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Episiotomy - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Episiotomy - Medical Animation
MEDICAL ANIMATION TRANSCRIPT:
If you are having a vaginal delivery, your doctor may perform an episiotomy to enlarge the vaginal opening. During pregnancy, your baby grows inside your uterus or womb and is nourished by the placenta. When your baby is ready to be born, labor begins. During labor, your uterus squeezes or contracts to push your baby through the open cervix and into the vagina, which expands to allow your baby to pass through and be born. An episiotomy may be done in an effort to avoid spontaneous tearing during delivery if your baby is large or in the breech position, labor is going too quickly, or if instruments, such as forceps or a vacuum extractor are needed to remove your baby from the birth canal. An episiotomy may be done to help speed up delivery if your labor is going too slowly or if you or the baby are in distress. If you have not already received anesthesia before your delivery, your doctor will inject medication to numb your vaginal opening and perineum, which is the area separating the vagina and anus. Using surgical scissors, your doctor will make a 1- to 3-inch midline or mediolateral incision in the perineum. A midline incision extends straight down from the vagina toward the anus. A mediolateral incision is made on an angle from the vagina in the direction of the anus. The benefit of the mediolateral incision is that it is less likely to tear through to the anus. The downside, however, is that it can also be more painful and take longer to heal. Once your doctor delivers your baby and the placenta, he or she will close the episiotomy incision with stitches. These stitches will be absorbed by your body and do not need to be removed. An episiotomy usually heals without complications, although it may take several weeks. Within the first 24 hours, your nurse will likely help you apply ice packs to the stitches.

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What attorneys say about MLA and The Doe Report:
"[I] have come to rely upon the Doe Report and your great staff of illustrators for all my medical malpractice cases. … Please know that I enthusiastically recommend you to all my colleagues.

Frank Rothermel
Bernhardt & Rothermel
"It is with great enthusiasm that I recommend Medical Legal Art. We have used their services for three years and always found their professionalism, quality of work, and timely attention to detail to exceed our expectations. We recently settled two complicated catastrophic injury cases. One medical malpractice case involving a spinal abscess settled for 3.75 million and the other involving injuries related to a motor vehicle accident settled for 6.9 million. We consider the artwork provided by MLA to have been invaluable in helping us to successfully conclude these cases.

I highly recommend MLA to anyone seeking high quality, detailed medical legal artwork."

E. Marcus Davis, Esq.
Davis Zipperman, Krischenbaum & Lotito
Atlanta, GA
www.emarcusdavis.com

"Thank you for the splendid medical-legal art work you did for us in the case of a young girl who was blinded by a bb pellet. As a result of your graphic illustrations of this tragic injury, we were able to persuade the insurance company to increase their initial offer of $75,000.00 to $475,000.00, just short of their policy limits.

We simply wanted you to know how pleased we were with your work which, to repeat, was of superlative character, and to let you know that we would be more than willing to serve as a reference in case you ever need one. Many thanks for an extraordinary and dramatic depiction of a very serious injury which clearly "catapulted" the insurance company's offer to a "full and fair" amount to settle this case."

Philip C. Coulter
Coulter &Coulter
Roanoke, VA

"I wanted to take some time out to let you know what a wonderful job you did with the 'collapsed lung/fractured rib' illustrations. They were both detailed and accurate. My medical expert was comfortable working with them and he spent at least an hour explaining to the jury the anatomy of the lungs, the ribs and the injuries depicted in the illustrations. Needless to say, the jury was riveted to the doctor during his testimony.

The jury returned a verdict for $800,000.00 and I'm sure we would not have done so well if not for the visualizations we were able to put forth with your assistance. Lastly, my special thanks to Alice [Senior Medical Illustrator] who stayed late on Friday night and patiently dealt with my last minute revisions."

Daniel J. Costello
Proner & Proner
New York, NY













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