Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations

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Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations.

Introduction Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the "humanization of childbirth". The scientific literature indicates that episiotomy should not be performed routinely, but selectively. Objectives To review the literature in order to assess whether the imple...

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Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations Episiotomia seletiva nos dias atuais: indicações, técnica e associação com lacerações perineais graves

1Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil 2Department of Maternity, Hospital das Clínicas, UFMG, Belo Horizonte, MG, Brazil 3Department of Tocogynecology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil 4Division of Obstetrics, Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Campinas, SP, ...

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Association between median episiotomy and severe perineal lacerations in primiparous women.

OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

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Episiotomy and severe perineal trauma. Of science and fiction.

LES ÉTUDES CLINIQUES SUR L’ÉPISIOTOMIE comme facteur de risque de traumatismes graves du périnée prolifèrent depuis 20 ans. La plupart de ces recherches se font sous forme d’études par observation longitudinale, d’études par observation transversale et d’études cas–témoin. L’étude décrite par le Dr Michel Labrecque et ses collègues dans le présent numéro (page 797) allie une conception longitud...

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Episiotomy and Instrumental Delivery: Can Severe Perineal Injury Be Avoided?

Third degree perineal tears are a major complication in vaginal childbirth and are more frequent in vaginal operative deliveries (VOD). Several studies have reported on risk factors associated with severe perineal trauma and its complications such as fecal and urinary incontinence. Within this, the role performance and type of episiotomy remains controversial, especially if combined with VOD. A...

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ژورنال

عنوان ژورنال: Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics

سال: 2016

ISSN: 0100-7203,1806-9339

DOI: 10.1055/s-0036-1584942