Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations Episiotomia seletiva nos dias atuais: indicações, técnica e associação com lacerações perineais graves
نویسندگان
چکیده
1Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil 2Department of Maternity, Hospital das Clínicas, UFMG, Belo Horizonte, MG, Brazil 3Department of Tocogynecology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil 4Division of Obstetrics, Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Campinas, SP, Brazil
منابع مشابه
Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations.
Introduction Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the "humanization of childbirth". The scientific literature indicates that episiotomy should not be performed routinely, but selectively. Objectives To review the literature in order to assess whether the imple...
متن کاملAssociation between median episiotomy and severe perineal lacerations in primiparous women.
OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...
متن کاملPerineal body length and perineal lacerations during delivery in primigravid patients.
This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 wee...
متن کاملتأثیر ماساژ پرینه طی مرحله دوم زایمان بر میزان اپی‌زیاتومی و پارگی پرینه
Background & Aim: Routine episiotomy is often considered unnecessary. Episiotomy is associated with short- and long-term morbidities such as suturing, possible bleeding, infection, urinary and fecal incontinences, and dyspareunia. It has also adverse effects on self-esteem and mother-infant bonding. This study aimed to determine the effect of perineal massage during second stage of labor on per...
متن کاملPerineal 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 ...
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تاریخ انتشار 2016