Episiotomy and the second stage of labour.
نویسنده
چکیده
The use of episiotomy emerged with the advent of "modern obstetrics". Few of the benefits attributed to it have been sustained by scientific study. The author of this article explores the interrelationship between episiotomy and other interventions in the second stage of labour and makes a plea for a reassessment of our management of this stage of labour. In particular, he questions the place of episiotomy in the prevention of pelvic floor relaxation.
منابع مشابه
مقایسه اثر وضعیت خوابیده و پهلو با لیتوتومی در مرحله دوم زایمان بر صدمات پرینه زنان نخست زا
Background and purpose : The purpose of this study was to assess the effects of left lateral position compared with lithotomy position in the second stage of labour on nulliparous women perineal trauma. Materials and Methods : In this clinical, randomised trial 100 primiparous women with singleton fetus and vertex presentation had vaginal delivery at two hospitals of Nishbour, Iran in 2001...
متن کاملEpisiotomy: who gets one and why.
Data was collected about the mother, the infant and the pregnancy in women who had an episiotomy performed at delivery, and those who did not, in one district hospital and two community hospitals. Factors predisposing mothers to episiotomy were sought and compared in the different hospitals. Traditional indications for episiotomy, such as a large baby and a small mother, were found to be less i...
متن کاملProspective randomised multicentre trial with the birth trainer EPI-NO for the prevention of perineal trauma.
BACKGROUND In several non-randomised trials training with EPI-NO increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers. AIMS To verify the preliminary results with EPI-NO in a prospective randomised trial. METHODS Randomised, single-blind multicentre trial in four university hospitals in Germany including 2...
متن کاملA comparative study to assess the effectiveness of medicated and non-medicated sitz bath on episiotomy wound healing among postnatal mothers at govt. Smgs maternity hospital, Jammu (J&K)
Episiotomy is a common surgical planned incision on the perineum and the posterior vaginal wall during the second stage of labour to enlarge the vaginal introitus so as to facilitate easy and safe delivery of the fetus, to minimize the overstretching and rupture of perineal muscles and fascia and to reduce the stress and strain on the fetal head. Episiotomy also helpful in reduction in duration...
متن کاملتأثیر ماساژ پرینه طی مرحله دوم زایمان بر میزان اپی‌زیاتومی و پارگی پرینه
Background & Aim: Routine episiotomy is often considered unnecessary. Episiotomy is associated with short- and long-term morbidities such as suturing, possible bleeding, infection, urinary and fecal incontinences, and dyspareunia. It has also adverse effects on self-esteem and mother-infant bonding. This study aimed to determine the effect of perineal massage during second stage of labor on per...
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عنوان ژورنال:
- Canadian family physician Medecin de famille canadien
دوره 34 شماره
صفحات -
تاریخ انتشار 1988