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...

Episiotomy is used almost routinely in vaginal deliveries in Sri Lanka and the norm is for it to be performed without anaesthesia. This is due to the popular belief that episiotomy could be performed painlessly without anaesthesia if it is performed at the peak of a contraction when the perineum is at full stretch. This practice is also convenient, since nurses and midwives involved in normal d...

A 28-year-old primigravida undergoes a forceps delivery with a midline episiotomy for failure to progress in the second stage of labor. At birth, the infant weighs 4 kg (8.8 lb), and the episiotomy extends to the anal verge. The resident who delivered the child is uncertain whether the anal sphincter is involved in the injury and asks a consultant to examine the perineum. What should this exami...

BACKGROUND In several non-randomised trials training with EPI-NO increased the rate of intact perineum and decreased episiotomy rates, shortened the second stage of labour and lowered use of pain killers. AIMS To verify the preliminary results with EPI-NO in a prospective randomised trial. METHODS Randomised, single-blind multicentre trial in four university hospitals in Germany including 2...

Episiotomy is one of the most commonly performed operative procedures and yet little information is available on the subjective reactions in the puerperium to this procedure. The present study was designed to furnish information on the attitudes of patients, levels of pain, and of course recovery by studying a consecutive series of 101 Caucasian primiparea who received episiotomies at delivery....

BACKGROUND Episiotomy is one of the most commonly performed surgical procedures worldwide. In the UK the use of episiotomy is selective, rather than routine, and a right mediolateral episiotomy (RMLE) is considered standard practice. According to The National Institute of Health and Care Excellence (NICE, 2007) guideline for intrapartum care such an episiotomy should be cut at an angle between ...