Introduction and hypothesis The objective of this trial was to tears was found between groups; however, the main limitation evaluate whether avoiding episiotomy can decrease the risk of of our study was unexpectedly high rates of episiotomy in the advanced perineal tears. nonepisiotomy group. Thus, the main conclusion is that inves- Material and methods In this randomized (1:1) parallel-group tigator monitoring and education should be continuously prac- superiority trial, primiparous women underwent randomiza- ticed throughout the trial duration, stressing the importance of tion into standard care (155 cases) vs. no episiotomy (154 adherence to the protocol. cases) groups. The primary endpoint was the incidence of advanced (3rd- and 4th-degree) perineal tears. Secondary out- Keywords Episiotomy Obstetric anal sphincter injury comes included perineal integrity, suturing characteristics, second-stage duration, incidence of postpartum hemorrhage, neonatal variables, and various postpartum symptoms 2 days Introduction and 2 months after delivery. Results At prespecified 1-year interim analysis, the groups did Episiotomy is one of the most prevalent surgical interventions not differ in terms of baseline demographic and obstetric char- at the delivery room, ranging in frequency from <10 to 75% of acteristics. Six advanced perineal tears (3.9%) were diagnosed vaginal births [1, 2]. Presumed benefits
International Urogynecology Journal – Springer Journals
Published: Sep 20, 2017
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