4.7 (638) · $ 12.50 · In stock
Current meta-analyses and reviews that assessed the studies available in the literature revealed that episiotomy does not decrease the rates of urinary incontinence, perineal pain, and sexual dysfunction and that routine episiotology does not prevent pelvic floor damage; thus, the recommended use of mediolateral episiotome is restricted, rather than routine. Although extensively applied in obstetrics practice to facilitate delivery by increasing the vaginal birth conduit, most episiotomy studies are in the context of short- or medium-term outcomes, and the number of studies investigating the long-term effects is insufficient. Episiotomy is often considered associated with urinary and/or anal incontinence and dyspareunia; however, there is no concrete evidence for this issue. Current meta-analyses and reviews that assessed the studies available in the literature revealed that episiotomy does not decrease the rates of urinary incontinence, perineal pain, and sexual dysfunction and that routine episiotomy does not prevent pelvic floor damage; thus, the recommended use of mediolateral episiotomy is restricted, rather than routine. According to the limited number of studies on sexual function, there seems to be a linear relationship between the degree of perineal laceration and postpartum dyspareunia. It is still not clear whether episiotomy has any impact on pelvic floor relaxation, pelvic organ prolapse, and sexual dysfunction in the long term.
Episiotomy
The Role of Episiotomy in Emergency Delivery
How to look after an episiotomy or tear after delivery - Supported
Episiotomy practices in France: epidemiology and risk factors in
Women acceptance of episiotomy procedure before and after
Episiotomy and Repair: Background, Indications, Contraindications
PDF) Pattern of episiotomy use & its immediate complications among
Episiotomy and obstetric perineal trauma (Chapter 17) - Best
Third and Fourth Degree Perineal Lacerations of Episiotomy Versus
Selective versus routine use of episiotomy for vaginal birth