Is routine episiotomy necessary?

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منابع مشابه

Outcomes of routine episiotomy: a systematic review.

CONTEXT Episiotomy at the time of vaginal birth is common. Practice patterns vary widely, as do professional opinions about maternal risks and benefits associated with routine use. OBJECTIVE To systematically review the best evidence available about maternal outcomes of routine vs restrictive use of episiotomy. EVIDENCE ACQUISITION We searched MEDLINE, Cumulative Index to Nursing and Allied...

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Selective versus routine use of episiotomy for vaginal birth

BACKGROUND Some clinicians believe that routine episiotomy, a surgical cut of the vagina and perineum, will prevent serious tears during childbirth. On the other hand, an episiotomy guarantees perineal trauma and sutures. OBJECTIVES To assess the effects on mother and baby of a policy of selective episiotomy ('only if needed') compared with a policy of routine episiotomy ('part of routine man...

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The cost-effectiveness of routine versus restrictive episiotomy in Argentina.

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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Is Routine Pregnancy Testing Necessary in Women with Suspected UTI?

Objective: To determine if women of reproductive age who present to the Emergency Department (ED) with urinary tract infection (UTI) symptoms can accurately predict their pregnancy status. Methods: We performed a retrospective study of women who presented to the ED with UTI symptoms (dysuria, frequency, or urgency). Consecutive females aged 18-49 years were referred from triage to a computer ki...

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Is routine nasogastric tube insertion necessary in pancreaticoduodenectomy?

PURPOSE The necessity of nasogastric decompression after abdominal surgical procedures has been increasingly questioned for several years. Traditionally, nasogastric decompression is a mandatory procedure after classical pancreaticoduodenectomy (PD); however, we still do not know whether or not it is necessary for PD. The present study was designed to assess the clinical benefit of nasogastric ...

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ژورنال

عنوان ژورنال: BMJ

سال: 1984

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.289.6440.317-c