Third and Fourth Degree Perineal Lacerations of Episiotomy Versus Non-Episiotomy in Spontaneous Vaginal Deliveries at Phramongkutklao Hospital
Year: 2008
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Objective To study third and fourth degree perineal lacerations of episiotomy versus nonepisiotomy in spontaneous vaginal deliveries. Materials and Methods 164 term singleton pregnancies admitted for spontaneous vaginaldeliveries were randomly assigned to episiotomy or non-episiotomy at the time of deliveries.The primary outcome was number of third and fourth degree perineal lacerations.Postpartum perineal pain score was also assessed at 24 and 48 hours in different positions(stand, walk, lie down and sit).Results 164 term singleton pregnancies were analyzed (82 cases / group). None of fourthdegree laceration was found in this study. Third degree laceration occurred 8.5% inepisiotomy group and 1.2% in non-episiotomy group (Relative risk, 8; 95% confidenceinterval [CI] 1.28 to 50.04). No difference in perineal pain score at 24 and 48 hourspostpartum. Conclusion In term pregnancies with spontaneous vaginal deliveries, the episiotomy group hadmore risk of third degree perineal laceration than non-episiotomy group with no difference inpain.
Institution: Phramongkutklao Hospital
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $100
OpenAlex ID: W2730965355