Which complication is NOT typically associated with acute episiotomies?

Acute episiotomies, which are surgical incisions made in the perineum during childbirth to facilitate delivery, are often associated with various complications. Among these, bleeding, hematoma formation, and necrotizing fasciitis can occur due to the nature of the incision and the surrounding tissue dynamics.

Bleeding is a common complication, as the incision can sever blood vessels. Hematomas, which are localized collections of blood outside of blood vessels, can also result from the rupture of these vessels during the procedure or in the postpartum period. Necrotizing fasciitis, while rare, can occur as an infection of the soft tissue surrounding the incision, especially if there is a delay in identifying and treating an infection.

Dyspareunia, or pain during intercourse, is typically considered more of a chronic complication related to the healing and the psychological aspects following the injury, rather than an immediate result of an acute episiotomy. It usually develops later and is not associated with the acute phase of the procedure. Therefore, it is the complication that is not typically linked with the immediate outcomes of acute episiotomies.