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Created on : 02 Aug 2014
Modified on : 02 Aug 2014

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Bibliographical entry (without author) :

Evaluation of the incision angle of mediolateral episiotomy at 60 degrees - International Journal of Gynecology & Obstetrics - Vol. 112, 3 - ISBN: 0020-7292 - p.220-224

Author(s) :

Kalis, Vladimir; Landsmanova, Jana; Bednarova, Barbora; Karbanova, Jaroslava; Laine, Katariina; Rokyta, Zdenek

Year of publication :

2011

URL(s) :

http://www.sciencedirect.com/science/article/pii/S…
https://doi.org/10.1016/j.ijgo.2010.09.015

Résumé (français)  :

Abstract (English)  :

Objective
To study the angle of mediolateral episiotomy at the time of cut, after primary repair, and 6 months postpartum; and the incidence and severity of perineal pain and anal incontinence 6 months after delivery.
Methods
The study group comprised 60 consecutively recruited primiparous women who required episiotomy during delivery assisted by 2 obstetricians. The incision angle of episiotomy (defined as 60°) was measured before cutting, after primary repair, and after 6 months. At follow-up, perineal pain was evaluated by a verbal rating score; anal incontinence was assessed by St Mark’s score.
Results
The angles differed significantly among the incision (60°), repair (45°), and 6-month (48°) measurements (P < 0.001). There was a poor correlation between the suture angle and the angle measured at 6 months postpartum. No severe perineal tear was diagnosed in the cohort. At 6 months postpartum, only 1 woman reported mild symptoms of de novo anal incontinence, whereas 7 women reported perineal pain related to episiotomy.
Conclusion
An incision angle of mediolateral episiotomy of 60° resulted in a low incidence of anal sphincter tearing, anal incontinence and perineal pain. A randomized controlled trial is needed to assess the outcome when different angles of episiotomy are used.

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Keywords :

➡ episiotomy

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Import 02/08/2014 — 02 Aug 2014