The term “extra stitch” is a phrase used in public discussion to describe a controversial practice alleged to occur during the repair of the perineum following childbirth. This colloquial name refers to an additional suture placed beyond what is medically necessary to close a tear or incision. The practice has garnered attention because it is widely alleged to be performed without the patient’s knowledge or consent. This article defines the practice and explores the significant ethical and health concerns it raises.
Defining the “Extra Stitch” and Standard Perineal Repair
The “extra stitch” is commonly known as the “Husband Stitch” or “Daddy Stitch” in non-medical contexts. This terminology describes a non-medically indicated tightening of the vaginal opening, or introitus, during the repair of a perineal laceration or an episiotomy. The intent of this extra suture is to narrow the vaginal entrance, based on the misconception that it would increase sexual pleasure for a male partner.
Standard perineal repair is a necessary medical procedure performed after a vaginal delivery resulting in a tear (laceration) or requiring a surgical incision (episiotomy). Lacerations are classified by degree, from first-degree (involving only the skin) to fourth-degree (extending into the anal sphincter and rectal mucosa). The purpose of this repair is strictly functional and anatomical: to restore tissue integrity, minimize pain, and promote proper healing.
Medically necessary suturing aims to bring skin and muscle tissues back together to facilitate natural healing. The alleged “extra stitch,” however, goes beyond this therapeutic requirement, introducing unnecessary constriction. This practice is not supported by medical literature and is viewed as an outdated, unapproved procedure.
Alleged Non-Medical Intent and Informed Consent
The controversy stems from the alleged intent: prioritizing a third party’s perceived pleasure over the patient’s health and recovery. The procedure is rooted in the patriarchal notion that a woman’s body should be modified for a partner’s sexual satisfaction, a concept with no basis in modern obstetrics. This motivation directly violates the core principle of patient-centered care.
Since the tightening suture offers no therapeutic benefit, performing it without explicit approval constitutes a profound ethical violation. Informed consent is a fundamental requirement in medicine, demanding that a patient be fully apprised of the procedure’s nature, risks, benefits, and alternatives. A lack of consent for a non-therapeutic procedure can be considered a form of medical battery or malpractice.
Historically, this practice may have emerged from a time of greater medical paternalism, where a physician’s judgment or a partner’s request superseded a patient’s bodily autonomy. Today, any procedure performed without a patient’s explicit, documented consent is a clear breach of medical ethics and professional standards.
Patient Impact and Recovery Concerns
Patients who allege they have received this extra suture often experience significant, long-term negative consequences, both physical and psychological. The primary physical complaint is chronic pain, particularly dyspareunia, or painful intercourse. The unnatural tightness caused by the superfluous stitch can make sexual activity uncomfortable or impossible.
Excessive suturing can lead to complications, including problematic scar tissue formation, vulvar and vaginal pain, and the potential for tissue tearing during sexual activity. The tightness can also complicate future gynecological examinations and cause persistent discomfort while standing or walking. The procedure offers no functional or cosmetic benefit, as vaginal tone is determined by the strength of the pelvic floor muscles, not the size of the introitus.
The psychological aftermath can be equally damaging, leading to feelings of betrayal, trauma, and a profound loss of bodily autonomy. Experiencing a non-consensual procedure during a vulnerable postpartum state can contribute to anxiety and avoidance of sexual intimacy. Medical consensus affirms that this practice is unethical and underscores the necessity of clear communication and patient advocacy throughout postpartum care.