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B Bodner-Adler

CH Werner

Chompilas Chongsomchai

FG Cunningham

G Carroli

H Aytan

J Owen

J Wood

Jadsada Thinkhamrop

Jeerichuda Pattamadilok

JT Helwig

Kanok Seekorn

P Shiono

PG Larsson

Pisake Lumbiganon

PM Coats

Prakai Pitak

R Angioli

Ratchadawan Sooklim

RF Harrison

RJ Woolley

SB Thacker

Sukanya Chansamak

Witoon Prasertcharoensuk

Zetterstrom Jan

English

PubMed

Abstract Background Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data available to indicate if an episiotomy should be midline or medio-lateral. We compared midline versus medio-lateral episiotomy for complication such as extended perineal tears, pain scores, wound infection rates and other complications. Methods We conducted a prospective cohort including 1,302 women, who gave birth vaginally between April 2005 and February 2006 at Srinagarind Hospital – a tertiary care center in Northeast Thailand. All women included had low risk pregnancies and delivered at term. The outcome measures included deep perineal tears (including perineal tears with anal sphincter and/or rectum tears), other complications, and women's satisfaction at 48 hours and 6-weeks postpartum. Results In women with midline episiotomy, deep perineal tears occurred in 14.8%, which is statistically significantly higher compared to 7% in women who underwent a medio-lateral episiotomy (p-value  3,500 g and forceps extraction. Conclusion Midline compared to medio-lateral episiotomy resulted in more deep perineal tears. It is more likely deep perineal tears would occur in cases with additional risk factors.</p

Chongsomchai Chompilas

Seekorn Kanok

Pattamadilok Jeerichuda

Prasertcharoensuk Witoon

Lumbiganon Pisake

Thinkhamrop Jadsada

Sooklim Ratchadawan

Pitak Prakai

Chansamak Sukanya

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Reproductive Health

The outcomes of midline versus medio-lateral episiotomy

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The outcomes of midline versus medio-lateral episiotomy

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