Laceration Extension in Median and Mediolateral Episiotomy

Clinical evaluation of peripartum outcomes of mediolateral versus lateral episiotomy.

OBJECTIVE To evaluate the incidence and extent of vaginal and perineal trauma among primiparous women after mediolateral and lateral episiotomy. METHODS In a prospective randomized study at University Hospital Pilsen, Czech Republic, 790 consecutive primiparous women were enrolled between April 2010 and April 2012. Mediolateral episiotomy (MLE) followed an angle of at least 60° from the midli...

Clinical evaluation of early postpartum pain and healing outcomes after mediolateral versus lateral episiotomy.

OBJECTIVE To evaluate short-term perineal pain among primiparous women after mediolateral episiotomy (MLE) and lateral episiotomy (LE). METHODS The prospective randomized study was conducted in the Czech Republic during 2010-2012. Consecutive primiparous women who gave birth at or after 37 weeks of pregnancy and had indications for an episiotomy were enrolled and randomly assigned to undergo ...

Evaluation of accuracy of mediolateral episiotomy incisions using a training model.

BACKGROUND Episiotomy is one of the most commonly performed surgical procedures worldwide. In the UK the use of episiotomy is selective, rather than routine, and a right mediolateral episiotomy (RMLE) is considered standard practice. According to The National Institute of Health and Care Excellence (NICE, 2007) guideline for intrapartum care such an episiotomy should be cut at an angle between ...

Cutting a mediolateral episiotomy at the correct angle: evaluation of a new device, the Episcissors-60

BACKGROUND Anal incontinence is nine times more prevalent in women than in men due to obstetric anal sphincter injury (OASI). OASI is linked to midline episiotomies and mediolateral episiotomies with post-delivery angles of <30 and >60 degrees. Studies show that doctors and midwives are unable to correctly "eyeball" the safe angle required due to perineal stretching by the fetal head at crownin...

Low-cost simulation models for teaching episiotomy/laceration repair and venous cutdown.