What is a common acute complication of an episiotomy?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

An episiotomy is a surgical incision made in the perineum during childbirth to facilitate delivery and prevent tearing. While this procedure can be beneficial, it carries certain risks. One of the common acute complications associated with an episiotomy is dehiscence, which refers to the reopening of the incision site.

Dehiscence can occur due to several factors, such as tension on the suture line, infection, or inadequate healing. It results in a failure of the tissue to properly heal, potentially leading to complications such as delayed wound healing or increased risk of infection. Recognizing and addressing dehiscence promptly is crucial to ensure proper healing and to prevent further complications.

Other potential complications exist, like fecal incontinence and recto-vaginal fistula, but these are generally associated with more significant or chronic damage rather than acute issues. Chronic pelvic pain can arise from various factors, but it is not classified as a common acute complication resulting directly from an episiotomy. Thus, dehiscence is a well-recognized acute complication of an episiotomy that directly relates to the surgical aspect of the procedure.

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