Document Detail

Management of the perineum during forceps delivery. Association of episiotomy with the frequency and severity of perineal trauma in women undergoing forceps delivery.
MedLine Citation:
PMID:  12746986     Owner:  NLM     Status:  MEDLINE    
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: In conjunction with forceps delivery episiotomy, 76/87 women (87%) underwent forceps delivery episiotomy; among those, 49/76 (64%) had a mediolateral episiotomy and 27/76 (36%) a midline episiotomy. The frequency and severity of perineal tears were significantly lower in forceps deliveries when an episiotomy was performed. When analyzing the type of episiotomy, the data revealed a statistically significantly lower frequency of perineal trauma when mediolateral episiotomy was performed as compared to midline episiotomy. 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.
Barbara Bodner-Adler; Klaus Bodner; Oliver Kimberger; Peter Wagenbichler; Klaus Mayerhofer
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  48     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-08-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  239-42     Citation Subset:  IM    
Department of Obstetrics and Gynecology and of Anesthesiology, University of Vienna Medical School, Department of Obstetrics and Gynecology, Semmelweis Women's Hospital Vienna, Vienna, Austria.
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MeSH Terms
Episiotomy / methods*
Extraction, Obstetrical / adverse effects*,  instrumentation*
Follow-Up Studies
Gestational Age
Injury Severity Score
Obstetric Labor Complications / prevention & control
Obstetrical Forceps
Perineum / injuries*
Retrospective Studies
Risk Factors
Wounds and Injuries / epidemiology,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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