Selective versus routine use of episiotomy for vaginal birth

H Jiang, X Qian, G Carroli… - Cochrane Database of …, 2017 - cochranelibrary.com
Antecedentes Algunos médicos creen que la episiotomía sistemática, un corte quirúrgico en
la vagina y el perineo, previene los desgarros graves durante el parto. Por otro lado, una …

Risk factors for severe perineal lacerations during childbirth

V Pergialiotis, D Vlachos, A Protopapas… - International Journal of …, 2014 - Elsevier
Background Severe perineal lacerations represent a significant complication of normal labor
with a strong impact on quality of life. Objectives To identify factors that lead to the …

Third‐and fourth‐degree perineal tears among primiparous women in E ngland between 2000 and 2012: time trends and risk factors

I Gurol‐Urganci, DA Cromwell… - … Journal of Obstetrics …, 2013 - Wiley Online Library
Objective To describe the trends of severe perineal tears in E ngland and to investigate to
what extent the changes in related risk factors could explain the observed trends. Design A …

Incidence of and risk factors for perineal trauma: a prospective observational study

LA Smith, N Price, V Simonite, EE Burns - BMC pregnancy and childbirth, 2013 - Springer
Background Our aim was to describe the range of perineal trauma in women with a
singleton vaginal birth and estimate the effect of maternal and obstetric characteristics on the …

Obstetrical anal sphincter injuries (OASIS): prevention, recognition, and repair

MA Harvey, M Pierce, JE Walter, Q Chou… - Journal of Obstetrics and …, 2015 - Elsevier
Objective To review the evidence relating to obstetrical anal sphincter injuries (OASIS) with
respect to diagnosis, repair techniques and outcomes. To formulate recommendations as to …

[PDF][PDF] Assisted vaginal birth: green‐top guideline no. 26

DJ Murphy, BK Strachan, R Bahl… - … Journal of Obstetrics …, 2020 - missionmrcog.com
Operators should be aware that there is a higher risk of subgaleal haemorrhage and scalp
trauma with vacuum extraction compared with forceps at preterm gestational ages. Vacuum …

Variations in rates of severe perineal tears and episiotomies in 20 European countries: a study based on routine national data in Euro‐Peristat Project

B Blondel, S Alexander, RI Bjarnadóttir… - Acta obstetricia et …, 2016 - Wiley Online Library
Introduction Rates of severe perineal tears and episiotomies are indicators of obstetrical
quality of care, but their use for international comparisons is complicated by difficulties with …

Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study

M Simic, S Cnattingius, G Petersson… - BMC pregnancy and …, 2017 - Springer
Background We sought to investigate the impact of the duration of second stage of labor on
risk of severe perineal lacerations (third and fourth degree). Methods This population based …

Episiotomy in vacuum-assisted delivery affects the risk of obstetric anal sphincter injury: a systematic review and meta-analysis

NS Lund, LKG Persson, H Jangö, D Gommesen… - European Journal of …, 2016 - Elsevier
The risk of obstetric anal sphincter injury (OASIS) is increased in vacuum-assisted delivery.
However, it remains unclear whether episiotomy may protect against OASIS in this type of …

The effectiveness of mediolateral episiotomy in preventing obstetric anal sphincter injuries during operative vaginal delivery: a ten-year analysis of a national registry

J van Bavel, CWPM Hukkelhoven, C de Vries… - International …, 2018 - Springer
Introduction and hypothesis Obstetric anal sphincter injuries (OASIS) are associated with an
increased risk of faecal incontinence after vaginal delivery. The aim of this retrospective …