LIBERAL VERSUS RESTRICTED EPISIOTOMY
ASHRAF NASSlF MAHMOUD EL-MANTAWE;
Abstract
To compare the outcomes of the current practice ofliberal (routine) use of episiotomy, to prevent perinal tears and pelvic floor relaxation, "ith a policy of restricted episiotomy done for specific fetal or/and maternal indications.
Study design :
Prospective observational stLidy.
Setting :
Department of Obstetrics and Gynaecology, Benha Faculty of
Medicine Egypt from September 1999 to June 2000.
Subjects :
297 primiparae, of the same socioeconomic class who had spontaneous vaginal deliveries of singleton, mature (37-41 weeks) fetuses, in occipita-anterior position. They included 2 groups.
1- Restricted episiotomy group : 153 primiparae in whom delivery was
conducted by the same resident who tried to avoid an episiotomy except for specific fetal/maternal indications.
2-Routine episiotomy group : 144 primiparae m whom delivery was conducted by other department residents who performed routine episiotomy to avcrid perineal tears, pelvic floor relaxation and their consequences.
Materials:
The technique of de!ivery was planned to be the same in both groups.
Study design :
Prospective observational stLidy.
Setting :
Department of Obstetrics and Gynaecology, Benha Faculty of
Medicine Egypt from September 1999 to June 2000.
Subjects :
297 primiparae, of the same socioeconomic class who had spontaneous vaginal deliveries of singleton, mature (37-41 weeks) fetuses, in occipita-anterior position. They included 2 groups.
1- Restricted episiotomy group : 153 primiparae in whom delivery was
conducted by the same resident who tried to avoid an episiotomy except for specific fetal/maternal indications.
2-Routine episiotomy group : 144 primiparae m whom delivery was conducted by other department residents who performed routine episiotomy to avcrid perineal tears, pelvic floor relaxation and their consequences.
Materials:
The technique of de!ivery was planned to be the same in both groups.
Other data
| Title | LIBERAL VERSUS RESTRICTED EPISIOTOMY | Other Titles | مقارنة بين شق العجان الحر والمشروط | Authors | ASHRAF NASSlF MAHMOUD EL-MANTAWE | Issue Date | 2000 |
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