We questioned why obstetricians and midwives still perform routine episiotomies
in Cambodia while the evidence shows that it is not beneficial for women.
However, big variations in episiotomy rates exist : Thirty-five percent of hospitals permit too many episiotomies
are also carried out more frequently than average - but other forms of intervention are at average levels.
The study, published in 1993 in the Lancet, found that pain and healing problems were actually more common among women who were routinely given episiotomies
than in the group where it was restricted.
The committee assigned two-digit alphanumeric codes for each provider and posted individual rates of cesarean sections and episiotomies
by provider code for 6 months, to start.
A number of practices were found that did not follow current guidelines: routine enemas and episiotomies
, forbidding companionship during labour, use of procedures to speed labour without indications, restriction of mobility and oral fluids, supine position for delivery and absence of active management of the third stage of labour.
According to a 2002 survey conducted by Childbirth Connection (formerly Maternity Center Association), 35 percent of women who gave birth vaginally had episiotomies
Without sufficient data to develop evidence-based criteria for performing episiotomies
, clinical judgment remains the best guide to determine when its use is warranted, according to ACOG.
Caesarean sections, episiotomies
, and hysterectomies were ranked 3rd, 4th, and 5th, respectively, on Consumer Reports' list of '12 Surgeries You May be Better Off Without,' compiled from research by the Rand Corporation.
The women in the midwife-led program received fewer doctor visits, drugs to start labor and episiotomies
- incisions commonly performed to ease childbirth - than women in the physician-led group, the study showed.
totally capable of giving birth, in most cases, without drugs, episiotomies
Hydrogiene will now be able to make medical claims for MediClenze's ability to alleviate discomfort and pain from posterior regions for ailments such as Hemorrhoids and episiotomies
, as well as assistance in the healing of open wounds, and flushing perineal areas of microbiologicals, in addition to soothing irritated tissues and membranes.