COMPARISON OF PERINEAL LACERATIONS IN ROUTINE VS. SELECTIVE MEDIOLATERAL EPISIOTOMY AMONG WOMEN REFERRING TO THE OBSTETRICS DEPARTMENT OF BESAT HOSPITAL IN SANANDAJ IN 2011

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REZAEI MASOUMEH; SHAHOEI ROONAK; SHAHGIBI SHOLAH; AFKHAMZADEH ABDOLRAHIM; FARHADIFAR FARIBA

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Journal Paper

Paper Information

Journal: Iranian Journal of Obstetrics, Gynecology and Infertility Year:2014 | Volume:17 | Issue:116 Page(s): 8-14

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Title

COMPARISON OF PERINEAL LACERATIONS IN ROUTINE VS. SELECTIVE MEDIOLATERAL EPISIOTOMY AMONG WOMEN REFERRING TO THE OBSTETRICS DEPARTMENT OF BESAT HOSPITAL IN SANANDAJ IN 2011

Author(s)

Keywords

MEDIOLATERAL EPISIOTOMYQ2

NULLIPAROUSQ2

PERINEAL LACERATIONQ2

SELECTIVE EPISIOTOMYQ1

Abstract

Introduction: PERINEAL LACERATIONs are common complications during childbirth and may occur spontaneously during this process. Midwives or obstetricians may need to make a surgical incision (episiotomy) to increase the diameter of the vaginal outlet and facilitate the neonate’s birth. The aim of this study was to compare PERINEAL LACERATIONs in routine versus SELECTIVE EPISIOTOMY.Methods: The current study was performed on 986 NULLIPAROUS women, admitted to Besat Hospital of Sanandaj in 2010-2011. Patients were randomly allocated to routine and SELECTIVE EPISIOTOMY (only in case of vacuum-assisted delivery or fetal distress) groups. For data analysis, t-test, Chi-square, and Fisher''s exact test were performed, using SPSS version 15. P-value less than 0.05 was considered statistically significant.Results: duration of the second stage of labor, first-degree tears, and labia minora lacerations in SELECTIVE EPISIOTOMY was significantly greater than the routine episiotomy group (P=0.0001). However, there was no significant difference between the two groups regarding second-, third-, or fourth-degree lacerations.Conclusion: Routine MEDIOLATERAL EPISIOTOMY could not prevent severe PERINEAL LACERATIONs but failure to do this in all cases (performed only in selected cases) resulted in first-degree lacerations and anterior perineal trauma. So it seems, limited use of episiotomy is a more rational approach for managing perineal outcomes during labor.

Cites

RELATIONSHIP BETWEEN DELIVERY AND NEONATAL FACTORS WITH HEALING OF EPISIOTOMY IN PRIMIPAROUS WOMEN AT MASHHAD OMALBANIN HOSPITAL IN 2013

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APA: Copy

REZAEI, MASOUMEH, SHAHOEI, ROONAK, SHAHGIBI, SHOLAH, AFKHAMZADEH, ABDOLRAHIM, & FARHADIFAR, FARIBA. (2014). COMPARISON OF PERINEAL LACERATIONS IN ROUTINE VS. SELECTIVE MEDIOLATERAL EPISIOTOMY AMONG WOMEN REFERRING TO THE OBSTETRICS DEPARTMENT OF BESAT HOSPITAL IN SANANDAJ IN 2011. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, 17(116), 8-14. SID. https://sid.ir/paper/64837/en

Vancouver: Copy

REZAEI MASOUMEH, SHAHOEI ROONAK, SHAHGIBI SHOLAH, AFKHAMZADEH ABDOLRAHIM, FARHADIFAR FARIBA. COMPARISON OF PERINEAL LACERATIONS IN ROUTINE VS. SELECTIVE MEDIOLATERAL EPISIOTOMY AMONG WOMEN REFERRING TO THE OBSTETRICS DEPARTMENT OF BESAT HOSPITAL IN SANANDAJ IN 2011. IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY[Internet]. 2014;17(116):8-14. Available from: https://sid.ir/paper/64837/en

IEEE: Copy

MASOUMEH REZAEI, ROONAK SHAHOEI, SHOLAH SHAHGIBI, ABDOLRAHIM AFKHAMZADEH, and FARIBA FARHADIFAR, “COMPARISON OF PERINEAL LACERATIONS IN ROUTINE VS. SELECTIVE MEDIOLATERAL EPISIOTOMY AMONG WOMEN REFERRING TO THE OBSTETRICS DEPARTMENT OF BESAT HOSPITAL IN SANANDAJ IN 2011,” IRANIAN JOURNAL OF OBSTETRICS, GYNECOLOGY AND INFERTILITY, vol. 17, no. 116, pp. 8–14, 2014, [Online]. Available: https://sid.ir/paper/64837/en

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