Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

Chigbu, B; Onwere, S; Aluka, C; Kamanu, CI; Adibe, E

doi:10.4314/eamj.v85i5.9618

Cited by 24 publications

(32 citation statements)

References 14 publications

(19 reference statements)

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“…However our results were against the studies done by Marie et al who found that episiotomies and lacerations were more likely if a women was 30 years or older and chigbu et al who showed that women undergoing episiotomy were younger than women without episiotomy [11,12].…”

Section: Discussioncontrasting

confidence: 97%

Post Episiotomy Physical and Physiological Morbidities in Al Azhar University Hospital of Assiut -Upper Egypt

Edessy¹,

Nasr²,

El-Aty³

et al. 2015

SOJGOW

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SOJ Gynecology, Obstetrics and Women's Health Open AccessResearch Article perineal tears was advocated as a benefit of routine episiotomy in primiparous women [5].In the United States, there has been a steady decline in episiotomy rates from 62% in 1987 to 30 -35 % in 2003 [6].Episiotomy, actually increased rates of perineal infection, blood loss, pain during healing, negatively affected body image issues and sexual function, and incidence of injuries to the anal sphincter with subsequent increased risks of incontinence of flatus and fecal material. Multiple studies demonstrated that the routine use of episiotomy did not protect against pelvic relaxation or fetal intracranial hemorrhage [5].Episiotomy may increase perineal pain during postpartum recovery, resulting in trouble defecating, particularly in midline episiotomies. In addition it may complicate sexual intercourse by making it painful and replacing erectile tissues in the vulva with fibrotic tissue [7]. Women who underwent episiotomy reported more painful intercourse and insufficient lubrication 12-18 months after birth, but did not find any problems with orgasm or arousal [8]. Patients and MethodsThis is a prospective case control study conducted on 400 full term pregnant women (primi &second gravidae) from attendants of delivery ward of Obstetrics and Gynecology department of AlAzhar university hospital of Assiut governorate of Upper Egypt. The study was approved by the Regional Committee for Medical and Health Research Ethics of Al Azhar University of Assiut. Pregnancy was singleton term without underlying medical or any pregnancy-related complications for whom spontaneous vaginal delivery was performed.Women were allocated into 2 equal groups (200 for each) according to whether or not episiotomy was performed (Group I = with episiotomy) and (Group II= without episiotomy). An informed signed written consent was obtained from all participants.During intrapartum period, the same standard obstetrical managements were provided in both groups. Each group was AbstractBackground: Episiotomy is performed as one of the most common surgery procedure to facilitate delivery and prevent complications of hard labour in both mother and her neonate. Routine episiotomy is a controversial issue among obstetricians.

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Section: Discussioncontrasting

confidence: 97%

Post Episiotomy Physical and Physiological Morbidities in Al Azhar University Hospital of Assiut -Upper Egypt

Edessy¹,

Nasr²,

El-Aty³

et al. 2015

SOJGOW

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“…10,19 Historically, the procedure episiotomy has been indicated in circumstances such as abnormal labour progression, non-reassurance fetal heart rate pattern, vacuum delivery and shoulder dystocia. 2,18 It is also believed to hasten the second stage of labour and reduce the risk of spontaneous perineal tearing, subsequent pelvic floor dysfunction, urinary and faecal incontinence, and sexual dysfunction. 2 On the other hand, however recent studies have shown that common indications for episiotomy were based on limited data.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3]18 Additionally, there was a general underestimation of potential adverse consequences associated with the procedure, including extension to a third or fourth degree tear, unsatisfactory anatomical results, increased blood loss, anal sphincter dysfunction, perineal pain and painful sex. [1][2][3]18 Unfortunately, by traditional obstetric practice, women are not necessarily informed of the specific risks and benefits associated with performing episiotomy, and rarely is written consent obtained, somehow abrogating the standard set for every other surgical procedure. Recent reviews have therefore conclusively determined that the routine use of episiotomy should be abandoned and evidenced based techniques that reduce the risk of perineal trauma during childbirth should be embraced.…”

Section: Introductionmentioning

confidence: 99%

“…Recent reviews have therefore conclusively determined that the routine use of episiotomy should be abandoned and evidenced based techniques that reduce the risk of perineal trauma during childbirth should be embraced. 18,20 Episiotomy is still advocated when anterior tears with bleeding or multiple perineal tears appear. If the delivery process is delayed and it is thought to be due to a rigid perineum, an episiotomy may facilitate delivery.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with episiotomy among parturients delivering in a tertiary care centre in Nigeria

2015

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“…Elastisitas perineum yang semakin meningkat, episiotomi tidak lagi selalu perlu dilakukan. 22 Perineum pada primipara cenderung lebih kaku dibandingkan pada multipara karena belum pernah teregang sebelumnya pada persalinan terdahulu. Perineum yang kaku dan tidak elastis akan menghambat persalinan kala II dan dapat meningkatkan resiko terhadap janin, juga menyebabkan robekan perineum yang luas sampai tingkat III.…”

Section: Gambar 1 Rancangan Penelitianunclassified

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

Khrisnamurti

Nurdiati²,

Setiyarini³

2018

Jurnal Kespro

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Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital. Result and Discussion:Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629). Conclusion:Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. ABSTRAKLatar Belakang: Striae gravidarum adalah fenomena yang lazim terjadi pada ibu hamil dan merupakan penanda penurunan elastisitas kulit. Elastisitas perineum yang kurang baik dapat mengakibatkan laserasi perineum pada persalinan vaginal. Penelitian ini untuk mengetahui hubungan striae gravidarum dengan kejadian laserasi perinenum pada persalinan normal, dan faktor-faktor yang paling mempengaruhi terjadinya laserasi perineum ringan dan berat. Metode:Menggunakan cross sectional design, dengan sampel sebesar 188 responden. Penilaian striae gravidarum menggunakan metode Atwal et al (2006) yang telah dimodifikasi, penilaian laserasi perineum menggunakan metode RCOG (2006). Pengumpulan data dilakukan selama bulan April-Juli 2015 di kamar bersalin RSUD Panembahan Senopati Bantul. Hasil dan Pembahasan:Faktor-faktor yang mempengaruhi terjadinya laserasi ringan adalah striae gravidarum sedang-berat (RP 1,230: 95%IK 1,23053-1,23066), primipara (RP 1,2675: 95%IK 1,13709-1,41298). Faktor-faktor yang mempengaruhi terjadinya laserasi berat adalah striae gravidraum sedang-berat (RP 1,676: 95%IK 1,246-2,255), primipara (RP 1,117: 95%IK 1,1172-1,1175), posisi litotomi (RP 1,012: 95%IK 1,011-1,0629).Kesimpulan: Striae gravidarum merupakan salah satu faktor yang dapat mempengaruhi terjadinya laserasi perineum. Memeriksa striae gravidarum dapat untuk memperkirakan tingkat keparahan laserasi perineum, semakin banyak skor striae gravidarum semakin parah laserasi perineum yang mungkin dialami ibu bersalin.

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Factors Influencing The Use Of Episiotomy During Vaginal Delivery In South Eastern Nigeria

Cited by 24 publications

References 14 publications

Post Episiotomy Physical and Physiological Morbidities in Al Azhar University Hospital of Assiut -Upper Egypt

Post Episiotomy Physical and Physiological Morbidities in Al Azhar University Hospital of Assiut -Upper Egypt

Factors associated with episiotomy among parturients delivering in a tertiary care centre in Nigeria

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

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