Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration.

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.

journal_name

Gynecol Obstet Invest

authors

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

doi

10.1159/000293161

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

213-6

issue

4

eissn

0378-7346

issn

1423-002X

journal_volume

31

pub_type

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