Episiotomies are a widespread practice that was introduced in the hospital routines without scientific evidence solid their effectiveness. The clinical trials show today that a tear natural always heals better and less pain than an episiotomy and causes less trauma perineal later, less need for sutures and complications. Women who have suffered an episiotomy are more likely to suffer from problems such as infections, movements, painful loss of urine or problems in sexual relations.
The obstetric physiotherapy is the best alternative for episiotomies. The specialists recommend starting the gymnastics prenatal from week 32 of gestation, with the aim of the woman arrives in the best conditions to the childbirth. In this regard the massages perineal and the realization of exercises with the so-called exercisers pelvic, have become the best alternative.
On the other hand, has claimed the figure of the physiotherapists obstetric and of the midwives, are the people that closer are of women during pregnancy: a time vital to the woman whose treatment may affect their quality of life later.




