| Selective vs routine midline episiotomy for the prevention of third- or fourth-degree lacerations in nulliparous women. | |
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MedLine Citation:
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PMID: 18221925 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this study was to determine whether selective midline episiotomy contributes to the prevention of third- or fourth-degree perineal lacerations. STUDY DESIGN: A randomized controlled clinical trial was performed with 446 nulliparous women with deliveries after 28 weeks of pregnancy. Patients were randomized to undergo either routine episiotomy or selective episiotomy. In the selective episiotomy group, episiotomies were performed only in cases of imminent lacerations, fetal distress, or forceps delivery. RESULTS: In the group of 223 patients who underwent routine episiotomy, 32 (14.3%) had third- or fourth-degree perineal lacerations, as compared to 15 (6.8%) in the group of 222 patients undergoing selective episiotomy (relative risk, 2.12; 95% confidence interval, 1.18-3.81). Only reduction in third-degree lacerations was significant when analyzed separately. Moreover, periurethral, labia minora, and superficial vaginal lacerations were significantly more frequent in the selective episiotomy group. CONCLUSION: The policy of performing selective midline episiotomy in nulliparous patients results in a reduction in the risk of third-degree perineal lacerations. |
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Authors:
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Alexander Rodriguez; Edgar A Arenas; Alba L Osorio; Omar Mendez; John J Zuleta |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2008-01-25 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 198 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-03-03 Completed Date: 2008-04-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 285.e1-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, San Vicente de Paul Hospital, Antioquia University Medical School, Medellín, Colombia. jorgear12@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Episiotomy / methods* Female Humans Injury Severity Score Lacerations / classification, epidemiology, prevention & control* Parity* Pregnancy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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