a comparison between early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparous vaginal delivery
نویسندگان
چکیده
normal 0 false false false en-us x-none ar-sa background : routine episiotomy is a controversial issue among gynecologists. the aim of this study was to compare early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparus vaginal delivery. methods : in this descriptive cross-sectional study, two groups of primiparus normal vaginal delivery (nvd) cases with routine and restrictive episiotomy were studied. immediately and in the first 24 and 48 hours after delivery, specific charts were used to compare the two groups in terms of perineal laceration size, neonatal apgar score and post-delivery. for data analysis, spss was used to conduct student t-test and kruskal-wallis test. a p-value < 0.05 was considered significant. results : forty primiparus pregnant women were studied in each group. episiotomy was performed in 7.5% of the restrictive group. perineal laceration was measured as 3.68 ± 0.47 cm and 1.21 ± 1.1 in routine and restrictive episiotomy groups, respectively (p < 0.05). intact perineum or first-degree laceration was seen in 80% of the restrictive group. however, second- and third-degree laceration were respectively observed in 75% and 15% of the routine episiotomy group (p < 0.05). pain relief (immediately, 24 and 48 hours after delivery) was significantly higher in the restrictive group (p < 0.05). on the contrary, no significant differences in apgar scores at the first and fifth minutes after birth was found between the two groups (p > 0.05). conclusions : restrictive episiotomy results in low maternal complications. therefore, avoiding routine episiotomy in unnecessary conditions would increase the rate of intact perineal and minor perineal trauma and reduce postpartum delivery pain with no adverse effects neither on maternal nor neonatal morbidities. keywords : episiotomy, normal vaginal delivery (nvd), perineal laceration.
منابع مشابه
A comparison between early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparous vaginal delivery
BACKGROUND Routine episiotomy is a controversial issue among gynecologists. The aim of this study was to compare early maternal and neonatal complications of restrictive episiotomy and routine episiotomy in primiparus vaginal delivery. METHODS In this descriptive cross-sectional study, two groups of primiparus normal vaginal delivery (NVD) cases with routine and restrictive episiotomy were st...
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OBJECTIVE This article provides the estimates of the cost implications of switching from routine to restrictive episiotomy in 2 provinces in Argentina (Santa Fe and Salta) from the viewpoint of the health provider. STUDY DESIGN A decision-tree model was constructed that used the probabilities and patient outcomes (the results of a trial in Argentina), resource use, cost, and local epidemiolog...
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OBJECTIVE To compare the maternal and neonatal outcomes of operative vaginal delivery in relation to the use of episiotomy. DESIGN Pilot randomised controlled trial (RCT). SETTING Two urban maternity units in Scotland and England. SAMPLE Nulliparous women anticipating a singleton cephalic vaginal delivery were recruited in the antenatal period. METHODS If an operative vaginal delivery w...
متن کاملSelective versus routine use of episiotomy for vaginal birth
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متن کاملLong- and short-term complications of episiotomy
Although extensively applied in obstetrics practice to facilitate delivery by increasing the vaginal birth conduit, most episiotomy studies are in the context of short- or medium-term outcomes, and the number of studies investigating the long-term effects is insufficient. Episiotomy is often considered associated with urinary and/or anal incontinence and dyspareunia; however, there is no concre...
متن کاملAnal incontinence, urinary incontinence and sexual problems in primiparous women – a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury
BACKGROUND Obstetric anal sphincter injuries (OASIS) might cause anal incontinence (AI) and sexual dysfunction, and might be associated with urinary incontinence (UI). Episiotomy has been identified both as a risk and a protective factor of OASIS. Lately, episiotomies with specific characteristics have shown to be protective against the risk of OASIS. However, little is known about episiotomy c...
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عنوان ژورنال:
journal of research in medical sciencesجلد ۱۶، شماره ۱۲، صفحات ۰-۰
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