The incision, which can be done at a 90 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva (medio-lateral episiotomy), is performed under local anesthetic (pudendal anesthesia), and is sutured closed after delivery.
Hamstring hyperextension can occur during exercise and stretching. The hamstrings are a group of muscles found at the back of the thigh. Three muscles are in this group: the biceps femoris, the semitendinosus and the semimembranosus. The function of these muscles is to bend the knee and to extend the hip. It is common for these muscles to become hyperextended and injured.
Muscle overload is the main cause of hamstring muscle strain. This can happen when the muscle is stretched beyond its capacity or challenged with a sudden load. Hamstring muscle strains often occur when the muscle lengthens as it contracts, or shortens.