Current approach to episiotomy

Inevitable or unnecessary?

Nebojsa S. Jovanovic, Dusica M. Kocijancic, Milan M. Terzic

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95% of women who deliver will have episiotomy depending on which part of the world they are having delivery. Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented. According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection. There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary? There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation. There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient's safety.

Original languageEnglish
Pages (from-to)685-690
Number of pages6
JournalCentral European Journal of Medicine
Volume6
Issue number6
DOIs
Publication statusPublished - Dec 1 2011

Fingerprint

Episiotomy
Lacerations
Hemorrhage
Dystocia
Perineum
Fecal Incontinence
Pelvic Floor
Urinary Incontinence
Patient Safety
Intellectual Disability
Hematoma
Obstetrics
Mothers
Newborn Infant
Guidelines
Education

Keywords

  • Benefits
  • Complications
  • Controversy
  • Episiotomy
  • Risks

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Current approach to episiotomy : Inevitable or unnecessary? / Jovanovic, Nebojsa S.; Kocijancic, Dusica M.; Terzic, Milan M.

In: Central European Journal of Medicine, Vol. 6, No. 6, 01.12.2011, p. 685-690.

Research output: Contribution to journalArticle

Jovanovic, Nebojsa S. ; Kocijancic, Dusica M. ; Terzic, Milan M. / Current approach to episiotomy : Inevitable or unnecessary?. In: Central European Journal of Medicine. 2011 ; Vol. 6, No. 6. pp. 685-690.
@article{a5dc370d8ba04972adca4fe589311fe6,
title = "Current approach to episiotomy: Inevitable or unnecessary?",
abstract = "An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95{\%} of women who deliver will have episiotomy depending on which part of the world they are having delivery. Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented. According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection. There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary? There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation. There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient's safety.",
keywords = "Benefits, Complications, Controversy, Episiotomy, Risks",
author = "Jovanovic, {Nebojsa S.} and Kocijancic, {Dusica M.} and Terzic, {Milan M.}",
year = "2011",
month = "12",
day = "1",
doi = "10.2478/s11536-011-0088-z",
language = "English",
volume = "6",
pages = "685--690",
journal = "Central European Journal of Medicine",
issn = "1895-1058",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Current approach to episiotomy

T2 - Inevitable or unnecessary?

AU - Jovanovic, Nebojsa S.

AU - Kocijancic, Dusica M.

AU - Terzic, Milan M.

PY - 2011/12/1

Y1 - 2011/12/1

N2 - An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95% of women who deliver will have episiotomy depending on which part of the world they are having delivery. Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented. According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection. There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary? There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation. There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient's safety.

AB - An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95% of women who deliver will have episiotomy depending on which part of the world they are having delivery. Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented. According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection. There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary? There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation. There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient's safety.

KW - Benefits

KW - Complications

KW - Controversy

KW - Episiotomy

KW - Risks

UR - http://www.scopus.com/inward/record.url?scp=81355146792&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81355146792&partnerID=8YFLogxK

U2 - 10.2478/s11536-011-0088-z

DO - 10.2478/s11536-011-0088-z

M3 - Article

VL - 6

SP - 685

EP - 690

JO - Central European Journal of Medicine

JF - Central European Journal of Medicine

SN - 1895-1058

IS - 6

ER -