Abstract：
PURPOSE:In Singapore, a developed Asian nation, a relatively high proportion of women undergo episiotomy. We assess risk factors and midwife-reported reasons for episiotomy among women undergoing normal vaginal deliveries (NVDs) conducted by midwives and ascertain the association between episiotomy and degree of perineal tear. METHODS:Participants included 77 midwives from a high-volume delivery unit in Singapore. The study had three sequential phases: (1) medical record review of women undergoing NVDs conducted by midwives over a 1-month period to document the proportion with episiotomy; (2) focus group discussions with midwives to form a checklist of reasons for episiotomy; (3) checklist-based documentation of midwife-reported reasons for episiotomy and data collection on maternal, neonatal, practice and midwife factors, and degree of perineal tear among women undergoing NVDs conducted by midwives over a 2-month period. Risk factors for episiotomy were assessed through logistic regression. RESULTS:Primiparity, advanced maternal age, Indian ethnicity, higher birth weight and older midwife age were associated with episiotomy. The most common midwife-reported reason for episiotomy among primiparous women was primiparity (55.1%), and among multiparous women was fetal distress (20.0%) and poor maternal effort (20.0%). All women with episiotomy sustained at least a second-degree perineal tear versus 27.1% among women without episiotomy. CONCLUSION:Most midwife-reported reasons for episiotomy were not congruent with international practice guidelines. Women without episiotomy have lesser tears than those with episiotomy. Practice protocols and educational programs are needed to change episiotomy practice.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Wu LC,Malhotra R,Allen JC Jr,Lie D,Tan TC,Østbye Tdoi
10.1007/s00404-013-2897-6subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1249-56issue
6eissn
0932-0067issn
1432-0711journal_volume
288pub_type
杂志文章abstract：INTRODUCTION:A hemangiopericytoma of the breast is uncommon, and a hemangiopericytoma of the breast is even rarer. Only a few cases of hemangiopericytoma of the breast have been reported in literature. CASE REPORT:Here, we report a case of a 66-year-old woman who presented with a mass in her left breast. The patient h...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
doi：10.1007/s00404-007-0470-x
更新日期：2008-04-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2011-02-01 00:00:00
abstract：:Posthysterectomy ectopic pregnancy is an unusual condition that may present soon after hysterectomy or several years later. Similarly, although tubal ligation is a widespread method of contraception, tubal pregnancy after tubal ligation is not common either. If any of these conditions are rare, having an ectopic pregn...
journal_title：Archives of gynecology and obstetrics
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abstract：PURPOSE:More than 370 million women will experience recurrent vulvovaginal candidiasis (RVVC) during their lifetime. However, RVVC is often trivialized as clinically insignificant and not worthy of research funding. We evaluated the influence of RVVC on the quality of life in affected women. METHODS:The validated Worl...
journal_title：Archives of gynecology and obstetrics
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abstract：INTRODUCTION:Intraperitoneal chemotherapy preceded by cytoreductive surgery should be the standard of care in the treatment of advanced epithelial ovarian cancer. This combination has been extensively examined in both the clinical and preclinical settings with favourable oncologic outcomes. Unfortunately, despite the e...
journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,meta分析,评审
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更新日期：2014-09-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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pub_type： 杂志文章,随机对照试验
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更新日期：2019-04-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,随机对照试验
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更新日期：2016-11-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 信件
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更新日期：2010-01-01 00:00:00
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更新日期：2012-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：1989-01-01 00:00:00
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更新日期：2011-10-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2012-04-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
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更新日期：2004-09-01 00:00:00
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更新日期：2017-09-01 00:00:00
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更新日期：2012-01-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2012-02-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2015-05-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章,多中心研究
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更新日期：2020-03-01 00:00:00
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pub_type： 临床试验,杂志文章
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2006-02-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：2010-02-01 00:00:00
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journal_title：Archives of gynecology and obstetrics
pub_type： 杂志文章
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更新日期：1998-01-01 00:00:00
