Create Account | Sign In: Author or Forum

 
 
News  |  Journals  |  Conferences  |  Blogs  |  Articles  |  Forums  |  Twitter    
 

 Headlines:

 

Category: Gynecology | Nursing | Journal

Back to Journal Articles

Characteristics of Episiotomy Incision Influence Injury Risk

Last Updated: March 20, 2012.

 

Angle, length and depth of episiotomy cut associated with risk of obstetric and sphincter injuries

Share |

Comments: (0)

Tell-a-Friend

 

  Related
 
Narrow-angled episiotomies increase the risk of obstetric anal sphincter injuries (OASIS), while other factors, including point of incision and episiotomy length and depth, reduce the risk of OASIS, according to a study published online March 6 in BJOG: An International Journal of Obstetrics & Gynaecology.

TUESDAY, March 20 (HealthDay News) -- Narrow-angled episiotomies increase the risk of obstetric anal sphincter injuries (OASIS), while other factors, including point of incision and episiotomy length and depth, reduce the risk of OASIS, according to a study published online March 6 in BJOG: An International Journal of Obstetrics & Gynaecology.

Mona Stedenfeldt, of the University Hospital of North Norway in Tromsø, and colleagues conducted a case-control study of 74 women with a history of a single vaginal birth and an episiotomy. The researchers identified, photographed, and measured the episiotomy scar in 37 women with OASIS and 37 controls.

The researchers found that, for each 5.5-mm increase in episiotomy depth there was a 70 percent decrease in the risk of sustaining OASIS (odds ratio [OR], 0.30); for each 4.5-mm increase in the distance from the midline to the incision point of the episiotomy there was a 56 percent decreased risk (OR, 0.44); and for each 5.5-mm increase in episiotomy length there was a 75 percent decrease in the risk of sustaining OASIS (OR, 0.25). The mean angle did not differ between the groups, but a "U-shaped" association was seen between angle and OASIS (OR, 2.09), with an angle either smaller than 15 degrees or greater than 60 degrees associated with an increased risk (OR, 9.00).

"The present study showed that scarred episiotomies with depth >16 mm, length >17 mm, incision point >9 mm lateral of midpoint and angle range 30 to 60 degrees are significantly associated with less risk of OASIS," the authors write.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.


Previous: H. Pylori Associated With Impaired Glucose Tolerance Next: Dapagliflozin Aids Glycemic Control in Type 2 Diabetes

Reader comments on this article are listed below. Review our comments policy.


Submit your opinion:

Name:

Email:

Location:

URL:

Remember my personal information

Notify me of follow-up comments?

advertisement.gif (61x7 -- 0 bytes)
 

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

 
     

 advertisement.gif (61x7 -- 0 bytes)

 

 

Useful Sites
MediLexicon
  Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us
Copyright © 2001-2014
Doctors Lounge.
All rights reserved.

Medical Reference:
Diseases | Symptoms
Drugs | Labs | Procedures
Software | Tutorials

Advertising
Links | Humor
Forum Archive
CME | Conferences

Privacy Statement
Terms & Conditions
Editorial Board
About us | Email

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
verify here.