In 1984, we proposed to study the need for episiotomy in the first North American randomized controlled trial on this subject. Getting funded and published proved to be difficult since we were questioning not only established views on episiotomy but also conventional beliefs about birth. During the 10-year process from conceptualization to publishing, we were confronted with the paradigm of bir...

Perineal injury sustained during childbirth is a major aetiological factor in the development of perineal pain, sexual dysfunction, prolapse and disturbance in bowel and bladder function. Preferential use of the vacuum extractor, restricting the use of episiotomy, repair of anal sphincter rupture by a trained doctor and selective caesarean section in these women can be beneficial in preventing ...

OBJECTIVE To identify the perception of the teenager puerperas regarding the practice of episiotomy. METHODOLOGY This is a study with qualitative nature developed with 11 teenage puerperas in the Obstetrics Unit of one hospital located in the metropolitan region of São Paulo, Brazil. RESULTS Teens knew of the existence of episiotomy, but they unaware the reasons for its realization. Pain, d...

Endometriosis of the perianal region is an extremely rare condition usually seen in episiotomy scars and can involve the septum separating vagina and anal canal. The clinician is unlikely to suspect it if there is no scar in the perineum and patient the does not give a history of episiotomy. Moreover it is difficult to suspect when the patient does not report cyclical pain and therefore it is l...

Objective: Despite the fact that a restrictive use of episiotomy has proven to be beneficial, it continues to be widely used in vaginal births. Our aim was to compare women with episiotomy, to women with an intact perineum, 3 months after delivery, regarding several sexual variables, namely: sexual desire, arousal, orgasm, pain, sexual satisfaction and sexual function. Methods: An exploratory, ...

INTRODUCTION Perineal pain is the most common complaint after episiotomy. It imposes extra pressure on mothers who attempt to adapt to their new conditions. Therefore, the present study was performed to compare pain severity and perineal repair in two episiotomy repair methods. METHODS In this clinical trial, 100 primiparous women who referred to hospitals of Tabriz (Iran) for delivery were r...

1 Russell JK. Episiotomy. Br MedJ 1982;284:220. 2 Thacker SE, Banta HD. Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860-1980. Obstet Gynecol Surv 1983;38: 322-38. 3 Donald I. Practical obstetric problems. London: Lloyd-Luke, 1979:817. 4 Flood C. The real reasons for performing episiotomies. World Medicine 1982 Feb 6:51. 5 House MJ. To do or no...

Background & Aim: Episiotomy is one of the most common surgical procedures in obstetrics, which requires analgesia. Entonox gas is known to have analgesic and sedative properties. However, no studies have been found on the analgesic effects of Entonox on episiotomy incision. Therefore, this study aimed to compare the effects of Entonox and lidocaine on pain intensity during episiotomy incision ...

background & aim: episiotomy is one of the most common surgical procedures in obstetrics, which requires analgesia. entonox gas is known to have analgesic and sedative properties. however, no studies have been found on the analgesic effects of entonox on episiotomy incision. therefore, this study aimed to compare the effects of entonox and lidocaine on pain intensity during episiotomy incision ...