OBJECTIVE This randomized double-blinded control trial was conducted to compare the effectiveness of tramodol and placebo rectal suppository for the management of postpartum perineal pain after perineorrhaphy. MATERIAL AND METHOD One hundred women who gave birth vaginally with episiotomy and a second- or third-degree tear, were randomly assign to receive two tablets oftramadol 50 mg or two ta...

OBJECTIVE This study was performed to determine the rate of episiotomy. MATERIAL AND METHODS This retrospective was conducted in 3 state hospitals located in 3 cities in the Central Anatolia region of Turkey. Ethics committee approval was received for this study. Also, institutional permissions from the institutions where the study was conducted were obtained before the study. The sample of t...

OBJECTIVE The objective our study was to compare the respective effects of water and traditional delivery on birthing women and newborns. PATIENTS AND METHODS 120 primiparas with singlet pregnancy, head-down foetus position, and term delivery were randomly divided into two groups. Sixty birthing women were included in traditional delivery group, while other sixty women underwent water deliver...

BACKGROUND Previous studies have shown that complaints after episiotomy repair depend on the method and material used for repair. The objective of our study was to determine which of two frequently used suture materials, Monocryl® (poliglecaprone 25) and Vicryl Rapide™ (polyglactin 910), is superior for intracutaneous closure of the skin in mediolateral episiotomies. METHODS In a randomized c...

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 o...

Episiotomy is used almost routinely in vaginal deliveries in Sri Lanka and the norm is for it to be performed without anaesthesia. This is due to the popular belief that episiotomy could be performed painlessly without anaesthesia if it is performed at the peak of a contraction when the perineum is at full stretch. This practice is also convenient, since nurses and midwives involved in normal d...

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...