EFFECT OF EPISIOTOMY ON THE SECOND STAGE OF LABOR DURATION AND ITS EARLY COMPLICATIONS

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KIMIAEI P.; ZAFAR GHANDI A.S.; ZAFARGHANDI N.; SALEHI MEHRI

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2005 | Volume:63 | Issue:7 Page(s): 520-529

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Title

EFFECT OF EPISIOTOMY ON THE SECOND STAGE OF LABOR DURATION AND ITS EARLY COMPLICATIONS

Author(s)

KIMIAEI P. | ZAFAR GHANDI A.S. | ZAFARGHANDI N. | SALEHI MEHRI | Issue Writer Certificate

Keywords

VAGINAL DELIVERYQ3

EPISIOTOMYQ4

LACERATIONQ3

Abstract

Background: Resent studies do not suggest EPISIOTOMY in all cases as it can not shorten second stage of labor, prevent low infant apgar and reduce the probability of prinea truma. The present work studies the effect of EPISIOTOMY on the second stage of labor duration and its early complications in mahdieh hospital. Materials and Methods: This study is a sequential randomized clinical trial on 466 nullipara women in 1378-1379. These women's fetus position in ant occiput and they are in second stage of labor for EPISIOTOMY. The patients are randomly divided into two groups control (200 women with mediolateral EPISIOTOMY) and case group of . 266 women without EPISIOTOMY.Theresultsof two groups are compared by t-test and chi-squares. Results: Gestational age, mother age, use of oxytocin and disproper contraction of labor in both group are similar. Duration of the second stage of delivery in control group (27.36±13.7min) is greater than the case group (22.5±11.1) (P<0.001). On the other hand time interval between crowning and delivery in control group (4.78±3.5 min) is less than case group (5.9±3.4min) (P<0.001). In control group mediolateral EPISIOTOMY is considered equal to LACERATION grade Il which exist in all patients. 22 patients (%11) have LACERATION grad I separate from EPISIOTOMY. Number of LACERATION in case group is 1.2±0.96. In 64 women (1.24) prinea is completely intact and 168 (%64). LACERATION grade I and 28 LACERATION grade II. Number of LACERATION grad III and IV in two patients of (%1) controls is less than 6 controls (%22) but this difference is not significant. Duration of EPISIOTOMY suturing and number of cotton stitch in control is considerably greater than cases (P<0.0001).None of the infants show any apgar lower than 7. Infants weight which is purturbor variable in controls is greater than similar in controls is greater than similar value in cases, (3248± 422 gr and 3175±376 respectively) (P<0.05).Therefore both groups are simulated from weight point of view. The second stage and proper time for delivery is recompared in both group. In weights less than 3500gr the second stage duration in each group is similar but EPISIOTOMY causes remarkable time reduction from crowning to delivery in controls(P<0.05). This is not true for weight 3500gr and second stage duration in controls is greater than cases(P<0.001).Episiotomy dos not causes any reduction in this interval. Conclusions: By not performing EPISIOTOMY in all patients intact prinea is seen and sever LACERATION is not developed. Infant apgar is not effected by EPISIOTOMY. The impacts of EPISIOTOMY in all patients are: Increase in trauma, bleeding development, and higher cost. Therefore usage of EPISIOTOMY is suggested to be limited in OA position in fetal distress.

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APA: Copy

KIMIAEI, P., ZAFAR GHANDI, A.S., ZAFARGHANDI, N., & SALEHI, MEHRI. (2005). EFFECT OF EPISIOTOMY ON THE SECOND STAGE OF LABOR DURATION AND ITS EARLY COMPLICATIONS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 63(7), 520-529. SID. https://sid.ir/paper/39209/en

Vancouver: Copy

KIMIAEI P., ZAFAR GHANDI A.S., ZAFARGHANDI N., SALEHI MEHRI. EFFECT OF EPISIOTOMY ON THE SECOND STAGE OF LABOR DURATION AND ITS EARLY COMPLICATIONS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2005;63(7):520-529. Available from: https://sid.ir/paper/39209/en

IEEE: Copy

P. KIMIAEI, A.S. ZAFAR GHANDI, N. ZAFARGHANDI, and MEHRI SALEHI, “EFFECT OF EPISIOTOMY ON THE SECOND STAGE OF LABOR DURATION AND ITS EARLY COMPLICATIONS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 63, no. 7, pp. 520–529, 2005, [Online]. Available: https://sid.ir/paper/39209/en

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