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References in periodicals archive ?
Reinforcing the importance of avoiding a midline episiotomy, the "A" of passages stands for "aiming" lateral when an episiotomy is needed.
Selective vs routine midline episiotomy for the prevention of third or fourth-degree lacerations in nulliparous women.
The use of midline episiotomy has consistently been found to be the strongest risk factor for a subsequent severe tear, even after controlling for confounding variables.
When midline episiotomy was performed during instrument delivery, the risk of obstetric anal sphincter injury approximately doubled again, such that, in one study, forceps delivery with episiotomy caused a 25-fold increase in obstetric anal sphincter injury.
Limited evidence suggested that women who had a midline episiotomy, which is more common in the United States, began intercourse significantly earlier after giving birth, but had a significantly greater probability of anal sphincter injuries than women who had a mediolateral episiotomy
Does midline episiotomy increase the risk of third- and fourth-degree lacerations in operative vaginal deliveries?
Median or midline episiotomy is popular in the US and the mediolateral in India and most of the Asian countries.
When I do, I opt for a midline episiotomy rather than a mediolateral one.
Studies have demonstrated that midline episiotomy carries a high risk of severe perineal lacerations than no episiotomy.
Although the midline episiotomy involves less bleeding, pain, and dyspareunia, the median technique tends to cause more fecal incontinence and a greater risk of anal sphincter injury.
Add a midline episiotomy and their already high risk skyrockets, Dr.
There is an increased risk of third- and fourth-degree lacerations with midline episiotomy compared with mediolateral episiotomy.