Routine versus selective episiotomies causing severe perineal tears

Pelvic floor dysfunction one year after first childbirth in relation to ...

Variations in rates of severe perineal tears and episiotomies in 20 ... Selective versus routine use of episiotomy for vaginal birth.

Nurse Advocacy for Selective Versus Routine Episiotomy

Furthermore, the suggested advantages of routine episiotomy are challenged easily and the surgery is not without risks. Adverse effects arising from episiotomy ...

Selective vs routine midline episiotomy for the prevention of third

In the group of 223 patients who underwent routine episiotomy, 32 (14.3%) had third- or fourth-degree perineal lacerations, as compared to 15 (6.8%) in the ...

The impact of super-selective episiotomy on maternal short-term ...

The adjusted odds ratio of severe perineal tears was 0.99 (0.95 CI 0.30, 3.26 p-value 0.98). Multivariate linear regression showed that episiotomies increased ...

a randomised controlled trial. Lancet 1993; 342: 1517-1518. - CIANE

Episiotomy was done in 30.1% of deliveries in the selective, and 82.6% in the routine group. The main outcome measure was severe perineal trauma ...

819.full.pdf - Saudi Medical Journal

and fourth degree perineal tears in primigravida in routine versus selective mediolateral episiotomy. Secondly, to determine the rate of episiotomy in local.

Selective Episiotomy: Indications, Techinique, and Association with ...

... episiotomy, otherwise we would return to the dilemma of routine versus selective episiotomy. ... cases of severe perineal laceration in the ...

Variations in rates of severe perineal tears and episiotomies in 20 ...

A randomised controlled trial of routine versus ... Selective episiotomy vs implementation of a non episiotomy protocol: a randomized clinical ...

Episiotomy - Physiopedia

It is done to reduce the incidence of severe perineal tears (third and fourth-degree) during labor. ... Inadequate or ineffective suturing of episiotomies and ...

Selective versus routine use of episiotomy for vaginal birth - Scribd

... and perineum, will prevent serious tears during childbirth. On the other hand, an episiotomy guarantees perineal trauma and sutures. Objectives. To assess ...

Risk Factors in Third and Fourth Degree Perineal Tears in Women in ...

More specific studies that can establish the differences in risk for severe tearing between different instrumental procedures would be desirable. In relation to ...

A Systematic Review of the Use of Routine Versus ... - Cureus

... severe perineal tears ... This systematic review compared the maternal and newborn outcomes of routine versus selective episiotomy during vaginal ...

Maternal and Foetal Outcome in Routine versus Selective Use of ...

of severe perineal tears ... Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women.

Cochrane - Portal de Boas Práticas

... versus routine episiotomy (all), Outcome 5 Severe vaginal/perineal trauma. ... and only do it for fetal indications or if severe perineal.

Episiotomy: When it's needed, when it's not - Mayo Clinic

For some, an episiotomy causes pain during sex in the months after delivery. A midline episiotomy puts you at risk of fourth-degree vaginal tearing. This ...

Episiotomy and perineal tears - NHS

Sometimes a woman's perineum may tear as their baby comes out. In some births, an episiotomy can help to prevent a severe tear or speed up delivery if the baby ...

Episiotomy in Modern Obstetrics OR Episiotomy: It's Time to Stop ...

Current evidence shows that routine episiotomy is not supported in clinical practice and a recent World Health Organization (WHO) guideline strongly recommends ...

Long- and short-term complications of episiotomy

Some publications reported that selective episiotomy decreased the likelihood of 3rd or 4th degree perineal lacerations;(12) whereas, in a large observational ...

Standardizing indications for episiotomy: a narrative review of ...

Both selective and routine episiotomy may make little or no difference to blood ... (2017) Selective versus routine use of episiotomy for vaginal birth.

Routine episiotomy versus selective episiotomy in nulliparous ... - Gale

More women in selective episiotomy group suffered from anterior vaginal wall tear (22% versus 54% p<0.0001). There was no difference among the groups in Apgar ...