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Created on : 20 Jul 2005
Modified on : 26 Jun 2018

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Bibliographical entry (without author) :

Cohort study of maternal and neonatal morbidity in relation to use of episiotomy at instrumental vaginal delivery. BJOG. 2005 Jul;112(7):941-5.

Author(s) :

Youssef R, Ramalingam U, Macleod M, Murphy DJ.

Year of publication :

2005

URL(s) :

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=…

Résumé (français)  :

Abstract (English)  :

(Ninewells Hospital and Medical School, Dundee, UK.)

OBJECTIVE: The aim of this study was to investigate the maternal and neonatal morbidity related to use of episiotomy for vacuum and forceps deliveries.

DESIGN: Retrospective population-based cohort study.

SETTING: Dundee, Scotland.

POPULATION: Two thousand one hundred and fifty three women who experienced an instrumental vaginal delivery between January 1998 and December 2002.

METHODS: Univariate and multivariate logistic regression analyses were performed comparing deliveries with and without the use of episiotomy.

MAIN OUTCOME MEASURES: Extensive perineal tears (third and fourth degree) and shoulder dystocia.

RESULTS: Two hundred and forty-one (11%) of the 2153 women who underwent instrumental vaginal deliveries did not receive an episiotomy. Vacuum delivery was associated with less use of episiotomy compared with forceps (odds ratio 0.10, 95% CI 0.07-0.14). Extensive perineal tears were more likely with use of episiotomy (7.5%vs 2.5%, adjusted OR 2.92, 95% CI 1.27-6.72) as was neonatal trauma (6.0%vs 1.7%, adjusted OR 2.62, 95% CI 1.05-6.54). Use of episiotomy did not reduce the risk of shoulder dystocia (6.9% vs 4.6%, adjusted OR 1.43, 95% CI 0.74-2.76). The findings were similar for delivery by vacuum and forceps.

CONCLUSION: The use of episiotomy increased the risk of extensive perineal tears without a reduction in the risk of shoulder dystocia.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

L’épisiotomie a augmenté le risque de graves déchirures périnéales sans réduire celui de dystocie d’épaule.

Argument (English):

The use of episiotomy increased the risk of extensive perineal tears without a reduction in the risk of shoulder dystocia.

Argumento (português):

O uso de episiotomia aumentou o risco de lesões perineais extensas sem redução no risco de distocia do ombro.

Argumento (español):

Keywords :

➡ perineal/vaginal tears ; dystocy ; episiotomy ; instrumental delivery ; morbidity

Author of this record :

Bernard Bel — 20 Jul 2005
➡ latest update : Bernard Bel — 26 Jun 2018