Evaluation of episiotomy in present day obstetric practice

Thakur, Manasi; Bal, Himadri; Tambe, Vikas; Singireddy, Nikhila

doi:10.4103/mjdrdypu.mjdrdypu_338_19

Cited by 2 publications

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“…In agreement with our study, the duration of the 2 nd stage of labor in the Thakur study was slightly longer in the selective episiotomy group, but there was no significant difference (24) .…”

Section: Discussionsupporting

confidence: 91%

The Safety of Selective Episiotomy Compared to Routine Episiotomy During Vaginal Birth in Primigravida in Cairo University Hospitals

Atef

Fahmy²,

Abu-Elfotouh³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Episiotomy is a surgical procedure that can result in postpartum hemorrhage, perineal pain, and dyspareunia. Moreover, episiotomy is not totally protective against severe perineal lacerations or maternal and neonatal morbidity; thus, its benefit in reducing the occurrence of severe perineal tears has to be investigated. Objectives: We aimed to assess the pros and cons of a policy of selective episiotomy (only if needed) compared with a policy of routine episiotomy (part of routine management) for vaginal births. Methodology: Nulliparous women in the active phase of labor with gestational age 37-41 and a single viable fetus with vertex presentation attending the Obstetrics and Gynecology Emergency Department, Kasr Al Aini Cairo University Hospital were included. One hundred and twenty laboring women were divided into 2 groups. Group A: Conducting routine episiotomy and Group B: Conducting selective episiotomy. Results: There was no significant difference between the groups regarding the incidence of perineal tears and obstetrical anal sphincter injuries (OASIS). Conclusion:In comparison to conventional episiotomy, selective episiotomy is equally risky for severe perineal/vaginal trauma. In Egypt, obstetric and tertiary care establishments may recommend selective episiotomy. Regarding the volume of intrapartum blood loss, selective episiotomy is superior to routine episiotomy.

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Section: Discussionsupporting

confidence: 91%

The Safety of Selective Episiotomy Compared to Routine Episiotomy During Vaginal Birth in Primigravida in Cairo University Hospitals

Atef

Fahmy²,

Abu-Elfotouh³

et al. 2022

The Egyptian Journal of Hospital Medicine

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A Systematic Review of the Use of Routine Versus Selective Episiotomy for Vaginal Birth

Alrida,

Ababneh,

Al-Sharif

et al. 2024

Cureus

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Episiotomy is a common obstetric surgical procedure involving an incision to enlarge the vaginal opening, facilitating the delivery of the fetus during the second stage of labor. Hence, the current review was conducted to assess the impact of using selective versus routine episiotomy during vaginal birth on birth outcomes. This systematic review used the Joanna Briggs Institute (JBI) methodology for systematic reviews and research syntheses. PubMed, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and SCOPUS were searched for relevant studies. Two reviewers independently screened and extracted data from relevant studies. Four studies met the eligibility criteria and were included in this review. The findings suggest selective episiotomy is associated with better maternal and fetal outcomes than routine episiotomy in certain contexts. However, results varied, indicating the importance of tailoring episiotomy practices to specific patient populations and healthcare settings. To conclude, the review supports the use of selective episiotomy over routine episiotomy during vaginal birth, as it is associated with fewer adverse maternal outcomes.

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Evaluation of episiotomy in present day obstetric practice

Cited by 2 publications

References 1 publication

The Safety of Selective Episiotomy Compared to Routine Episiotomy During Vaginal Birth in Primigravida in Cairo University Hospitals

The Safety of Selective Episiotomy Compared to Routine Episiotomy During Vaginal Birth in Primigravida in Cairo University Hospitals

A Systematic Review of the Use of Routine Versus Selective Episiotomy for Vaginal Birth

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