(February 2009). An episiotomy (/ÉËpiËziËËÉtÉmiË/ or /ÉËpÉsaÉªËÉtÉmiË/), also known as perineotomy, is a surgical incision of the perineum and the posterior vaginal wall generally done by a midwife or obstetrician during second stage of labor to quickly enlarge the opening for the baby to pass through.
Hyperreflexia. Hyperreflexia is defined as overactive or overresponsive reflexes. Examples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways.See Autonomic dysreflexia.xamples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways.
Autonomic Dysreflexia is a condition that occurs in patients with a spinal cord injury of T6 and above (but has been seen in patients with injuries in T7-T10). It can be life threatening and its vitally important for any caregiver to understand the signs of Autonomic Dysreflexia so serious problems can be avoided. The way I usually define this condition for laymen is âhigh blood pressure that can cause seizures, stroke or even death.â