AIM To assess whether the introduction of episiotomy scissors specially designed to achieve a cutting angle of 60°, EPISCISSORS-60(®), in two hospitals in the UK would result in a reduction in obstetric anal sphincter injuries (OASIS) in nulliparous women. METHODS A structured training program for all doctors and midwives provided a theoretical framework around OASIS including risk factors an...

Episiotomy is a medical procedure of cutting the perineum including mucous membranes vagina, tissues, muscles and perineal fascia as well foreskin perineum. About 85% women who give birth vaginal spontaneously experience trauma by 32-33% due to episiotomy. Perineal rupture, whether caused an episiotomy or spontaneous will cause bleeding, leave pain increase risk post partum infection. Exercise ...

OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

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,...

OBJECTIVE To determine modifiable risk factors and incidence of obstetric anal sphincter injury (OASIS) in primiparous women. STUDY DESIGN We performed a population-based retrospective cohort study, using data from the Danish Medical Birth Registry. The population consisted of primiparous women with a vaginal delivery in the time period 2000-2010. Univariable and multivariable logistic regres...

OBJECTIVE The objective of the study was to evaluate the frequency of obstetrical anal sphincter injuries (OASIS) in women undergoing operative vaginal deliveries (OVD) and to assess whether a mediolateral episiotomy is protective for developing OASIS in these deliveries. STUDY DESIGN We performed a retrospective cohort study. Maternal and obstetrical characteristics of the 2861 women who del...

I n current obstetric practice episiotomy is generally taken to refer to an incision of the perineum and vagina to facilitate vaginal delivery. While the most precise definition of this incision is perineotomy, episiotomy is the generally employed terminology and thus is used in this article. The evolutionary background and historical perspective of this procedure have been reviewed extensively...

Objective: To investigate the characteristics of pathogenic bacteria and related risk factors for postoperative infection in episiotomy of puerpera and provide basis for the clinical prevention and treatment of postoperative infection in episiotomy. Methods: The clinical data of 1200 cases of full-term parturient receiving vaginal delivery receing lateral incision hospitalized in obstetrics fro...

OBJECTIVE To determine the prevalence and factors associated with episiotomy in a reference center of Pernambuco. METHODS A retrospective cross-sectional study was carried out from January to December 2006 with 495 women who had a normal delivery at the Maternity Center Monteiro de Moraes Integrated Health Amaury de Medeiros (CISAM) University of Pernambuco. Assessed factors were issues prece...