Ep 299: How to Protect Your Power and Avoid an Unnecessary Episiotomy

Episiotomy is not routine anymore, but it hasn't gone away. If it's done without your consent or because your doctor's in a hurry, that’s a problem. So let's talk about it! Because when you understand what an episiotomy really is, when it's actually needed, and how to protect yourself from one that isn't needed, that's when you step into your power.

I first covered this topic back in 2020 but I want to circle back to it because I’d like to come out harder with my thoughts on consent, power, how doctors' habits can shape your birth, and things you can do to protect yourself. So whether this is brand new for you or something you've heard horror stories about, stay with me because I'm giving you the real deal on what to watch out for in labor so nothing is done to you without your consent.

In this Episode, You’ll Learn About:

• What the biggest predictor of whether you will get an episiotomy is
• Why it’s important to discuss your doctor’s approach ahead of time
• How rates have changed over time
• What the two types are and how they differ
• When it may actually be necessary — and how rare that is
• What language during labor can signal an episiotomy is about to happen
• What the healing process is like and when to seek pelvic floor support

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Full website notes: drnicolerankins.com/episode299

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Free Resources to Help You Birth With Power

Get the support, clarity, and confidence you deserve. Download any of my free tools designed to help you prepare for a calmer, confident, and more empowered hospital birth:

• Hospital Tour Scorecard — Know exactly what to look for so you can choose the right hospital

• How to Tell If Your OB Is Right for You — Ask the right questions and spot red flags early

• Labor Pain Management Playbook — Learn the tools and strategies I teach my own patients

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