Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration.

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Adult

Analgesics

therapeutic use

Anesthesia

Obstetrical

methods

standards

Episiotomy

adverse effects

methods

standards

Female

Follow-Up Studies

Humans

Obstetric Labor Complications

Pain Measurement

Pain

Postoperative

drug therapy

epidemiology

psychology

Parity

Perineum

injuries

Pregnancy

Prospective Studies

Surgical Wound Infection

epidemiology

etiology

Suture Techniques

standards

Wound Healing

Wounds

Penetrating

complications

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)