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2148 search results for:

Episiotomy 

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  1. Open Access 13-04-2024 | Episiotomy | Online First

    Comparative study of postpartum sexual function: Second-degree tears versus episiotomy outcomes

    Sexuality is a complex aspect of overall well-being encompassing physical, mental, emotional, and social dimensions. Extensive research has been conducted on this topic by experts such as Master and Johnson, who conducted a notable study involving …

  2. 01-09-2023 | Episiotomy | OriginalPaper

    Episiotomy practice in France and prevention of high-grade perineal tears at the time of operative vaginal delivery: a prospective multicentre ancillary cohort study

    The last century has seen critical advancements in obstetric practice and maternity care that led to significant improvements in maternal and neonatal safety and reduction in associated morbidity and mortality [ 1 ]. Nevertheless, there is an …

  3. Open Access 28-11-2023 | Episiotomy | Online First

    Episiotomy: Are Indian Obstetricians Getting the Angle Right?

    Episiotomy is a commonly performed surgical procedure in obstetrics. Indications for episiotomy include foetal distress, to expedite the second stage of labour, and assisted vaginal birth. The angle of an episiotomy has a direct bearing on the …

  4. Open Access 01-12-2023 | Brachytherapy | OriginalPaper

    Endocervical adenocarcinoma implantation in episiotomy scar: a case report and  review of the literature

    Cervical cancer is the most common gynecologic malignancy during pregnancy accounting for 71.6%, followed by ovarian malignant tumors, accounting for 7.0% [ 1 ]. The incidence of cervical cancer itself is not very high being about 0.05% among all …

  5. Open Access 01-12-2023 | Probiotics | OriginalPaper

    The effect of probiotic supplementation on episiotomy wound healing among primiparous women: a triple-blind randomized clinical trial

    Episiotomy means making surgical incision in the perineal muscles during the second stage of labor for widening the pelvic outlet and increasing the speed of fetal head exit. Episiotomy is used in cases with the possibility of large tears …

  6. Open Access 01-12-2022 | Perineal Laceration | OriginalPaper

    Time trends in episiotomy and severe perineal tears in Portugal: a nationwide register-based study

    Third- and fourth-degree perineal tears are severe complications of vaginal delivery [ 1 ] that are associated with increased risk of adverse outcomes including fecal incontinence [ 2 , 3 ], urinary incontinence [ 4 ] and sexual dysfunction [ 5 ] …

  7. 13-02-2023 | Episiotomy | OriginalPaper

    Prevalence and its Associated Factors of Episiotomy Practice Among Mothers Who Gave Birth in Debre Tabor Town Northwest Ethiopia: An Institutional Based -Cross-Sectional Study

    An episiotomy is characterized as a surgical incision made in the perineum to allow for perineal expansion and is done under anesthesia during the second stage of labor (Hartmann et al., 2005 ). Midline, mediolateral, and lateral episiotomies are …

  8. Open Access 01-12-2022 | Perineal Laceration | OriginalPaper

    Perineal stress as a predictor of performing episiotomy in primiparous women: a prospective observational study

    Episiotomy is the most prevalent surgical procedure performed in obstetrics [ 1 ]. Typically, this is performed when the perineum is identified as being taut. Selective episiotomies can occasionally circumvent soft-tissue ruptures during childbirth …

  9. Open Access 01-12-2022 | Episiotomy | OriginalPaper

    Choice in episiotomy – fact or fantasy: a qualitative study of women’s experiences of the consent process

    Episiotomy, a feature of 1 in 7 births in the UK [ 1 ], is a surgical incision of the vaginal wall and perineum performed in the second stage of labour. The procedure, used liberally after its introduction in the 1950’s, was thought to prevent …

  10. 01-12-2022 | Perineal Laceration

    Selective versus routine use of episiotomy for vaginal births in Shanghai hospitals, China: a comparison of policies

    Vaginal delivery is considered a preferred method of delivery, although cesarean delivery has been increasing over the recent decades. Compared to cesarean delivery, which may be necessary in order to prevent adverse outcomes or to save life, the …

  11. Open Access 01-12-2022 | Episiotomy | OriginalPaper

    Mediolateral episiotomy and risk of obstetric anal sphincter injuries and adverse neonatal outcomes during operative vaginal delivery in nulliparous women: a propensity-score analysis

    Obstetric anal sphincter injuries (OASIs) are a rare but severe complication of vaginal delivery, with a prevalence between 0.25 and 6.0% [ 1 ]. These injuries have a major impact on women’s short-term and long-term health and well-being [ 2 ].

  12. 25-04-2022 | Ultrasound | OriginalPaper

    Episiotomy in vacuum extraction, do we cut the levator ani muscle? A prospective cohort study

    Episiotomy is a surgical incision in the vaginal opening performed to facilitate delivery, or to prevent obstetric anal sphincter injury (OASI), particularly in operative vaginal delivery [ 1 ]. Lateral or mediolateral episiotomy has been shown, in …

  13. 01-11-2020 | Perineal Laceration | OriginalPaper

    Selective episiotomy versus no episiotomy for severe perineal trauma: a systematic review with meta-analysis

    Severe perineal trauma or obstetric anal sphincter injuries (OASIS) is an undesirable intrapartum outcome and should be prevented or adequately repaired immediately. There are some established risk factors that may be identified before the start …

  14. Open Access 01-03-2022 | Episiotomy | ReviewPaper

    Episcissors-60 for Mediolateral Episiotomy: Evaluation of Clinical and Economic Evidence to Inform NICE Medical Technologies Guidance

    Obstetric anal sphincter injury (OASI) occurs in 2.9% of all vaginal births in the UK and can result in faecal incontinence. Where there is a clinical need for episiotomy, OASI can be minimised by accurate selection of the optimum angle of …

  15. 27-11-2021 | Episiotomy | OriginalPaper

    Trend and Inequality in Episiotomy in Southern Brazil, 2007–2016: Evidence of Reduced Abusive Practice

    Episiotomy is one of the most performed surgical procedures among women in childbearing age. Even though episiotomy rates are still high in the studied municipality, we observed a significant decline in episiotomy in the period 2007–2016. Women …

  16. Open Access 15-04-2022 | Episiotomy | ReviewPaper

    Mediolateral/lateral episiotomy with operative vaginal delivery and the risk reduction of obstetric anal sphincter injury (OASI): A systematic review and meta-analysis

    Operative vaginal delivery with either ventouse or forceps is used to facilitate delivery for a number of maternal and foetal indications [ 1 ]. In the UK, operative vaginal delivery is the method of delivery in 12% of women [ 2 ]. A worldwide …

  17. 01-08-2020 | Episiotomy | Letter

    Letter to the editor: selective episiotomy versus no episiotomy for severe perineal trauma: a systematic review with meta-analysis

  18. 01-08-2020 | Episiotomy | Letter

    Response re: Letter to the editor: selective episiotomy versus no episiotomy for severe perineal trauma: systematic review and meta-analysis

  19. Open Access 01-12-2021 | Perineal Laceration | OriginalPaper

    Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia

    Episiotomy is performed to enlarge the birth outlet in order to facilitate the delivery of the fetus [ 1 ]. It is the surgical enlargement of the posterior aspect of the vagina by an incision to the perineum during the last part of the second stage …

  20. 01-07-2021 | Perineal Laceration | BriefCommunication

    V-Y advancement flap to correct a perineal defect after an episiotomy dehiscence

    The episiotomy rate varies between 9.7% and 100% [ 1 ] around the world. Described since the eighteenth century, episiotomy may be necessary to accelerate delivery in case of fetal distress or to reduce high-grade perineal tears, especially in case …

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