Gynecol Obstet Invest. 1991;31(4):213-6.

Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration.

Larsson PG, Platz-Christensen JJ, Bergman B, Wallstersson G.

Source

Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden.

Abstract

In a prospective clinical investigation of 2,144 deliveries, we elucidate the indications for episiotomy and how different methods of anesthesia affect the frequency of episiotomy and the perineal problems after episiotomy compared with those after spontaneous perineal laceration. We found a significantly higher infection rate (p less than 0.001) and a longer healing period in the episiotomy group. These differences remain even if only primigravida or the indication, imminent perineal laceration, is studied. The results indicate that many women will unnecessarily suffer after an episiotomy. The patient's subjective problems are significantly increased, both immediately and at the 3-month postoperative follow-up.

PMID:: 1885090; [PubMed - indexed for MEDLINE]

LinkOut - more resources

Education

New England Research Institutes Inc.

Medical

Libraries

LinkOut Holdings

Supplemental Content

Related citations

Episiotomy and perineal tears presumed to be imminent: randomized controlled trial. [Acta Obstet Gynecol Scand. 2004]
Episiotomy and perineal tears presumed to be imminent: randomized controlled trial.
Dannecker C, Hillemanns P, Strauss A, Hasbargen U, Hepp H, Anthuber C. Acta Obstet Gynecol Scand. 2004 Apr; 83(4):364-8.
Postpartum perineal repair performed by midwives: a randomised trial comparing two suture techniques leaving the skin unsutured. [BJOG. 2008]
Postpartum perineal repair performed by midwives: a randomised trial comparing two suture techniques leaving the skin unsutured.
Kindberg S, Stehouwer M, Hvidman L, Henriksen TB. BJOG. 2008 Mar; 115(4):472-9.
Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women. [Am J Obstet Gynecol. 1989]
Association of episiotomy and delivery position with deep perineal laceration during spontaneous delivery in nulliparous women.
Borgatta L, Piening SL, Cohen WR. Am J Obstet Gynecol. 1989 Feb; 160(2):294-7.
Review Continuous versus interrupted sutures for repair of episiotomy or second degree tears. [Cochrane Database Syst Rev. 2007]
Review Continuous versus interrupted sutures for repair of episiotomy or second degree tears.
Kettle C, Hills RK, Ismail KM. Cochrane Database Syst Rev. 2007 Oct 17; (4):CD000947. Epub 2007 Oct 17.
Review [Episiotomy and its complications]. [Z Geburtshilfe Neonatol. 1997]
Review [Episiotomy and its complications].
Hirsch HA. Z Geburtshilfe Neonatol. 1997; 201 Suppl 1:55-62.

See reviews... See all...

Cited by 3 PubMed Central articles

The outcomes of midline versus medio-lateral episiotomy. [Reprod Health. 2007]
The outcomes of midline versus medio-lateral episiotomy.
Sooklim R, Thinkhamrop J, Lumbiganon P, Prasertcharoensuk W, Pattamadilok J, Seekorn K, Chongsomchai C, Pitak P, Chansamak S. Reprod Health. 2007 Oct 29; 4:10. Epub 2007 Oct 29.
Midline versus mediolateral episiotomy. [BMJ. 2000]
Midline versus mediolateral episiotomy.
Thacker SB. BMJ. 2000 Jun 17; 320(7250):1615-6.
Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. [BMJ. 1994]
Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair.
Sultan AH, Kamm MA, Hudson CN, Bartram CI. BMJ. 1994 Apr 2; 308(6933):887-91.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.
Cited in Books
NCBI Bookshelf books that cite the current articles.

Recent activity

Clear Turn Off Turn On

Advantage or disadvantage of episiotomy compared with spontaneous perineal lacer...
Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration.
Gynecol Obstet Invest. 1991 ;31(4):213-6.

PubMed
Aerobic exercise during pregnancy. Special considerations.
Aerobic exercise during pregnancy. Special considerations.
Sports Med. 1989 Jun ;7(6):357-75.

PubMed
Benefits and risks of episiotomy: an interpretative review of the English langua...
Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860-1980.
Obstet Gynecol Surv. 1983 Jun ;38(6):322-38.

PubMed
Fraser syndrome.
Fraser syndrome.
J Postgrad Med. 1993 Oct-Dec ;39(4):228-30.

PubMed
Reduced fetal growth rate and increased risk of death from ischaemic heart disea...
Reduced fetal growth rate and increased risk of death from ischaemic heart disease: cohort study of 15 000 Swedish men and women born 1915-29.
BMJ. 1998 Jul 25 ;317(7153):241-5.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to:

Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration.

Source

Abstract

MeSH Terms, Substances

MeSH Terms

Substances

LinkOut - more resources

Education

Medical

Libraries

Supplemental Content

Related citations

Cited by 3 PubMed Central articles

Related information

Recent activity

Simple NCBI Directory

Getting Started

Resources

Popular

Featured

NCBI Information