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Created on : 07 Oct 2003
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Is there a benefit to episiotomy at spontaneous vaginal delivery? A natural experiment. Am J Obstet Gynecol. 1996 Oct;175(4 Pt 1):897-901.

Author(s) :

Bansal RK, Tan WM, Ecker JL, Bishop JT, Kilpatrick SJ.

Year of publication :

1996

URL(s) :

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

Résumé (français)  :

Abstract (English)  :

OBJECTIVE: Our purpose was to examine the association between maternal vaginal and perineal morbidity and episiotomy performed at spontaneous vaginal delivery.

STUDY DESIGN: We obtained data from 17,483 consecutive spontaneous vaginal deliveries and compared the yearly rates of episiotomy, lacerations, and potential confounders with linear regression and stratified analyses.

RESULTS: Between 1976 and 1994 the use of episiotomy fell significantly (86.8% to 10.4%, R2 = 0.92, p = 0.0001). This change was associated with a fall in the rate of third- and fourth-degree lacerations (9.0% to 4.2%, R2 = 0.59, p = 0.0001) and a rise in the rate of intact perinea (10.3% to 26.5%, R2 = 0.68, p = 0.0001) and vaginal lacerations (5.4% to 19.3%, R2 = 0.77, p = 0.0001). These associations held in separate analyses stratified by parity and birth weight, except for the subgroup of nulliparous women with macrosomic infants.

CONCLUSION: At our institution a large reduction in the use of episiotomy in spontaneous vaginal deliveries was associated with a significant reduction in perineal trauma in all groups of women except for nulliparous women with macrosomic infants.

Sumário (português)  :

Resumen (español)  :

Comments :

Acces libre au resume, texte payant.

Argument (français) :

La pratique systématique de l’épisiotomie devrait être abandonnée lors des accouchements spontanés.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ perineal/vaginal tears ; episiotomy ; morbidity

Author of this record :

Cécile Loup — 07 Oct 2003