episiotomy
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Introduction
Surgical incision of the vulva.
Indications
- prevention of laceration at the time of delivery
- facilitation of delivery
Contraindications
- no benefit to routine episitomy[3]
Procedure
- mediolateral episiotomy is generally preferred over midline episiotomy[4]
Complications
- increases risk for infection
- increases risk of hemorrhage[2]
More general terms
Additional terms
References
- ↑ Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
- ↑ Jump up to: 2.0 2.1 Journal Watch 22(8):65, 2002 Goldberg J, Holtz D, Hyslop T, Tolosa JE Has the use of routine episiotomy decreased? Examination of episiotomy rates from 1983 to 2000. Obstet Gynecol 99:395, 2002 PMID: https://www.ncbi.nlm.nih.gov/pubmed/11864665
- ↑ Jump up to: 3.0 3.1 Journal Watch 25(12):95, 2005 Hartmann K, Viswanathan M, Palmieri R, Gartlehner G, Thorp J Jr, Lohr KN. Outcomes of routine episiotomy: a systematic review. JAMA. 2005 May 4;293(17):2141-8. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/15870418
- ↑ Jump up to: 4.0 4.1 Young K, Sofair A, Chavey WE Obstetricians Group Continues to Recommend Restrictive Use of Episiotomy Physician's First Watch, June 24, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org