complications and related factors in epithelial zyatvmy primiparous referred to hospitals in tehran: a longitudinal study for three months k khajvy shojaei , a dvaty , f zayeri received: abstract background & aims: episiotomy is one of the most commonly performed procedures in obstetrics approximately 33%of women giving vaginally in 2000 had an episiotomy, but the best technique of episiotomy a...

This review addresses the effects of childbirth on the pelvic floor, urinary continence mechanisms and the perineum. Genitourinary prolapse affects 15% of women and stress incontinence 20–30%. The major risk factors are age and childbirth, with severity increasing with parity. There are three mechanisms of support for the pelvic organs and bladder neck. These are (i) the muscular component: lev...

background: post episiotomy pain affects a large number of women after the delivery. the common method for pain relief is using oral non-steroidal anti-inflammatory drugs. considering the side effects of these medicines, the aim of present study was to compare the effects of indomethacin suppository and mefenamic acid capsule on post episiotomy pain. methods: in a clinical trial study, sixty wo...

Background: Pain is one of the side effects of episiotomy. The virtual reality (VR) is a non-pharmacological method for pain relief. The purpose of this study was to determine the effect of using video glasses on pain reduction in primiparity women during episiotomy repair.Methods: This clinical trial was conducted on 30 primiparous parturient women having labor at Omolbanin Hospital (Mashhad, ...

Episiotomy consists of incising the perineum to widen birth canal, and its practice was historically introduced in 18th century (1742) by Sir Fielding Ould 1 , an Irish obstetrician, help fetal head delivery difficult births. 2 In 1847, Dubois suggested performing oblique incision perineum, modernly known as mediolateral episiotomy (Figure 2). However, procedure did not gain popularity 19th due...

Yet, literature review shows little evidence to this. Episiotomy may predispose the gravid woman to thirdand fourth-degree lacerations. It could therefore be argued if this intervention is beneficial [5]. In fact, routine execution of episiotomy is now increasingly subjected to doubt, as much as its role as a protective factor against pelvic floor disorders. Another issue that is more considere...

One thousand women were allocated at random to one of two perineal management policies, both intended to minimise trauma during spontaneous vaginal delivery. In one the aim was to restrict episiotomy to fetal indications; in the other the operation was to be used more liberally to prevent perineal tears. The resultant episiotomy rates were 10% and 51% respectively. An intact perineum was more c...

background & aim: episiotomy is a common medical procedure for widening the perineum. in fact, perineal pain is the most common complaint after episiotomy. therefore, it is important to determine factors associated with postoperative pain following episiotomy in order to provide comfort for women after delivery. this study aimed to investigate factors associated with postoperative pain followin...