Routine episiotomy versus selective episiotomy in primigravidae

Routine episiotomy versus selective episiotomy in primigravidae

Authors

  • Shamam Shehla Ali
  • Mariam Malik
  • Javed Iqbal
  • Naheed Jamal Faruqi

DOI:

https://doi.org/10.21649/akemu.v10i4.1272

Keywords:

Episiotomy. Research Design. Clinical Trials as Topic. Perineum. Gravidity. Hospital. Family. Social Environment. Delivery, Obstetric.

Abstract

Objectives: To compare the maternal and fetal outcome in routine versus selective episiotomy in primigravidae. Study Design: A randomized controlled trial conducted at Jinnah Hospital, Lahore, Pakistan. The two interventions compared were selective (limited to specified maternal or fetal indications) and routine episiotomy (following the hospital policy). 200 primigravidae were included in the study, 100 women in each group. The main outcome measure was severe perineal trauma (3rd degree and 4th degree tear). Results: Episiotomy was made in 32% of deliveries in the selected and 100% in the routine group. Severe perineal trauma was not seen in either group. Anterior vaginal/ Paraurethral trauma was more common in the selected group. However, posterior surgical repair, perineal pain, wound dehiscence and other healing complications were all less frequent in selected group.

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Published

05/18/2016

How to Cite

Ali, S. S., Malik, M., Iqbal, J., & Faruqi, N. J. (2016). Routine episiotomy versus selective episiotomy in primigravidae. Annals of King Edward Medical University, 10(4). https://doi.org/10.21649/akemu.v10i4.1272

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