem cada um…. Beijo e parabéns pelo blog cada vez mais lindão!

    Comentário by Leticia — maio 17, 2010 @ 3:26 am

  18. Ai Luiza, dependendo do médico, vc não vai ter episio, pq será cesárea!
    Sério mesmo, a esmagadora maioria dos médicos fazem cesáreas pelos motivos mais estúpidos.
    E , se deixar ter normal, vai ter o pacote completo de intervenções.

    tem um blog que só fala de episio, acho que é xoepisio.blogspot.com

    E sites bons pra quem quer parir, são o da partodoprincipio.com.br (lá vc encontra a lista de grupos de apoio, e faz TODA a diferença participar de grupos e listas de discussão!)
    maternidadeativa.com.br , amigasdoparto.com.br

    No meu blog tem uma lista de outrso sites pra quem busca parto normal, natural.

    Bjo!
    Cath da Laura (1a9m – PD)

    Comentário by Catherine — maio 17, 2010 @ 2:32 pm

  19. Oi Luíza! Realmente a episio se feita de forma incorreta ou desnecessária pode causar danos físicos e emocionais à mulher… o importante é se informar sobre ela, realizar exercícios de períneo e procurar um profissional para realizar um parto humanizado, pq o problema todo é que mtos médicos fazem a episio como rotina sendo que mtas vezes nem precisaria…

    Comentário by Maylu — maio 17, 2010 @ 3:13 pm

  20. Também fiquei morrendo de medo da episio e acabou não sendo necessária. Olá, Cheguei aqui através do blog Enquanto Esperamos e gostei muito do conteúdo e da arte . Estou linkando para não perder de vista. Abraço. Se puder , visitehttp://www.maeetudoigual.com.br

    abraço

    Comentário by @maeetudoigual — maio 18, 2010 @ 3:43 pm

  21. uh! ótimas notícias! ehehehhehe!

    antes achava esse negócio de doula uma besteira. mas quanto mais tenho me aprofundado no assunto, tenho achado ela indispensável. obrigada pelas dicas ;)

    Comentário by luíza diener — maio 18, 2010 @ 7:47 pm

  22. TODAS AS MENINAS, AGRADEÇO MUITÍSSIMO PELO APOIO E CONSELHO QUE VOCÊS ME DERAM.
    FIQUEI MUITO ANGUSTIADA COM ESSA HISTÓRIA DE EPISIOTOMIA, MAS CADA UMA ME TRANQUILIZOU DE UM JEITO, FOSSE CONTANDO SUA EXPERIÊNCIA DANDO DICAS OU APENAS APOIANDO.

    VOCÊS SÃO DEMAIS!

    desculpem por nao responder a todos os comentários. acho que desenvolvi uma espécie de TDAH gestacional. ahahhahahahah!

    Comentário by luíza diener — maio 18, 2010 @ 7:50 pm

  23. a música é meio zoing, mas achei tão singelo esse parto.. chorei quando ela ficou eufórica e abraçou o bebê. coisa linda demais! obrigada!!

    Comentário by luíza diener — maio 18, 2010 @ 10:06 pm

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