La episiotomía en España. Datos del año 2006

Melchor, Juan Carlos; Bartha, José Luis; Bellart, Jordi; Galindo, Alberto; Mino, Masahiro; Perales, Alfredo

doi:10.1016/s0304-5013(08)72329-x

Cited by 10 publications

(6 citation statements)

References 4 publications

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“…Despite a restricted episiotomy policy, episiotomy rates are high (around 50% in both groups) in line with the results of other authors [1, 3].…”

Section: Discussionsupporting

confidence: 90%

“…To address significant knowledge gaps in this area, research is needed that: [1] identifies the impact of the type of suture on all types of vaginal delivery, including instrumental deliveries and in multiparous women [2]; identify or, if necessary, develop measures of impact of care in this area [3]; identify the factors that influence professionals to perform one type of suture or another [4]; develop and evaluate the efficacy of continuous suture of the perineal lesion to reduce the negative impact of this and its comorbidities on women in instrumental deliveries [5]; quantify the direct medical costs associated with the comorbidities associated with the type of suture that is performed and identify the factors that influence these costs; and [6] quantify and fully explore the indirect costs of the type of suture. Research that addresses these objectives will provide the empirical basis necessary to improve the quality of life of women.…”

Section: Discussionmentioning

confidence: 99%

“…The sutures were placed by ten trained midwives. Around 5% [1] of the midwives in Torrecardenas, 10% [2] in the Hospital Complex of Jaen, 12% [3] in Granada, and 20% [2] of the midwives in Ubeda and Linares participated.…”

Section: Methodsmentioning

confidence: 99%

“…During childbirth perineal trauma may occur, either spontaneously or after episiotomy [1, 2]. In Spain the actual rate of episiotomies is unknown: According to the available data, it varies between 33 and 73% of all vaginal deliveries [3].…”

Section: Introductionmentioning

confidence: 99%

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Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial

Martínez‐Galiano

Arredondo-López

Molina-García

et al. 2019

BMC Pregnancy Childbirth

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BackgroundThe technique used in the repair of a perineal injury resulting from childbirth could avoid discomfort and morbidity during the postpartum period. Recent studies show inconsistent results and support the need for new research with the inclusion of new health parameters not yet studied. Therefore, this study aims to evaluate if the suture technique (continuous or interrupted) has an effect on pain and other postpartum problems, incidence of incontinence (urinary and/or fecal), and the restart of sexual relations.MethodsA single-blind randomized clinical trial was conducted in five hospitals in south-east Spain. The participants were primiparous women who had experienced a perineal injury during delivery (second-degree tear or episiotomy). Data was collected on sociodemographic variables, variables associated with pregnancy, labor and delivery, and the postpartum period, and outcomes during the 3 months after delivery: pain, incontinence, and restart of sexual relations. Odds ratios (OR) were calculated by binary logistic regression to assess the influence of the suture type on binary outcomes and t-test used for comparing continuous outcomes. Multivariate analyses (using logistic regression -adjusted (aOR)- and analysis of covariance) were carried out to adjust for unbalanced variables after randomization.ResultsA total of 70 women were included in the intervention group (continuous suture) and 64 in the reference group (interrupted sutures). A negative association was observed (aOR = 0.39; 95% CI = 0.18–0.86) between a continuous suture and the need for analgesia at 24 h postpartum. Pain experienced by the women at 24 h postpartum was assessed as 4.4 ± 0.3 compared with a score of 3.4 ± 0.3 in the group with continuous sutures (p = 0.011). At 15 days postpartum, women in the intervention group experienced less pain (aOR = 0.38; 95% CI = 0.18–0.80) (p = 0.019). Urinary sphincter incontinence was also evaluated at 15 days, with 4.3% (n = 3) of the women in the intervention group presenting with urinary incontinence compared with 18.8% (n = 12) in the control group (aOR = 0.11; 95% CI = 0.03–0.47) (P = 0.003).ConclusionsThe women who had a continuous suture repair showed lower levels of pain from delivery to 3 months after delivery and had a lower incidence of urinary incontinence at 15 days postpartum.Trial registrationClinicalTrials.gov NCT03825211 posted January 31, 2019 (retrospectively registered).

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“…Despite a restricted episiotomy policy, episiotomy rates are high (around 50% in both groups) in line with the results of other authors [1, 3].…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial

Martínez‐Galiano

Arredondo-López

Molina-García

et al. 2019

BMC Pregnancy Childbirth

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“…En España, este porcentaje es también muy diverso, variando desde un 33% hasta un 73% en función de la comunidad autónoma (13) . Según un estudio del 2006 la tasa de episiotomía es de un 50,48% (16) . Sin embargo, la situación en nuestro país es al descenso, con una reducción del 20% desde el año 2001 al 2006 (3) .…”

Section: Nº 35 Julio 2014unclassified

Factores que influyen en la realización de una episiotomía selectiva en mujeres nulíparas.

Pérez

López²,

Ramos³

et al. 2014

eglobal

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Nº 35 Julio 2014Página 398 ENFERMERÍA Y PERSPECTIVA DE GÉNERO Factores que influyen en la realización de una episiotomía selectiva en mujeres nulíparasFactors affecting the performance of a selective episiotomy in nulliparous women *Hernández Pérez, Javier **Azón López, Esther ***Mir Ramos, Eduardo ****Peinado Berzosa, Ruth *****Val Lechuz, Belén ******Mérida Donoso, RESUMENObjetivo: Determinar los factores que influyen en la realización de una episiotomía selectiva en mujeres nulíparas. Material y método:Se realizó un estudio descriptivo transversal en el Hospital Universitario Miguel Servet (HUMS) de Zaragoza con una muestra de 568 mujeres nulíparas. Se comparó la existencia o no de episiotomía tras el parto con las variables: edad materna, nacionalidad, edad gestacional, peso fetal, hora de nacimiento, sexo fetal, analgesia empleada y profesional que asiste el parto, así como la existencia de desgarros y los resultados del pH de la arteria umbilical fetal.Resultados: La tasa de episiotomía en las mujeres nulíparas en el HUMS de Zaragoza es de un 62%. Entre los factores que influyen en la realización de una episiotomía se encuentran el mayor peso del feto (p =0,000), así como el criterio individual del profesional que asiste el parto. Otros factores como la edad gestacional, el sexo fetal, la analgesia epidural, la hora de nacimiento o la nacionalidad no influyen en su realización. El no hacer episiotomía incrementa los desgarros perineales de primer grado, y en menor medida los de segundo, sin que ocasione un mayor riesgo para el bienestar fetal.

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Alternative model of birth to reduce the risk of assisted vaginal delivery and perineal trauma

et al. 2012

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La episiotomía en España. Datos del año 2006

Cited by 10 publications

References 4 publications

Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial

Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial

Factores que influyen en la realización de una episiotomía selectiva en mujeres nulíparas.

Alternative model of birth to reduce the risk of assisted vaginal delivery and perineal trauma

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