Episiotomy Episiotomy RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

This page shows you the latest news and research items in this category.

Obstetric anal sphincter injury rates among primiparous women with different modes of vaginal delivery
Conclusion Overall, OASIS rates have continued to increase. Known risk factors do not fully explain the increase in OASIS rates in non-instrumental deliveries without an episiotomy and in forceps deliveries with an episiotomy. (Source: International Journal of Gynecology and Obstetrics)
Source: International Journal of Gynecology and Obstetrics - August 30, 2015 Category: OBGYN Source Type: research

Prevalence of Perineal Lacerations in Women Giving Birth at Midwife‐Led Birth Centers in Japan: A Retrospective Descriptive Study
DiscussionIn normal spontaneous vaginal births among a low‐risk population, it is possible to avoid episiotomy and achieve a high rate of intact perineum, with few second‐degree and third‐degree lacerations. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - August 7, 2015 Category: Midwifery Authors: Maiko Suto, Kenji Takehara, Chizuru Misago, Mitsuaki Matsui Tags: Original Research Source Type: research

The impact of Advanced Life Support in Obstetrics (ALSO) training in low-resource countries
Conclusion In low-income countries, ALSO training was associated with decreased in-hospital maternal mortality, episiotomy use, and PPH. AMTSL and vacuum-assisted vaginal delivery increased in frequency after ALSO training. (Source: International Journal of Gynecology and Obstetrics)
Source: International Journal of Gynecology and Obstetrics - August 5, 2015 Category: OBGYN Source Type: research

Comparison between squatting versus supine (lithotomy) positions during the passive second stage of labor without epidural anesthesia in nulliparous women: a prospective cohort study
Conclusion: The use of the squatting position in managing the second stage of labor results in less instrumental delivery, extension of episiotomy, perineal tear, and shoulder dystocia compared with the supine position. Both methods showed no statistically significant difference in terms of fetal well-being or the need for fetal resuscitation. (Source: Journal of Evidence-Based Womens Health Journal Society)
Source: Journal of Evidence-Based Womens Health Journal Society - August 1, 2015 Category: OBGYN Tags: Original articles Source Type: research

Management of Spontaneous Vaginal Delivery.
Abstract Most of the nearly 4 million births in the United States annually are normal spontaneous vaginal deliveries. In the first stage of labor, normal birth outcomes can be improved by encouraging the patient to walk and stay in upright positions, waiting until at least 6 cm dilation to diagnose active stage arrest, providing continuous labor support, using intermittent auscultation in low-risk deliveries, and following the Centers for Disease Control and Prevention guidelines for group B streptococcus prophylaxis. Most women with a low transverse uterine incision are candidates for a trial of labor after cesare...
Source: American Family Physician - August 1, 2015 Category: Primary Care Authors: Dresang LT, Yonke N Tags: Am Fam Physician Source Type: research

Episiotomy: When it's needed, when it's not
(Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - July 29, 2015 Category: Consumer Health News Source Type: news

Reasons for routine episiotomy: A mixed-methods study in a large maternity hospital in Phnom Penh, Cambodia
First documented in 1741, the practice of episiotomy substantially increased worldwide during the 20th century. However, research shows that episiotomy is not effective in reducing severe perineal trauma and may be harmful. Using a mixed-methods approach, we conducted a study in 2013–14 on why obstetricians and midwives in a large maternity hospital in Phnom Penh, Cambodia, still do routine episiotomies. The study included the extent of the practice, based on medical records; a retrospective analysis of the delivery notes of a random sample of 365 patients; and 22 in-depth interviews with obstetricians, midwives and rece...
Source: Reproductive Health Matters - July 28, 2015 Category: Global & Universal Authors: Clémence Schantz, Kruy Leang Sim, Ek Meng Ly, Hubert Barennes, So Sudaroth, Sophie Goyet Tags: FEATURE Source Type: research

Effect of perineal massage on the rate of episiotomy and perineal tearing
Conclusion Application of perineal massage during active labor decreased the frequency of episiotomy procedures. ClinicalTrials.gov: NCT02201615 (Source: International Journal of Gynecology and Obstetrics)
Source: International Journal of Gynecology and Obstetrics - July 27, 2015 Category: OBGYN Source Type: research

New directions in understanding how the pelvic floor prepares for and recovers from vaginal delivery
Depending on your view, physicians who medicalize childbirth are either saints or sinners—saints for saving lives or sinners for turning a natural process into an unnatural one. Nearly a century ago, Joseph DeLee1 likened the process of vaginal delivery to that of the mother falling on a pitchfork and driving the handle through her perineum. His recommendation to use episiotomy and forceps to protect both mother and baby became applied routinely. Decades later, it became apparent that both routine episiotomy and forceps deliveries caused more harm than good in terms of the pelvic floor. (Source: American Journal of Obste...
Source: American Journal of Obstetrics and Gynecology - July 25, 2015 Category: OBGYN Authors: Ingrid Nygaard Tags: Editorial Source Type: research

Effect of perineal massage on the rate of episiotomy and perineal tearing
To examine the effects of perineal massage during active labor on the frequency of episiotomy and perineal tearing. (Source: International Journal of Gynaecology and Obstetrics)
Source: International Journal of Gynaecology and Obstetrics - July 24, 2015 Category: OBGYN Authors: Gulbahtiyar Demirel, Zehra Golbasi Tags: Clinical article Source Type: research

Episiotomy is obsolete: cinnamon gel applied after episiotomy endangers lives
Publication date: July 2015 Source:Journal of Integrative Medicine, Volume 13, Issue 4 Author(s): Judy Slome Cohain (Source: Journal of Integrative Medicine)
Source: Journal of Integrative Medicine - July 23, 2015 Category: Complementary Medicine Source Type: research

Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth
Conclusions The prevalence of co-occurring PFDs was high and was doubled in women after VD compared with CS. Women with UI most likely had it as an isolated symptom, whereas FI and sPOP more often occurred in combination. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - July 18, 2015 Category: OBGYN Source Type: research

[Management of third and fourth degree perineal tears: A systematic review].
Abstract This was a comprehensive literature review using Pubmed, Medline, Embase and Cochrane, whose aim was to analyse the prevalence of anal sphincter injuries, their risk factors, their management and their functional prognosis. The prevalence of 3rd and 4th degree perineal tears varies between studies from 2.95% regardless the parity to 25% in nulliparous women. Twenty-eight percent to 48% of these lacerations were clinically occult. Perineal tears were associated with (multivariate analysis) forceps (6.021 [IC 95% 1.23-19.45]), nulliparity (OR 9.8 [IC 95% 3.6-26.2]), gestational age over 42 SA (OR 2.5 [IC 95...
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - July 1, 2015 Category: OBGYN Authors: Villot A, Deffieux X, Demoulin G, Rivain AL, Trichot C, Thubert T Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

[Delivery of premature infants].
Abstract Prematurity is a frequent event and clearly raises an issue concerning how these fetuses with multiple weaknesses should be delivered. Although, a systematic abdominal approach has no scientific basis, there are cases where the caesarean is chosen because of other factors associated to prematurity such as any maternal or fetal indication to terminate the pregnancy while labour induction remains impossible. However, in case of breech presentation, which is often delivered by caesarean, the literature does recommend neither the vaginal nor the abdominal approach. Caesarean in case of prematurity is more diff...
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - June 29, 2015 Category: OBGYN Authors: Eckman A, Mottet N, Ramanah R, Riethmuller D Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Episiotomy: navigating the evidence.
PMID: 26105636 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - June 26, 2015 Category: OBGYN Authors: Robinson JN Tags: BJOG Source Type: research

Episiotomy: navigating the evidence
(Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - June 24, 2015 Category: OBGYN Authors: JN Robinson Tags: Mini Commentary Source Type: research

Postpartum Incontinence. Narrative Review
Publication date: Available online 9 June 2015 Source:Cirugía Española (English Edition) Author(s): Rodolfo Rodríguez , Rafael Alós , M. Soledad Carceller , Amparo Solana , Andrés Frangi , M. Dolores Ruiz , Roberto Lozoya The development of fecal incontinence after childbirth is a common event. This incontinence responds to a multifactorial etiology in which the most common element is external anal sphincter injury. There are several risk factors, and it is very important to know and avoid them. Sphincter injury may result from perineal tear or sometimes by incorrectly performing an episiotomy. It is very important ...
Source: Cirugia Espanola - June 10, 2015 Category: Surgery Source Type: research

Induction of labor at term following external cephalic version in nulliparous women is associated with an increased risk of cesarean delivery
Conclusion Induction of labor after successful ECV in nulliparous women increased the risk of CD compared with IOL with spontaneous cephalic presentation. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - June 9, 2015 Category: OBGYN Source Type: research

Obstetric anal sphincter injuries: review of anatomical factors and modifiable second stage interventions
Conclusions Relieving pressure on the central posterior perineum by an episiotomy and/or controlled delivery of the head should be important considerations in reducing the risk of OASI. Episiotomies should be performed 60° from the midline. Prospective studies should evaluate elective episiotomies in women with a short perineal length and application of standardised digital perineal support. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - June 4, 2015 Category: OBGYN Source Type: research

Risk factors for anal sphincter tears in vacuum-assisted delivery
Conclusions In this study, the obstetric management in VE-assisted deliveries did not impact the risk of AST. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - May 26, 2015 Category: Reproduction Medicine Source Type: research

Racial and Ethnic Disparities in Maternal Morbidity and Obstetric Care.
CONCLUSION: Racial and ethnic disparities exist for multiple adverse obstetric outcomes and types of obstetric care and do not appear to be explained by differences in patient characteristics or by delivery hospital. LEVEL OF EVIDENCE: II. PMID: 26000518 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 24, 2015 Category: OBGYN Authors: Grobman WA, Bailit JL, Rice MM, Wapner RJ, Reddy UM, Varner MW, Thorp JM, Leveno KJ, Caritis SN, Iams JD, Tita AT, Saade G, Rouse DJ, Blackwell SC, Tolosa JE, VanDorsten JP, Eunice Kennedy Shriver National Institute of Child Health and Human Development ( Tags: Obstet Gynecol Source Type: research

Postpartum sexual health: a principle‐based concept analysis
ConclusionPostpartum sexual health is conceptually immature with limited applicability in current midwifery practice. (Source: Journal of Advanced Nursing)
Source: Journal of Advanced Nursing - May 21, 2015 Category: Nursing Authors: Deirdre O'Malley, Agnes Higgins, Valerie Smith Tags: Concept Analysis Source Type: research

Predictors of routine episiotomy in primigravida women in Oman
Episiotomy is still the most common surgical procedure performed on women, despite the evidence against its routine use. This cross-sectional study was conducted to determine the practice and predictors of routine episiotomy on primigravidae in Oman. (Source: Applied Nursing Research : ANR)
Source: Applied Nursing Research : ANR - May 13, 2015 Category: Nursing Authors: Esra M. Al-Khasawneh, Khadija Al-Ghammari, Zainab Al-Riyami, Moza Al-Moqbali, Fatma Al-Marjabi, Basma Al-Mahrouqi, Amal Al-Khatri Source Type: research

Morbidity associated with episiotomy in vacuum delivery: a systematic review and meta-analysis.
CONCLUSIONS: Mediolateral and median episiotomy in parous woman may increase the rate of OASIS at vacuum delivery, whereas lateral episiotomy in nulliparous women could be associated with a decreased risk of OASIS. The suboptimal quality of the available evidence necessitates high-quality well-designed randomised trials. PMID: 25950083 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - May 7, 2015 Category: OBGYN Authors: Sagi-Dain L, Sagi S Tags: BJOG Source Type: research

10 Tips For a Speedier Recovery After Delivery
Congratulations on your upcoming bundle (or bundles) of joy! No matter if this is your first pregnancy or your fifth, delivery day is always exciting and a bit nerve wrecking. As a mom of twins, and a mom who had a vaginal delivery with twins (yup!) I can tell you that I wish I had more information on the after birth procedure. Many new moms focus on what to do before your first push and during, but not as much info is other there for the after part. When I was writing What To Do When You're Having Two the topic came up time and time again and I hope that these 10 tips help make your baby's birthday even better for you. 1...
Source: Healthy Living - The Huffington Post - May 6, 2015 Category: Consumer Health Advice Source Type: news

Periclitoral Endometriosis: The Dilemma of a Chronic Disease Invading a Rare Location
We present a unique case of periclitoral endometriosis, which to the best of our knowledge is the first in the literature. It is a 29-year-old nulligravida female with a painful fluctuant right periclitoral mass that had been growing with no response to antibiotic therapy. At the initial removal, pathology reported the lesion as endometriosis. The patient was placed on oral contraceptives, and she was noted to have monthly swelling and shrinking of the site with her menstrual cycles. When she went off hormonal contraception, she represented with the growing lesion 3.5 weeks after her last menses; she underwent re-excision....
Source: Journal of Minimally Invasive Gynecology - May 3, 2015 Category: OBGYN Source Type: research

'Consent in childbirth is a joke': How British women are silenced in the delivery room
The case of an American woman, who was unwillingly cut by doctors during birth, has shocked many. But this problem isn't confined to the US, says Milli Hill. British women find it just as hard to get their voices heard (Source: Telegraph Health)
Source: Telegraph Health - May 1, 2015 Category: Consumer Health News Tags: episiotomy health pregnancy baby mumsnet vagina consent birth childbirth pregnant midwife labour doctor Source Type: news

The Role of Episiotomy in Prevention and Management of Shoulder Dystocia: A Systematic Review
Conclusions and Relevance: Our systematic review found no evidence supporting the use of episiotomy in the prevention and management of shoulder dystocia. This observation carries major clinical and legal implications for the obstetricians. Higher-quality studies are needed to evaluate this important issue. Target Audience: Obstetricians and gynecologists, family physicians Learning Objectives: After completion of this educational activity, the reader will be better able to analyze the paucity of existing literature examining the role of episiotomy in the prevention and management of shoulder dystocia, discuss the crucial ...
Source: Obstetrical and Gynecological Survey - May 1, 2015 Category: OBGYN Tags: CME Articles Source Type: research

Morbidity associated with episiotomy in vacuum delivery: a systematic review and meta‐analysis
BackgroundThe role of episiotomy in vacuum deliveries is controversial. ObjectivesTo perform a meta‐analysis of the literature examining this subject. Search strategyThe search was conducted in four databases. Selection criteriaTwo investigators independently selected original research examining the effects of episiotomy on any neonatal and maternal outcomes during vacuum delivery. Data collection and analysisThe effect estimates were presented as odds ratios (ORs) with 95% confidence intervals (95% CIs). Main resultsFifteen articles were included, encompassing a total of 350 764 vacuum deliveries. A non‐significant r...
Source: BJOG: An International Journal of Obstetrics and Gynaecology - May 1, 2015 Category: OBGYN Authors: L Sagi‐Dain, S Sagi Tags: Systematic Review Source Type: research

Do Symptoms of Pelvic Floor Disorders Bias Maternal Recall of Obstetrical Events Up to 10 Years After Delivery?
Conclusions: Maternal recall of anal sphincter laceration may be biased by symptomatic pelvic floor disorders. In research based on maternal recall of obstetrical events, this could strengthen the apparent association between sphincter laceration and pelvic floor disorders. (Source: Female Pelvic Medicine and Reconstructive Surgery)
Source: Female Pelvic Medicine and Reconstructive Surgery - April 27, 2015 Category: OBGYN Tags: Original Articles Source Type: research

Knowledge, attitude and experience of episiotomy use among obstetricians and midwives in Viet Nam
Background: Episiotomy remains a routine procedure at childbirth in many South-East Asian countries but the reasons for this are unknown. The aim of this study was to determine the knowledge of, attitudes towards and experience of episiotomy use among clinicians in Viet Nam. Methods: All obstetricians and midwives who provide delivery care at Hung Vuong Hospital were surveyed about their practice, knowledge and attitudes towards episiotomy use. Data were analysed using frequency tabulations and contingency table analysis. Results: 148 (88%) clinicians completed the questionnaire. Fewer obstetricians (52.2%) than midwives (...
Source: BMC Pregnancy and Childbirth - April 23, 2015 Category: OBGYN Authors: Anh TrinhChristine RobertsAmanda Ampt Source Type: research

Prevalence and predictors of urinary/anal incontinence after vaginal delivery: prospective study of Nigerian women
Conclusion Urinary and anal incontinence are common after vaginal delivery in Enugu, Nigeria. Modification of obstetric care and discouraging preventable predisposing factors for incontinence, such as prolonged second stage of labor and vaginal delivery of macrosomic babies, are measures that may reduce the prevalence of postpartum incontinence in our population. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - April 17, 2015 Category: OBGYN Source Type: research

Back to normal: A retrospective, cross-sectional study of the multi-factorial determinants of normal birth in Queensland, Australia.
CONCLUSIONS: these findings provide a strong foundation on which to base resources aimed at increasing informed decision-making for maternity care consumers, providers, and policy-makers alike. Research to evaluate the impact of modifying key clinical practices (e.g., supporting women׳s mobility during labour, facilitating non-supine positioning during birth) on the likelihood of a normal birth is an important next step. PMID: 25921954 [PubMed - as supplied by publisher] (Source: Midwifery)
Source: Midwifery - April 15, 2015 Category: Midwifery Authors: Miller YD, Prosser SJ, Thompson R Tags: Midwifery Source Type: research

Nonsuturing or Skin Adhesives versus Suturing of the Perineal Skin After Childbirth: A Systematic Review
ConclusionsNonsuturing of the skin or the use of skin adhesives appears preferable in terms of pain. Nonsuturing could lead to more short‐term skin separation when no adhesives are used, but there is no evidence for the clinical importance of skin separation. There is a need for studies with a follow‐up of at least 6 months, in which pain is measured homogeneously and for studies comparing the use of skin adhesives with nonsuturing of the skin with the focus on long‐term cosmetic results. (Source: Birth)
Source: Birth - April 11, 2015 Category: OBGYN Authors: Anna E. Seijmonsbergen‐Schermers, Saloomeh Sahami, Cees Lucas, Ank De Jonge Tags: Systematic Review Source Type: research

The Relationship Between Mode of Delivery and Sexual Health Outcomes after Childbirth
ConclusionsWomen's sexuality after childbirth were not influenced by the type of delivery. Efforts to improve the treatment of sexual problems after childbirth should focus beyond MD. Faisal‐Cury A, Menezes PR, Quayle J, Matijasevich A, and Diniz SG. The relationship between mode of delivery and sexual health outcomes after childbirth. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)
Source: The Journal of Sexual Medicine - April 9, 2015 Category: Sexual Medicine Authors: Alexandre Faisal‐Cury, Paulo Rossi Menezes, Julieta Quayle, Alicia Matijasevich, Simone Grilo Diniz Tags: Original Research Source Type: research

Antepartum use of Epi-No birth trainer for preventing perineal trauma: systematic review
Conclusion Epi-No birth trainer is a device that did not reduce episiotomy rates and had no influence on reducing perineal tears. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - April 8, 2015 Category: OBGYN Source Type: research

Higher Risk for Adverse Obstetric Outcomes Among Immigrants of African and Asian Descent: A Comparison Study at a Low‐Risk Maternity Hospital in Norway
ConclusionObstetric outcomes of immigrants differ significantly from those of Norwegians, even in a low‐risk maternity unit. Thus, immigrant women would benefit from more targeted care during pregnancy and childbirth, even in low‐risk settings. (Source: Birth)
Source: Birth - April 6, 2015 Category: OBGYN Authors: Kjersti S. Bakken, Ola H. Skjeldal, Babill Stray‐Pedersen Tags: Original Article Source Type: research

The correct episiotomy: does it exist? A cross-sectional survey of four public Israeli hospitals and review of the literature
Conclusions According to our study and relevant literature review, the technique of episiotomy varies significantly between health professionals and is not uniformly congruent with international practice guidelines. In part, this is derived from unclear literature evidence and lack of consensus definition for proper technique of this procedure by the national guidelines. Thus, further higher-quality research, uniform protocols, and educational programs are needed to guide episiotomy practice. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - April 2, 2015 Category: OBGYN Source Type: research

Prevalence and Risk Factors of Urinary Incontinence in Chinese Women: A Population-Based Study
To estimate the current prevalence rate of urinary incontinence (UI) and to identify risk factors in Chinese women, we conducted a population-based survey in 3058 women in Beijing, China, in 2009. The prevalence rate of UI was estimated to be 22.1%, with stress UI (12.9%) being more prevalent than urgency UI (1.7%) and mixed UI (7.5%). The prevalence rates of UI, urgency UI, and mixed UI increased with age, with the highest recorded in participants aged ≥70 years. However, stress UI was most commonly seen in participants aged 50 to 69 years. Risk factors for UI included aging, lower education background, older age of me...
Source: Asia-Pacific Journal of Public Health - March 31, 2015 Category: Global & Universal Authors: Ge, J., Yang, P., Zhang, Y., Li, X., Wang, Q., Lu, Y. Tags: E-articles Source Type: research

How singleton breech babies at term are born in France: a survey of data from the AUDIPOG network
Publication date: May 2015 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology, Volume 188 Author(s): J. Lansac , C. Crenn-Hebert , O. Rivière , F. Vendittelli Based on data from the AUDIPOG sentinel network between 1994 and 2010, we can say that the rate of singleton breech presentation at term is 3% and remains unchanged despite an external cephalic version rate of 35%. The total cesarean section rate is currently 75%. This rate increased by nearly 20% after the Hannah publication in 2000, regardless of the type of breech and type of maternity unit. The rate of planned cesarean sections...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - March 29, 2015 Category: OBGYN Source Type: research

Glassy Cell Carcinoma of the Cervix and Metastasis in Episiotomy Scar: A Case Report
Conclusions: The implantation of neoplastic cells in the perineum is a potential risk of vaginal delivery, with a 40% mortality rate. It thus seems advisable to avoid vaginal delivery as much as possible when cervical cancer is diagnosed during pregnancy. Given the rarity, there are no studies on the most effective treatment in such situations. (Source: Journal of Lower Genital Tract Disease)
Source: Journal of Lower Genital Tract Disease - March 27, 2015 Category: OBGYN Tags: Case Reports Source Type: research

Determination of a cutoff value for pelvic floor distensibility using the Epi-no balloon to predict perineal integrity in vaginal delivery: ROC curve analysis. Prospective observational single cohort study.
CONCLUSION: Circumferences greater than 20.8 cm achieved using the Epi-no balloon are a predictive factor for perineal integrity in parturients. PMID: 25789777 [PubMed - as supplied by publisher] (Source: Sao Paulo Medical Journal)
Source: Sao Paulo Medical Journal - March 17, 2015 Category: Journals (General) Authors: Zanetti MR, Petricelli CD, Alexandre SM, Paschoal A, Araujo Júnior E, Nakamura MU Tags: Sao Paulo Med J Source Type: research

Cross-sectional study comparing public and private hospitals in Catalonia: Is the practice of routine episiotomy changing?
Background: In Spain, the Strategy for Assistance in Normal Childbirth (SANC) promoted a model of care, which respects the physiological birth process and discards unnecessary routine interventions, such as episiotomies. We evaluated the rate of episiotomy use and perineal trauma as indicators of how selective introduction of the SANC initiative has impacted childbirth outcomes in hospitals of Catalonia. Methods: Cross-sectional study of all singleton vaginal term deliveries without instrument registered in the Minimum Basic Data Set (MBDS) of Catalonia in 2007, 2010 and 2012. Hospitals were divided into types according to...
Source: BMC Health Services Research - March 11, 2015 Category: Journals (General) Authors: Ramón EscurietMaría PueyoMercedes Perez-BotellaXavi EspadaIsabel SalgadoAnalía GómezHerminia BiescasIsabel EspigaJoanna WhiteRosa FernandezJosep FustéVicente Ortún Source Type: research

The effects of mode delivery on postpartum sexual function: a prospective study.
CONCLUSIONS: At 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury. PMID: 25752211 [PubMed - as supplied by publisher] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - March 6, 2015 Category: OBGYN Authors: De Souza A, Dwyer P, Charity M, Thomas E, Ferreira C, Schierlitz L Tags: BJOG Source Type: research

The effects of mode delivery on postpartum sexual function: a prospective study
ConclusionsAt 12 months postpartum sexual function has returned to early pregnancy levels, irrespective of mode of delivery or perineal injury. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Source: BJOG: An International Journal of Obstetrics and Gynaecology - March 6, 2015 Category: OBGYN Authors: A De Souza, PL Dwyer, M Charity, E Thomas, CHJ Ferreira, L Schierlitz Tags: Original Article Source Type: research

Evaluation of Third-Degree and Fourth-Degree Laceration Rates as Quality Indicators.
CONCLUSION:: Risk of third-degree and fourth-degree laceration was most strongly related to operative delivery and shoulder dystocia. Between-hospital variation was limited. Given these findings and that the most modifiable practice related to lacerations would be reduction in operative vaginal deliveries (and a possible increase in cesarean delivery), third-degree and fourth-degree laceration rates may be a quality metric of limited utility. LEVEL OF EVIDENCE:: II. PMID: 25751203 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - March 5, 2015 Category: OBGYN Authors: Friedman AM, Ananth CV, Prendergast E, DʼAlton ME, Wright JD Tags: Obstet Gynecol Source Type: research

Risk factors for acute postpartum urinary retention after vaginal delivery: focus on episiotomy direction
The Journal of Maternal-Fetal & Neonatal Medicine, Ahead of Print. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - March 3, 2015 Category: Perinatology & Neonatology Tags: article Source Type: research

Dyspareunia and Sexual Dysfunction after Vaginal Delivery in Thai Primiparous Women with Episiotomy
ConclusionDyspareunia at 3 months is common in Thai primiparous women with episiotomy. Those with dyspareunia have a slower resumption of normal sexual function. Chayachinda C, Titapant V, and Ungkanungdecha A. Dyspareunia and sexual dysfunction after vaginal delivery in Thai primiparous women with episiotomy. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)
Source: The Journal of Sexual Medicine - March 1, 2015 Category: Sexual Medicine Authors: Chenchit Chayachinda, Vitaya Titapant, Anuree Ungkanungdecha Tags: Original Research Source Type: research

Obstetric Anal Sphincter Injury and Anal Incontinence Following Vaginal Birth: A Systematic Review and Meta‐Analysis
DiscussionBoth episiotomy and third‐ or fourth‐degree perineal laceration are significantly associated with anal incontinence after vaginal birth. The evidence provided in this systematic review and meta‐analysis highlights the importance of reducing perineal trauma during vaginal births in order to ameliorate anal incontinence in parous women. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - February 24, 2015 Category: Midwifery Authors: Allison LaCross, Meredith Groff, Arlene Smaldone Tags: Original Review Source Type: research

Endometriosis node in Gynaecologic scars : A study of 17 patients and the diagnostic considerations in clinical experience in tertiary care center
Conclusions: A high level of suspicion is required to diagnose gynaecological scar endometriosis, which should be suspected in the differential diagnosis of scar masses in reproductive-aged women.Several theories have been proposed to explain the formation of endometriosis nodes in extrauterine localizations. The two of them that seem to be more plausible are the metaplasia and transport theories.Imaging with ultrasound, CT and MR facilitate the diagnosis. FNA could be used for preoperative diagnosis.Treatment must be by node resection with a security margin. In some cases, surgery could be combined with hormonal treatment...
Source: BMC Women's Health - February 18, 2015 Category: OBGYN Authors: Rocío Vellido-CoteloJose Muñoz-GonzálezMaria Oliver-PérezCristina de la Hera-LázaroCristina Almansa-GonzálezConcepción Pérez-SagasetaJesús Jiménez-López Source Type: research