Median episiotomies and complete perineal lacerations

Barter, Robert H.; Parks, John; Tyndal, Charles M.

doi:10.1016/0002-9378(60)90573-1

Cited by 30 publications

(6 citation statements)

References 11 publications

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“…They found the lacerations were related to youth, primigravidity, and forceps, and were unrelated to infant weight. Barter et al 21 studied 21,162 deliveries at George Washington University Hospital and reported that 80% of the women had episiotomies, with median episiotomies gradually becoming more common than mediolateral ones. Third‐ and fourth‐degree lacerations increased from 0.6 to 1.6%.…”

Section: Review Of the Literaturementioning

confidence: 99%

Factors associated with the occurrence of perineal lacerations

Fischer¹

1979

Journal of Nurse-Midwifery

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Section: Review Of the Literaturementioning

confidence: 99%

Factors associated with the occurrence of perineal lacerations

Fischer¹

1979

Journal of Nurse-Midwifery

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“…Since 1949 to date, there is a wide variation in the figures quoted for third-degree postpartum perineal tear ranging from 0% to 26.9% [6][7][8][9][10][11][12]. With the advent of endoanal ultrasound (EAUS) in the diagnosis of postpartum anal sphincter disruption, Sultan et al [2], for the first time in a prospective study, demonstrated occult sphincter damage in up to 35% of women after the first vaginal delivery and 44% for multiparous women.…”

Section: Introductionmentioning

confidence: 97%

Risk factors for anal sphincter disruption during child birth

Samarasekera

Bekhit

Preston

et al. 2008

Langenbecks Arch Surg

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“…Several studies have shown that vaginal muscular strength is more related to maternal exercise than with the type of delivery [25,26].…”

Section: Routine Episiotomymentioning

confidence: 99%

The Need to Avoid the Routine Use of Episiotomy

Tomasso¹,

Althabe²,

Cafferata³

et al. 2006

CWHR

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The justification of the routine use of the episiotomy arose at the beginning of 20 th century. It was based on personal beliefs without scientific basis that endorsed this recommendation. This led to the incorporation of episiotomy in daily practice being a routine procedure, especially in nulliparous women. Since 1985 many researches of good experimental design were generated to verify if routine episiotomy was justified.High-quality methodological studies gave strong evidence that the episiotomy should not be done routinely in view of the fact that it does give benefits neither for the women nor for the newborns. Its use should be restricted to certain clinical situations.However, the episiotomy continues to be a customary practice even though the available evidence for more than one decade ago shows that it does not improve maternal or perinatal health. This suggests that there is a need for implementing interventions to change practitioner's behaviour.

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Median episiotomies and complete perineal lacerations

Cited by 30 publications

References 11 publications

Factors associated with the occurrence of perineal lacerations

Factors associated with the occurrence of perineal lacerations

Risk factors for anal sphincter disruption during child birth

The Need to Avoid the Routine Use of Episiotomy

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