Restricted use of episiotomy

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...

Perineal outcome after restrictive use of episiotomy in primi-gravidas.

INTRODUCTION Episiotomy is a common obstetrical practice that is believed to prevent severe lacerations. Principles of evidence based medicine raises questions on the utility of routine episiotomy. METHODS A prospective observational study was conducted in primi gravidas coming to Tansen Mission Hospital for delivery who were not offered episiotomy sticking to the protocol of restrictive use ...

The use of episiotomy in obstetrical care: a systematic review.

Outcomes assessed in the review Studies that assessed relevant postpartum and longer term outcomes were eligible for inclusion. Postpartum outcomes included pain, need for suturing, blood loss or transfusion, infection, wound breakdown, satisfaction with birth experience, incontinence and sexual concerns and/or dysfunction. Longer term outcomes included pelvic floor defects, incontinence and de...

[For or against episiotomy? Against episiotomy].

Restricted use of IMP DDT

At the recent workshop on "Automated Resource Sharing on the ARPANET", considerable interest was expressed on the topic of network security. In particular, representatives of several sites felt that uncontrolled use of IMP DDT made access control mechanisms quite vulnerable to interception or tampering.* Individuals at the workshop seemed to be in general agreement that use of DDT should be muc...