OBJECTIVE To evaluate the prevalence of obstetrical anal sphincter injuries (OASIS), which include third and fourth degree perineal tears in primigravida in routine versus selective mediolateral episiotomy. Secondly, to determine the rate of episiotomy in local settings. METHODS This randomized control trial was carried out in the labor ward of a tertiary hospital of the Universiti Kebangsaan...

BACKGROUND Despite all the evidence corroborating the selective use of episiotomy and although routine use of the procedure is contraindicated, there are no evidences corroborating if episiotomy is necessary in any circumstance. The present clinical randomized trial was performed to compare maternal and perinatal outcomes in women submitted to a non-episiotomy protocol versus one of selective e...

Introduction Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the "humanization of childbirth". The scientific literature indicates that episiotomy should not be performed routinely, but selectively. Objectives To review the literature in order to assess whether the imple...

Background & aim: The decision on whether or not to do episiotomy is ultimately made by midwives. Problem-solving is an essential skill in the workplace situations, which help overcoming unpredictable circumstances without relying on the others. The aim of this study was to investigate the effect of problem-solving skills training on the frequency of selective episioto...

BACKGROUND Some clinicians believe that routine episiotomy, a surgical cut of the vagina and perineum, will prevent serious tears during childbirth. On the other hand, an episiotomy guarantees perineal trauma and sutures. OBJECTIVES To assess the effects on mother and baby of a policy of selective episiotomy ('only if needed') compared with a policy of routine episiotomy ('part of routine man...

Background. National episiotomy guidelines state that restricted use is preferable, but the indications for this selective performance are not firmly defined, and the benefits are not clearly determined. Objective. To examine the attitudes of Israeli midwives and doctors towards episiotomy use and to review these in light of the relevant professional literature. Methods. Using anonymous questio...

Abstract Background Episiotomy in Mexico is highly prevalent and often routine - performed up to 95% of births primiparous women. The WHO suggests that episiotomy be used selective cases, with an expected prevalence 15%. Training programs date have been unsuccessful changing this practice. This research aims understand how why practice persists despite shifts knowledge attitudes facilitated by ...