Advantage or Disadvantage of Episiotomy Compared with Spontaneous Perineal Laceration

Larsson, Per‐Göran; Platz-Christensen, Jens-Jörgen; Bergman, B; Wallstersson, Gerald

doi:10.1159/000293161

Cited by 86 publications

(34 citation statements)

References 5 publications

(5 reference statements)

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“…The decreased rate of episiotomies and increased rate of perineal tears is consistent with findings from meta analyses (37,38). There is limited evidence that episiotomy carries an increased risk of side-effects, such as infection, perineal breakdown and pain, compared with perineal tear (39)(40)(41).…”

Section: Discussionsupporting

confidence: 80%

Risk of perineal damage is not a reason to discourage a sitting birthing position: a secondary analysis

Jonge

Diem

Scheepers

et al. 2010

International Journal of Clinical Practice

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Section: Discussionsupporting

confidence: 80%

Risk of perineal damage is not a reason to discourage a sitting birthing position: a secondary analysis

Jonge

Diem

Scheepers

et al. 2010

International Journal of Clinical Practice

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“…In addition to the complex effects on the urological and reproductive systems during delivery, edema and pain in the perineum also made it difficult to urinate. Larsson, Platz-Christensen, Bergman, and Wallstersson (1991) investigated perineal laceration and pain after birth using a visual analog scale. Women with mediolateral episiotomies had more pain on the first and third days after birth than the natural laceration group and no laceration group.…”

Section: Predictive Factors For Purmentioning

confidence: 99%

Prevalence and risk factors for postpartum urinary retention after vaginal delivery in Japan: A case‐control study

Kawasoe

Kataoka

2019

Japan Journal Nursing Sci

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Aim This study aimed to clarify the prevalence and risk factors of postpartum urinary retention after vaginal delivery. It also described the healing process of women who had postpartum urinary retention. Methods In this case‐control study, 77 women who had postpartum urinary retention were matched by age and parity with 385 women as controls. Data were analyzed by conditional logistic regression analysis. Data were collected from the women in the case group regarding their healing process and conditions for urinary retention (overt or covert urinary retention). Results The prevalence of postpartum urinary retention was 1.2%. The adjusted odds ratio and the 95% confidence intervals for risk factors were as follows: epidural analgesia 4.72, 95% CI 2.38, 9.39; episiotomy 2.68, 95% CI 1.40, 5.13; length of second stage of labor 1.85, 95% CI 0.98, 3.49; labor augmentation 1.78, 95% CI 0.90, 3.51; instrument delivery 0.96, 95% CI 0.43, 2.17; and Kristeller maneuver 0.93, 95% CI 0.37, 2.37. Among 59 women with overt urinary retention, 29 (49.2%) transitioned to covert urinary retention within 10 days after delivery. More than half of the women were normal within 72 hr, but there were five women whose urinary retention did not resolve 11 days following delivery. Conclusions The statistically significant risk factors for postpartum urinary retention were epidural analgesia and episiotomy. Initiatives for the prevention and management of postpartum urinary retention are necessary.

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“…The studies included analysis of APGAR scores, neonatal resuscitation or the need for intensive care admission. In the studies conducted by Larsson et al (1991), Thranov et al (1990), and Borgatta et al (1989), there was no difference found in the APGAR scores of the new born at 1 min or 5 min in the episiotomy group compared to those of the spontaneous laceration group.…”

Section: Prevention Of Damage To the Newborn/ Shortening Of The Seconmentioning

confidence: 87%

To cut or not to cut, that is the question: A review of the anatomy, the technique, risks, and benefits of an episiotomy

et al. 2017

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Childbirth can be a traumatic experience on the female body. Some techniques may be implemented to make the process smoother and decrease the potential lacerations that can occur. Episiotomies have been used by obstetricians and midwives to help make the fetal decent down the vaginal canal less turbulent. A physician must use his best judgment on when it is necessary to make this incision and what form of incision to make. Before making an incision one must understand the female external and internal anatomy and thoroughly comprehend the stages of birth to understand how and what complications can occur. Even though an episiotomy is a minor incision, it is still a surgical incision nonetheless and as with any form of surgery there are both risks and benefits that are to be considered. Nevertheless, episiotomies have proven to help ease births that are complicated by shoulder dystocia, prevent severe lacerations, and decrease the second stage of labor. The following comprehensive review provides a description of the female anatomy, as well as an extensive description of why, when, and how an episiotomy is done. Clin. Anat. 30:362-372, 2017. © 2017 Wiley Periodicals, Inc.

show abstract

Advantage or Disadvantage of Episiotomy Compared with Spontaneous Perineal Laceration

Cited by 86 publications

References 5 publications

Risk of perineal damage is not a reason to discourage a sitting birthing position: a secondary analysis

Risk of perineal damage is not a reason to discourage a sitting birthing position: a secondary analysis

Prevalence and risk factors for postpartum urinary retention after vaginal delivery in Japan: A case‐control study

To cut or not to cut, that is the question: A review of the anatomy, the technique, risks, and benefits of an episiotomy

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