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Advancing an Evidence|Based Approach to Episiotomy


Advancing an Evidence-Based Approach to Episiotomy

Episiotomies—incisions made between the vagina and anus during childbirth—have long been a topic of debate among clinicians, researchers and ...

Episiotomy - StatPearls - NCBI Bookshelf

Episiotomy is a surgical incision made in the perineum as the patient is actively pushing to facilitate delivery using either scissors or a ...

Promoting Respectful Maternity Care by Reducing Unnecessary ...

... evidence-based care as policy and routine practice in Vietnam and similar settings. Keywords: episiotomy, vaginal childbirth, early ...

Episiotomy: An Evidence-Based Approach - LWW

Historically, obstetricians felt that cutting an episiotomy would decrease the incidence of third- and fourth-degree vaginal lacerations, minimize neonatal ...

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

based obstetric practice worldwide, rates of episiotomies have ... that there are no objective evidence-based criteria for recommending ...

Episiotomy: An Evidence-Based Approach - ResearchGate

Background: Increased use of operative vaginal delivery (use of forceps, vacuum or other device) has been recommended to address high rates of cesarean delivery ...

Episiotomy - International Childbirth Education Association

most advanced forms, FGM severely restricts the vaginal outlet, and both ... Episiotomy Practice: Evidence-based Medicine in Action. Expert Review of ...

Outcomes of Routine Episiotomy: A Systematic Review | Pregnancy

Episiotomy became routine practice well before emphasis on using outcomes research to inform practice. In seeking to establish an evidence base ...

Episiotomy and Repair Technique - Medscape Reference

In an episiotomy, the perineum is incised with scissors or a scalpel as the infant's head is crowning. Two types of episiotomy have been ...

Understanding the perspectives and values of midwives ... - BMJ Open

The most important contributor to episiotomy practice found in our study was the vision of care providers on childbirth and episiotomy. This was rather more ...

Selective versus routine use of episiotomy for vaginal birth - Jiang, H

The review thus demonstrates that believing that routine episiotomy reduces perineal/vaginal trauma is not justified by current evidence.

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

(2001). Evidence-based obstetrics in four hospitals in China: an observational study to explore clinical practice, wom- en's preferences and provider's views.

Does routine episiotomy reduce severe perineal trauma?

The guideline was created using both evidence-based data and expert opinion. They recommend selective episiotomy use over routine episiotomy, stating that this ...

Current approach to episiotomy: Inevitable or unnecessary?

An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant.

Magnitude of episiotomy practice and associated factors among ...

More than two-fifth of women who gave birth incurred episiotomy during delivery. Parity, 1st min Apgar score, presence of maternal medical ...

Knowledge, attitude and experience of episiotomy practice among ...

We have reason to believe that older obstetricians are less likely to persist and be aware of evidence-based medicine. Klein et al 52 found that obstetricians ...

Factors related to episiotomy practice: an evidence-based medicine ...

Episiotomy practice is influenced by many factors studied in the scientific literature. Evidence-based medicine has isolated many factors ...

Changes in episiotomy practice: evidence-based medicine in action

In this review, we examine the evidence that led to changing episiotomy practices and the debate that has surrounded episiotomy. By doing so, we can not only ...

Medline ® Abstracts for References 27,28 of 'Approach to episiotomy'

OBJECTIVE To assess the effect of lateral episiotomy, compared with no episiotomy, on obstetric anal sphincter injury in nulliparous women requiring vacuum ...

A nationwide cross-sectional survey of episiotomy practice in China

The World Health Organization and professional societies recommended restrictive over routine episiotomy since 1990s, given the evidence on the ...