Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study
المؤلفون المشاركون
Ali-Masri, Hadil Y.
Hassan, Sahar J.
Zimmo, Kaled M.
Zimmo, Mohammed W.
Ismail, Khaled M. K.
Fosse, Erik
Alsalman, Hasan
Vikanes, Åse
Laine, Katariina
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-10-29
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Episiotomy should be cut at certain internationally set criteria to minimize risk of obstetric anal sphincter injuries (OASIS) and anal incontinence.
The aim of this study was to assess the accuracy of cutting right mediolateral episiotomy (RMLE).
An institution-based prospective cohort study was undertaken in a Palestinian maternity unit from February 1, to December 31, 2016.
Women having vaginal birth at gestational weeks ≥24 or birthweight ≥1000 g and with intended RMLE were eligible (n=240).
Transparent plastic films were used to trace sutured episiotomy in relation to the midline within 24-hour postpartum.
These were used to measure incisions’ distance from midline, and suture angles were used to classify the incisions into RMLE, lateral, and midline episiotomy groups.
Clinical characteristics and association with OASIS were compared between episiotomy groups.
A subanalysis by profession (midwife or trainee doctor) was done.
Less than 30% were RMLE of which 59% had a suture angle of <40° (equivalent to an incision angle of <60°).
There was a trend of higher OASIS rate, but not statistically significant, in the midline (16%, OR: 1.7, CI: 0.61–4.5) and unclassified groups (16.5%, OR: 1.8, CI: 0.8–4.3) than RMLE and lateral groups (10%).
No significant differences were observed between episiotomies cut by doctors and midwives.
Most of the assessed episiotomies lacked the agreed criteria for RMLE and had less than optimal incision angle which increases risk of severe complications.
A well-structured training program on how to cut episiotomy is recommended.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ali-Masri, Hadil Y.& Hassan, Sahar J.& Zimmo, Kaled M.& Zimmo, Mohammed W.& Ismail, Khaled M. K.& Fosse, Erik…[et al.]. 2018. Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study. Obstetrics and Gynecology International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1210695
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ali-Masri, Hadil Y.…[et al.]. Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study. Obstetrics and Gynecology International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1210695
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ali-Masri, Hadil Y.& Hassan, Sahar J.& Zimmo, Kaled M.& Zimmo, Mohammed W.& Ismail, Khaled M. K.& Fosse, Erik…[et al.]. Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study. Obstetrics and Gynecology International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1210695
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1210695
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر