Laceration Extension in Median and Mediolateral Episiotomy

Abstract

Objective: To compare the laceration extension between median
 and mediolateral episiotomy in women with perineal body sized
 more than 2.5 cm.
 
 Method: A single‐blind RCT study was conducted on 104 women receiving
 median episiotomy and 104 women receiving mediolateral
 episiotomy at Dr. M. Djamil Hospital Padang and Reksodiwiryo Military
 Hospital Padang.
 
 Result: There was no difference in laceration extension in both
 groups, but pain in the first 24 hours and pain after day 14 was
 higher on mediolateral group than the median group (p=0.005 and
 p=0.008, respectively).
 
 Conclusion: There is no difference in terms of laceration extension
 between median and mediolateral episiotomy, but the pain is higher
 in the mediolateral group.
 [Indones J Obstet Gynecol 2015; 1: 38‐43]
 
 Keywords: laceration extension, median episiotomy, mediolateral
 episiotomy