Evaluation of Perineal Trauma in Primiparous Women with Routine and Selective Episiotomy

Golmakani, Nahid and Rafai Saeidi, Shahla and Mazloum, Reza and Soltani, Badri (2011) Evaluation of Perineal Trauma in Primiparous Women with Routine and Selective Episiotomy. The Iranian Journal of Obstetrics, Gynecology and Infertility, 13 (6). pp. 32-38.

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Abstract

Introduction: Perineal lacerations are common perineal injuries in primiparous women and episiotomy is the most common surgical incision in obstetrics. There is no reliable evidence for confirming the routine use of episiotomy and it is recommended to perform selective episiotomy for fetal and maternal indications. This study was performed in order to compare perineal trauma in primiparous women with routine and selective episiotomy in Modarres Hospital of Kashmar. Methods: This clinical randomized trial was performed on 100 primiparous women aged between 17-35 years with spontaneous delivery in Modarres hospital of Kashmar in year 2003. Cases were selected by aims of study and were randomly divided into two groups of routine and selective episiotomy. All deliveries were done by researcher but evaluation of perineal outcome after delivery was done by another researcher who did not know about types of groups. Data were obtained from interviewing, observation forms and measurement of pelvic muscle strength and analyzed with student t-test, chi-square, and Mann Whitney and Fisher test by SPSS 11.5 software. Results: 12(24) of women in selective group and 50(100) in routine group had episiotomy (p<0/0001). Perineal injury happened in 62 of selected group and 100 of routine group, which was statistically different (p<0/0001). The two groups were similar in terms of variables effective on perineal trauma. Conclusion: Selective episiotomy can reduce perineal injuries; therefore, it can be replaced routine episiotomy as a safe and time saving method.

Item Type: Article
Subjects: WP Gynecology
WQ Obstetrics
Divisions: Journals > Iranian J Obstetrics, Gynecology and Infertility
Depositing User: ijogi ijogi
Date Deposited: 28 Sep 2017 15:51
Last Modified: 28 Sep 2017 15:51
URI: http://eprints.mums.ac.ir/id/eprint/6409

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