SELECTED USE OF MIDLINE EPISIOTOMY - EFFECT ON PERINEAL TRAUMA

  • 1 August 1987
    • journal article
    • research article
    • Vol. 70  (2) , 260-262
Abstract
A prospective, nonrandomized controlled study was performed to determine the effect of using midline episiotomy only for mothers who experienced fetal distress and/or operative vaginal delivery. Such a policy resulted in a significant decline in third- and fourth-degree lacerations in nulliparous women. This reduction was most pronounced in nulliparous women delivering infants larger than 3400 g. No third- or fourth-degree laceration occurred without antecedent episiotomy in any woman. A policy of using episiotomy selectively appears to lower the incidence of perineal trauma.

This publication has 3 references indexed in Scilit: