Routine versus selective episiotomies causing severe perineal tears

An episiotomy is an incision of the vaginal introitus to avoid natural tearing, and it is typically performed either posteriorly at midline or ...

Selective versus routine use of episiotomy for vaginal birth - PMC

Some clinicians believe that routine episiotomy, a surgical cut of the vagina and perineum, will prevent serious tears during childbirth. On the other hand, ...

Objective: To determine if the use of routine episiotomies decreases the rate of severe perineal tears in comparison to selective episiotomies during ...

Selective versus routine use of episiotomy for vaginal birth - Cochrane

The results showed no clear difference in severe perineal trauma between the restrictive and routine use of episiotomy. Women's views on the ...

Selective versus routine use of episiotomy for vaginal births in ...

Studies have shown that the routine use of episiotomy is associated with a higher prevalence of posterior wall perineal tear and severe perineal ...

A Systematic Review of the Use of Routine Versus Selective ...

that focused on the effects on mother and baby of a policy of selective episiotomy compared with a routine episiotomy for vaginal birth. The ...

Article Routine vs selective episiotomy: a randomised controlled trial

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. Severe ...

Selective episiotomy vs. implementation of a non-episiotomy protocol

The presence of complications with perineal suturing (edema, ecchymosis, hyperemia, secretion, hematoma, dehiscence, perineal pain and infection) ...

Does routine episiotomy reduce severe perineal trauma?

No, routine use of episiotomy increases the risk of perineal or vaginal trauma by 30% compared with selective use of episiotomy.

Routine episiotomy versus selective episiotomy in nulliparous ...

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

The impact of selective episiotomy on maternal short-term morbidity

Episiotomies are also associated with severe bleeding, severe perineal tears, infection, haematoma, and wound dehiscence. However, long-term complications ...

Outcomes of Routine Episiotomy: A Systematic Review | Pregnancy

With this caveat, relevant studies are consistent in demonstrating no benefit from episiotomy for prevention of fecal and urinary incontinence ...

The Safety of Selective Episiotomy Compared to Routine Episiotomy ...

against severe perineal tears or maternal and newborn morbidity and was not superior to a selected policy (11). Episiotomy may also be ...

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

Rates of severe perineal tears and episiotomies are indicators of obstetrical quality of care, but their use for international comparisons is ...

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

Episiotomy and perineal tears presumed to be imminent: the influence on the urethral pressure profile, analmanometric and other pelvic floor findings ‐ follow‐ ...

The Safety of Selective Episiotomy Compared to Routine Episiotomy ...

Conclusion: In comparison to conventional episiotomy, selective episiotomy is equally risky for severe perineal/vaginal trauma. In Egypt, obstetric and tertiary ...

Impact of Selective vs Routine Midline Episiotomy and Lacerations ...

Study examines the impact of reduced episiotomy rates on obstetric anal sphincter tears. Findings show an increase in lacerations, regardless of episiotomy ...

Routine versus selective use of episiotomy in primigravida

... and 75 to. 100 mm, severe pain. In this study, no correlation ... second degree tear and 2% have 3rd or 4th degree perineal tear. This ...

Advancing an Evidence-Based Approach to Episiotomy

Outdated clinical guidelines previously recommended the routine use of episiotomy to avoid natural vaginal tearing. Over the past two decades, a ...

Selective versus routine use of episiotomy for vaginal birth

This updated review includes 12 studies in women in labour for whom a vaginal birth was intended, and one in women where an assisted birth was anticipated, ...