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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.
"We are extremely pleased with the quality of the medical exhibits and the
timely manner in which they were provided. I will certainly recommend
your company to my business associates who could benefit from your services.
Please tell Brian Wilson [Director of Content Development, Senior Medical
Illustrator] that he did an exceptional job on these exhibits."
K. Henderson
Dunaway and Associates
Anderson, SC
"Our firm was able to settle our case at an all day mediation yesterday and
I am confident that the detail and overall appearance of the medical
illustrations significantly contributed to the settlement. When we require
medical illustrations in the future, I will be sure to contact [MLA]."
Noel Turner, III
Burts, Turner, Rhodes & Thompson
Spartanburg, SC
"Thank you very much for the great work on the medical exhibits. Our trial
resulted in a $16 million verdict for a 9 year old boy with catastrophic
injuries, and the medical illustrations definitely played key role in the
trial."
David Cutt
Brayton Purcell
Salt Lake City, UT
"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."
Donald W. Marcari Marcari Russotto & Spencer, P.C. Chesapeake, VA
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.