Thirty-eight-year-old lady, mother of two children, came to OPD with history of cyclic pain in the perineal region which was gradually increasing in intensity and duration for 1 year. Pain was intense in last 4 months. Pain was related to her menstrual cycles. She also gave history of itching over perineal region. She delivered her first child 10 years back with right mediolateral episiotomy fo...

conclusions the results showed the effectiveness of bromelain on episiotomy pain and wound healing. therefore, it is suggested to use bromelain in postoperative stage to improve wound healing and reduce pain. background ananas comosus has long been used for medical purposes. currently, we are experiencing an unprecedented interest in the use of complementary medicine as well as a growing attent...

Background:- Episiotomy or perineotomy is a minor surgical procedure performed in labour room to facilitate delivery of the baby and prevent injury perineum. The analysis statistics revealed that rate episiotomy was extremely high (87%).The wound related complications resulted extended hospital stay unsatisfactory birthing experience among delivered women. Methodology:- Different methods root c...

BACKGROUND Malignant transformation of endometriosis associated with episiotomy scar is a rare event, especially histological type of clear cell adenocarcinoma. There are only three clear cell carcinoma in episiotomy scar reported, no standard treatment established. CASE PRESENTATION A 36-year-old woman presented with a two-month history of painless but puritic perineal lump which she noticed...

Third degree perineal tears are a major complication in vaginal childbirth and are more frequent in vaginal operative deliveries (VOD). Several studies have reported on risk factors associated with severe perineal trauma and its complications such as fecal and urinary incontinence. Within this, the role performance and type of episiotomy remains controversial, especially if combined with VOD. A...

OBJECTIVES To study the prevalence of female genital cutting (FGC) in a nulliparous population admitted for childbirth. In addition, the type of FGC, the motives supporting FGC and perineal damage associated with this practice were evaluated. SUBJECTS AND METHODS A prospective cross-sectional study was conducted in the labor ward, Department of Obstetrics and Gynecology, Assiut University Hos...

BACKGROUND Despite multiple benefits of breast milk, the rates of exclusive breastfeeding in developing countries are low. OBJECTIVE To evaluate the efficacy of early skin -to -skin contact (SSC) on the rate of exclusive breastfeeding (EBF) at 6 weeks of age among term neonates born by vaginal delivery. METHODS Term neonates born by vaginal delivery and did not require any resuscitation wer...

OBJECTIVE To compare the maternal and neonatal outcomes of operative vaginal delivery in relation to the use of episiotomy. DESIGN Pilot randomised controlled trial (RCT). SETTING Two urban maternity units in Scotland and England. SAMPLE Nulliparous women anticipating a singleton cephalic vaginal delivery were recruited in the antenatal period. METHODS If an operative vaginal delivery w...

BACKGROUND Ananas comosus has long been used for medical purposes. Currently, we are experiencing an unprecedented interest in the use of complementary medicine as well as a growing attention to traditional products such as bromelain for wound healing and reducing pain. OBJECTIVES The aim of this study was to determine the effect of oral bromelain on perineal pain and wound healing after epis...