BACKGROUND Millions of women worldwide undergo perineal suturing after childbirth and the type of repair may have an impact on pain and healing. For more than 70 years, researchers have been suggesting that continuous non-locking suture techniques for repair of the vagina, perineal muscles and skin are associated with less perineal pain than traditional interrupted methods. OBJECTIVES To asse...

A 28-year-old primigravida undergoes a forceps delivery with a midline episiotomy for failure to progress in the second stage of labor. At birth, the infant weighs 4 kg (8.8 lb), and the episiotomy extends to the anal verge. The resident who delivered the child is uncertain whether the anal sphincter is involved in the injury and asks a consultant to examine the perineum. What should this exami...

Background: Pain and wound dehiscence cause physical emotional traumas, impacting the mothers' quality of life, mental health, maternal-child bonding. Objectives: The present study aimed to examine effect self-perineal care (SPC) education on episiotomy pain scores healing outcomes. Methods: A quasi-experimental design was used in this study. In third trimester, 125 primigravida mothers attende...

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 ...

Aim: The aim of the study was to find a relationship between episiotomy and prevalence of urinary incontinence in women. The obtained results were compared with those in women who suffered 1stor 2nd-degree perineal tears during childbirth and those with an intact perineum. Design: Cross sectional study. Methods: The sample was made up of 211 women, who were 2-5 years after a spontaneous term ch...

Methods This is a prospective, double blind study. Fifty female patients, 20 to 50 (mean 35) years old, were evaluated in two study groups: group1 – 30 patients with vaginal delivery and episiotomy and group2 – 20 patients with caesarean operation and without episiotomy (control for episiotomy). The patient selection was done clinically. Pelvic magnetic resonance (1.5T) examinations with turbo ...

AIMS To analyze whether episiotomy affects the urogenital hiatal area and the difference in the hiatus at rest and during contraction, as an indirect measurement of the contractile capacity of the levator ani muscle. METHODS We performed an observational, comparative, retrospective study of primiparous women who had normal vaginal deliveries. The urogenital hiatal area was compared in women w...

OBJECTIVE to understand the episiotomy rate and its relationship with various clinical variables. METHOD a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. VARIABLES Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed wi...

DISCLOSURES: NONE ABSTRACT Background: The occurrence of labial fusion in an adult following episiotomy is rarely reported. Even though it is one of the simplest procedures performed in obstetric practice, an episiotomy may be complicated by labial fusion which results in difficulty in sexual intercourse and infertility. Case Report: She was a 23-year old Primipara who presented to the Gynaecol...