Abstract | OBJECTIVE: To examine the association of the frequency and severity of perineal trauma with episiotomy performed at forceps delivery. STUDY DESIGN: This retrospective study analyzed all forceps deliveries at the Semmelweis Women's Hospital Vienna between February 1999 and July 1999. Evaluation of a possible association of episiotomy with the frequency and severity of perineal trauma was the main objective of the study. Episiotomy was not performed routinely and was either midline or mediolateral. RESULTS: CONCLUSION: If obstetric indications necessitate forceps delivery, performance of an episiotomy decreases the risk of perineal tears of all degrees. When analyzing the type of episiotomy, mediolateral episiotomy seems to be more protective against perineal trauma in women undergoing forceps delivery.
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Authors | Barbara Bodner-Adler, Klaus Bodner, Oliver Kimberger, Peter Wagenbichler, Klaus Mayerhofer |
Journal | The Journal of reproductive medicine
(J Reprod Med)
Vol. 48
Issue 4
Pg. 239-42
(Apr 2003)
ISSN: 0024-7758 [Print] United States |
PMID | 12746986
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Episiotomy
(methods)
- Extraction, Obstetrical
(adverse effects, instrumentation)
- Female
- Follow-Up Studies
- Gestational Age
- Humans
- Injury Severity Score
- Obstetric Labor Complications
(prevention & control)
- Obstetrical Forceps
- Parity
- Perineum
(injuries)
- Pregnancy
- Prevalence
- Retrospective Studies
- Risk Factors
- Wounds and Injuries
(epidemiology, prevention & control)
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