The doctor or midwife may opt to prevent the tearing by giving an episiotomy
which involves cutting through this muscle to widen the birth canal then stitch it up thereafter.
Based on the foregoing it is expected that the rate of episiotomy
in HIV positive paturient will be lower than that of the non-HIV positive paturient.
12,13) In the prevention of puerperal hematoma, it is important to begin the repair from the apex of perineal laceration or episiotomy
suture leaving no dead tissue beneath and closely follow postpartum vital signs.
Start perineal massage at 36 weeks Alleviate fear and anxiety Facilitate occiput anterior presentations Eliminate midline episiotomy
This may explain why episiotomy
at first delivery in women with the onset of symptoms during first pregnancy leads to a significant increase in long-lasting stress incontinence(23).
17) In a study of 144 cases of wound breakdown following a perineal laceration repair, the major risk factors for wound breakdown were episiotomy
Verbal Rating Score (VRS 0 - 3) consists of a scale from 0 to 3 (0 = no pain, 1 = mild, 2 = moderate, 3 = severe pain) was used to evaluate pain severity at 1st and 3rd day after episiotomy
repair after delivery.
In developed countries at least 65% of women suffered from perineal trauma, whereas in underdeveloped countries about 35-45% of women who give birth in a hospital have an episiotomy
6 [sup] even if routinely combined with mediolateral episiotomy
, [sup] and it has been found to associate with a higher risk then ventouse.
2) A study performed in a public hospital in the Federal District with 384 women undergoing normal delivery in order to determine the prevalence and factors associated with episiotomy
identified higher occurrence of incision in adolescents reaching 75%, even in the absence of evidence to support the association between maternal age and perineal trauma.
2) This study aims at determining the effect of virtual reality on pain in primiparity women during episiotomy
Worldwide, rates of episiotomy
rose substantially during the first half of the 20th century.