Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study
Joint Authors
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
Source
Obstetrics and Gynecology International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210695