AIMS To analyze whether episiotomy affects the urogenital hiatal area and the difference in the hiatus at rest and during contraction, as an indirect measurement of the contractile capacity of the levator ani muscle. METHODS We performed an observational, comparative, retrospective study of primiparous women who had normal vaginal deliveries. The urogenital hiatal area was compared in women w...

OBJECTIVE To evaluate short-term perineal pain among primiparous women after mediolateral episiotomy (MLE) and lateral episiotomy (LE). METHODS The prospective randomized study was conducted in the Czech Republic during 2010-2012. Consecutive primiparous women who gave birth at or after 37 weeks of pregnancy and had indications for an episiotomy were enrolled and randomly assigned to undergo ...

OBJECTIVE to understand the episiotomy rate and its relationship with various clinical variables. METHOD a descriptive, cross-sectional, analytic study of 12,093 births in a tertiary hospital. VARIABLES Parity, gestational age, start of labor, use of epidural analgesia, oxytocin usage, position during fetal explusion, weight of neonate, and completion of birth. The analysis was performed wi...

DISCLOSURES: NONE ABSTRACT Background: The occurrence of labial fusion in an adult following episiotomy is rarely reported. Even though it is one of the simplest procedures performed in obstetric practice, an episiotomy may be complicated by labial fusion which results in difficulty in sexual intercourse and infertility. Case Report: She was a 23-year old Primipara who presented to the Gynaecol...

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...