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...

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...

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...

Background: Episiotomy is a common perineum incision preformed to facilitate the delivery. Although it was commonly performed especially in primigravida women, the new trend is to limit episiotomies as much as possible. This study aimed to find out the rate of episiotomy and to compare the rate in primigravida vs multigravida at King Abdulaziz university hospital. Methods: A retrospective chart...

The incidence of episiotomy continues to be high in Asian countries, therefore perineal episiotomy wounds commonly occur in women during labor. The assessment of perineal wounds is an important aspect of routine care women receive during the postpartum period. The purpose of this study was to compare the effectiveness of self perineal care (Group 2) and aseptic perineal care (Group 1) in healin...

OBJECTIVES To estimate the independent association of episiotomy with obstetric anal sphincter injuries (OASIS) using first a cross-sectional and then a matched pair analysis. DESIGN A matched cohort. SETTING Data was gathered from the Finnish Medical Birth Register from 2004-2011. POPULATION All singleton vaginal births (n = 303,758). METHODS Women resulting matched pairs (n = 63,925) ...

Background: Postpartum period is a very crucial period caring for mother especially mother who had under gone episiotomy. It is a painful and discomfort during puerperial period. Infra red therapy is effective for episiotomy wound healing. Objectives: To assess the condition of episiotomy wound among post natal mothers in experimental and control group. To evaluate the effectiveness of infra re...

OBJECTIVES To establish the epidemiological variables associated with episiotomies and their puerperal complications at Ahmadu Bello University Teaching Hospital Zaria, in order to institute appropriate management including preventive measures. DESIGN A prospective cohort study. SETTING Ahmadu cello University Teaching Hospital, Zaria, Nigeria. METHODS A cohort of all consecutive patients...

BACKGROUND The role of episiotomy as a protective factor against pelvic floor disorders postpartum has been debated for many years, but its routine use has been hitherto discouraged in the literature. Comparisons between restrictive and routine use of episiotomy in existent literature, however, fail to include any consideration relating to quality of life. The aim of this study, therefore, is t...