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Created on : 02 Aug 2014
Modified on : 07 Nov 2018

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Bibliographical entry (without author) :

The effect of a mediolateral episiotomy during operative vaginal delivery on the risk of developing obstetrical anal sphincter injuries - American Journal of Obstetrics and Gynecology - Vol. 206, 5 - ISBN: 0002-9378 - p.404.e1-404.e5

Author(s) :

de Vogel, Joey; van der Leeuw-van Beek, Anneke; Gietelink, Dirk; Vujkovic, Marijana; de Leeuw, Jan Willem; van Bavel, Jeroen; Papatsonis, Dimitri

Year of publication :

2012

URL(s) :

http://www.sciencedirect.com/science/article/pii/S…
https://doi.org/10.1016/j.ajog.2012.02.008

Résumé (français)  :

Abstract (English)  :

Objective
The objective of the study was to evaluate the frequency of obstetrical anal sphincter injuries (OASIS) in women undergoing operative vaginal deliveries (OVD) and to assess whether a mediolateral episiotomy is protective for developing OASIS in these deliveries.

Study Design
We performed a retrospective cohort study. Maternal and obstetrical characteristics of the 2861 women who delivered liveborn infants by an OVD at term in the years 2001-2009 were extracted from a clinical obstetrics database and were analyzed in a logistic regression model.

Results
The frequency of OASIS was 5.7%. Women with a mediolateral episiotomy were at significantly lower risk for OASIS compared with the women without a mediolateral episiotomy in case of an OVD (adjusted odds ratio, 0.17; 95% confidence interval, 0.12–0.24).

Conclusion
We found a 6-fold decreased odds for developing OASIS when a mediolateral episiotomy was performed in OVD. Therefore, we advocate the use of a mediolateral episiotomy in all operative vaginal deliveries to reduce the incidence of OASIS.

Sumário (português)  :

Resumen (español)  :

Full text (public) :

Comments :

Cet article est contredit par celui de Riethmuller : http://afar.info/id=2257

Argument (français) :

Nous préconisons l’utilisation d’une épisiotomie médiolatérale dans tous les accouchements vaginaux opératoires afin de réduire l’incidence des lésions du sphincter anal.

Argument (English):

We advocate the use of a mediolateral episiotomy in all operative vaginal deliveries to reduce the incidence of obstetrical anal sphincter injuries.

Argumento (português):

Defendemos o uso de uma episiotomia mediolateral em todos os partos vaginais operatórios para reduzir a incidência de lesões do esfíncter anal.

Argumento (español):

Keywords :

➡ perineal/vaginal tears ; episiotomy

Author of this record :

Import 02/08/2014 — 02 Aug 2014
➡ latest update : Bernard Bel — 07 Nov 2018