Choose your font:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 English 
 Français 
 Português 
 Español 

[Valid RSS] RSS
bar

Database - (CIANE)

Description of this bibliographical database (CIANE website)
Currently 3111 records
YouTube channel (tutorial)

https://ciane.net/id=547

Created on : 08 Mar 2004
Modified on : 01 Dec 2007

 Modify this record
Do not follow this link unless you know an editor’s password!


Share: Facebook logo   Tweeter logo   Easy

Bibliographical entry (without author) :

Episiotomy for vaginal birth. SELECTED COCHRANE SYSTEMATIC REVIEWS. Birth. 1999 Dec;26(4):263.

Author(s) :

Carroli G, Belizan J, Stamp G.

Year of publication :

1999

URL(s) :

http://www.blackwell-synergy.com/openurl?genre=art…

Résumé (français)  :

Abstract (English)  :

Background and objectives: Episiotomy is done to prevent severe perineal tears, but its routine use has been questioned. The relative effects of midline compared with midlateral episiotomy are unclear. The objective of this review was to assess the effects of restrictive use of episiotomy compared with routine episiotomy during vaginal birth.

Search strategy: We searched the Cochrane Pregnancy and Childbirth Group trials register.

Selection criteria: Randomised trials comparing restrictive use of episiotomy with routine use of episiotomy; restrictive use of mediolateral episiotomy versus routine mediolateral episiotomy; restrictive use of midline episiotomy versus routine midline episiotomy; and use of midline episiotomy versus mediolateral episiotomy.

Data collection and analysis: Trial quality was assessed and data were extracted independently by two reviewers.

Main results: Six studies were included. In the routine episiotomy group, 73.4% (1703/2319) of women had episiotomies, while the rate in the restrictive episiotomy group was 26.6% (619/2331). Compared with routine use, restrictive episiotomy involved less posterior perineal trauma (relative risk 0.88, 95% confidence interval 0.84-0.93), less suturing (relative risk 0.74, 95% confidence interval 0.71-0.77), and fewer healing complications (relative risk 0.69, 95% confidence interval 0.56-0.85). Restrictive episiotomy was associated with more anterior perineal trauma (relative risk 1.88, 95% confidence interval 1.62-2.18). There was no difference in severe vaginal or perineal trauma (relative risk 1.11, 95% confidence interval 0.83-1.50); dyspareunia (relative risk 1.02, 95% confidence interval 0.90-1.16); urinary incontinence (relative risk 0.98, 95% confidence interval 0.79-1.20) or several pain measures. Results for restrictive versus routine mediolateral versus midline episiotomy were similar to the overall comparison.

Reviewers’ conclusions: Restrictive episiotomy policies appear to have a number of benefits compared to routine episiotomy policies. There was less posterior perineal trauma, less suturing and fewer complications, no difference for most pain measures, and severe vaginal or perineal trauma, but there was an increased risk of anterior perineal trauma with restrictive episiotomy.

Sumário (português)  :

Resumen (español)  :

Comments :

Argument (français) :

L’usage restreint de l’épsiotomie est avantageux sur tous les points, sauf les traumatismes périnéaux antérieurs.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ perineal/vaginal tears ; episiotomy

Author of this record :

Cécile Loup — 08 Mar 2004

Discussion (display only in English)
 
➡ Only identified users



 I have read the guidelines of discussions and I accept all terms (read guidelines)

barre

New expert query --- New simple query

Creating new record --- Importing records

User management --- Dump database --- Contact

bar

This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
Sign in or create an account to follow changes or become an editor.
Contact bibli(arobase)ciane.net for more information.

Valid CSS! Valid HTML!
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public
databases towards the support of parents and caregivers’ informed decisions with respect to childbirth