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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

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: Epidemiologic Perspectives and Innovations - February 18, 2015 Category: Epidemiology Authors: Rocío Vellido-CoteloJose L Muñoz-GonzálezMaria R Oliver-PérezCristina de la Hera-LázaroCristina Almansa-GonzálezConcepción Pérez-SagasetaJesús S Jiménez-López 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

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. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - February 10, 2015 Category: OBGYN Authors: Frances W. Grimstad, Erin Carey Source Type: research

Cutting an episiotomy at 60 degrees: how good are we?
Conclusions This original observational study shows that doctors and midwives were poor at cutting at the prompted episiotomy angle of 60°. This highlights the need to develop structured training programmes to improve the visual accuracy of estimating angles or the use of fixed angle devices to help improve the ability to estimate the desired angle. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - February 6, 2015 Category: OBGYN Source Type: research

Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment
Conclusions: In the clinic of SMRU in Mae La refugee camp, SBAs were able to comply with evidence-based guidelines but support to improve quality of care in specific areas is required. The structure of the WHO Safe Motherhood Needs Assessment allowed significant insights into the quality of intrapartum care particularly through direct observation, identifying a clear pathway for quality improvement. (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - February 5, 2015 Category: OBGYN Authors: Gabie HoogenboomMay ThwinKris VelinkMarijke BaaijensPrakaykaew CharrunwatthanaFrancois NostenRose McGready Source Type: research

Bilateral Heel Numbness due to External Compression during Obstetric Epidural Analgesia
We describe the case of a 32-year-old woman who developed bilateral heel numbness after obstetric epidural analgesia. We diagnosed her with bilateral neuropathy of the medial calcaneal nerve, most likely due to longstanding pressure on both heels. Risk factors for the development of this neuropathy were prolonged labour with spinal analgesia and a continuation of analgesia during episiotomy. Padded footrests decrease pressure and can possibly prevent this neuropathy.Case Rep Neurol 2015;7:15-17 (Source: Case Reports in Neurology)
Source: Case Reports in Neurology - January 30, 2015 Category: Neurology Source Type: research

[Influence of a major decrease in the use of episiotomy applied to a high risk perineal situation: Occiput posterior presentation.]
CONCLUSION: A restrictive use of episiotomy in OP does not increase the risk of severe perineal tears and does not worsen perineal prognosis. PMID: 25639962 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - January 29, 2015 Category: OBGYN Authors: Toubin C, Mottet N, Chehab M, Maurice M, Ramanah R, Riethmuller D Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Association between perineal trauma and pain in primiparous women
Conclusion Primiparous women are subject to a high frequency of perineal trauma, with episiotomy being the most prominent. Perineal pain affects approximately one-third of primiparous women and is associated with the postpartum time and perineal traumas. Objetivo Identificar la asociación entre el trauma y el dolor perineal en 473 primíparas. Método Estudio transversal, en el que el dolor se midió por medio de la escala numérica del dolor (0 a 10; 0 = ningún dolor y 10 = dolor máximo...
Source: Revista da Escola de Enfermagem da USP - January 21, 2015 Category: Nursing Source Type: research

Episiotomies Are Becoming Less And Less Common, New Numbers Show
There was a time when episiotomy -- a surgical incision made in a woman's perineum -- was a routine part of childbirth in the United States, believed to help prevent the vaginal tears that can occur as babies emerge. But with the procedure leading to complications, including infection and even potential incontinence, doctors began stepping back from it in the 1990s. And promising new figures released this week suggest that rates have continued to fall after several major healthcare organizations in the mid 2000s spoke out against its routine use. In a short research letter published in the Journal of the American Medical...
Source: Healthy Living - The Huffington Post - January 16, 2015 Category: Consumer Health Advice Source Type: news

Episiotomies on The Decline for U.S. Births
But almost 12 percent of deliveries still involve the surgical procedure, study finds Source: HealthDay Related MedlinePlus Page: Childbirth (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - January 13, 2015 Category: Consumer Health News Source Type: news

Episiotomy Rate Continues Steady Decline
(MedPage Today) -- White women still more likely to have procedure. (Source: MedPage Today OB/GYN)
Source: MedPage Today OB/GYN - January 13, 2015 Category: OBGYN Source Type: news

Variation in and Factors Associated With Use of Episiotomy
Episiotomy is a common obstetric procedure, estimated to be performed in 25% of vaginal deliveries in the United States in 2004. Restrictive use of episiotomy has been recommended given the risks of the procedure and unclear benefits of routine use. In 2006, the American Congress of Obstetricians and Gynecologists recommended against routine episiotomy, and, in 2008, the National Quality Forum recognized limiting routine episiotomy as an important measure of quality and patient safety, noting increased risks of pain, laceration, and anal incontinence with the procedure. (Source: JAMA)
Source: JAMA - January 13, 2015 Category: Journals (General) Source Type: research

Evaluation of perineal muscle strength in the first trimester of pregnancy.
CONCLUSION: pregnancy and childbirth can reduce the PFMS. PMID: 25591007 [PubMed - as supplied by publisher] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - January 9, 2015 Category: Nursing Authors: Caroci AS, Riesco ML, Rocha BM, Ventura LJ, Oliveira SG Tags: Rev Lat Am Enfermagem Source Type: research

Intervention or interference? The need for expectant care throughout normal labour
Conclusion Further research is needed into alternative methods of inducing labour, ways to preserve the perineum intact, and trials of expectant and active management of the third stage in low-risk women cared for by midwives skilled in using both methods. Clinicians need to develop their skills in these areas and reduce unnecessary reliance on these three medico-technical interventions, to provide the best possible care for women and babies. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - January 2, 2015 Category: Reproduction Medicine Source Type: research

Midwifery and Quality Care: Findings From a New Evidence-Informed Framework for Maternal and Newborn Care
ABSTRACT: Poor-quality maternal and newborn care is associated with maternal mortality, stillbirths, and infant deaths and contributes to acute and chronic clinical and psychological morbidity for women who survive. Midwifery care can make an essential contribution to high-quality maternal and newborn services. The participation of educated, trained, motivated, and respected licensed midwives, working effectively with medical and public health colleagues, is associated with a rapid and sustained decrease in maternal and newborn mortality and an improvement in quality of care. A multimethod approach was used to assess the k...
Source: Obstetrical and Gynecological Survey - January 1, 2015 Category: OBGYN Tags: Obstetrics: Ethics, Medicolegal Issues, and Public Policy Source Type: research

Obstetrics anal sphincter injury and repair technique: A review
Abstract The Urogynecology Committee of the Asia and Oceania Federation of Obstetrics and Gynaecology (AOFOG) has held seminars and workshops on various urogynecological problems in each country in the Asia–Oceania area in order to encourage young obstetricians and gynecologists. In 2013, we organized the operative seminar for obstetrical anal sphincter injuries (OASIS) in which we prepared porcine models to educate young physicians in a hands‐on workshop at the 23rd Asian and Oceanic Congress of Obstetrics and Gynaecology in Bangkok, Thailand. Laceration of the anal sphincter mostly occurs during vaginal delivery and ...
Source: Journal of Obstetrics and Gynaecology Research - December 29, 2014 Category: OBGYN Authors: Teerayut Temtanakitpaisan, Suvit Bunyacejchevin, Masayasu Koyama Tags: Invited Manuscript Source Type: research

Can inter‐professional simulation training influence the frequency of blood transfusions after birth?
ConclusionWe found a significant reduction in RBC transfusions after birth, which might be associated with mandatory simulation training. A causal link cannot be documented because of complex interactions of several variables.This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - December 24, 2014 Category: OBGYN Authors: Signe Egenberg, Pål Øian, Lars Edvin Bru, Michael Sautter, Gunn Kristoffersen, Torbjørn Moe Eggebø Tags: Main Research Article Source Type: research

Evidence‐Based Practice for Intrapartum Care: The Pearls of Midwifery
This article reviews the history of intrapartum practices that are now changing, the evidence that supports these changes, and the practical applications for the 13 Pearls of Midwifery. (Source: Journal of Midwifery and Womens Health)
Source: Journal of Midwifery and Womens Health - December 22, 2014 Category: Midwifery Authors: Tekoa L. King, Whitney Pinger Tags: Original Review Source Type: research

Association between perineal trauma and pain in primiparous women
Conclusion Primiparous women are subject to a high frequency of perineal trauma, with episiotomy being the most prominent. Perineal pain affects approximately one-third of primiparous women and is associated with the postpartum time and perineal traumas. Objetivo Identificar la asociación entre el trauma y el dolor perineal en 473 primíparas. Método Estudio transversal, en el que el dolor se midió por medio de la escala numérica del dolor (0 a 10; 0 = ningún dolor y 10 = dolor máximo). Resultados La prevalencia y el promedio de intensidad del dolor fueron 33,0% y 4,7 (Desviación Estándar = 2,0) puntos en la esca...
Source: Revista da Escola de Enfermagem da USP - December 19, 2014 Category: Nursing Source Type: research

166: Episiotomies: who does them and do they help?
To examine episiotomy rates in relation to obstetric provider characteristics and maternal and neonatal injury. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - December 19, 2014 Category: OBGYN Authors: Janet Burlingame, Chieko Kimata, Kelly Yamasato, Bruce Huegel, Marsha Durbin, Melinda Ashton Tags: Poster session I Source Type: research

313: Maternal and neonatal outcomes following implementation of a policy of restricted use of episiotomy
Restricted use of episiotomy was recommended by ACOG in 2006 despite limited data detailing the impact of such a change on maternal and neonatal outcomes. We sought to determine the impact of a policy of restricted use of episiotomy in a large tertiary care hospital. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - December 19, 2014 Category: OBGYN Authors: Erin Habecker, Matthew Hoffman Tags: Poster session II Source Type: research

Anal incontinence, urinary incontinence and sexual problems in primiparous women ¿ a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury
Conclusion: Women with OASIS had more AI and sexual problems than those without OASIS. Episiotomy characteristics varied greatly between the women. Episiotomy with protective characteristics was not associated with increased dysfunctions. OASIS should be avoided, and correct episiotomy used if indicated. (Source: BMC Women's Health)
Source: BMC Women's Health - December 16, 2014 Category: OBGYN Authors: Mona StedenfeldtJouko PirhonenEllen BlixTom WilsgaardBarthold VonenPål Øian Source Type: research

Maternal Asian ethnicity and the risk of anal sphincter injury
ConclusionThere are ethnic differences in the rates of anal sphincter injury not fully explained by known risk factors for such trauma. This may have implications for care provision.This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - December 12, 2014 Category: OBGYN Authors: Miranda Davies‐Tuck, Mary‐Anne Biro, Joanne Mockler, Lynne Stewart, Euan M Wallace, Christine East Tags: Main Research Article Source Type: research

Evaluation of In Vivo Properties of Velosorb™ Fast Versus Vicryl™ Rapide in a Functional Rabbit Model of Intradermic Suture and Episiotomy
Journal of Investigative Surgery, Ahead of Print. (Source: Journal of Investigative Surgery)
Source: Journal of Investigative Surgery - December 1, 2014 Category: Surgery Tags: article Source Type: research

Board #306 - Technology Innovation Modifications to the SimMan3G Advanced Patient Simulator for a High-fidelity Postpartum Hemorrhage Team-based Scenario (Submission #8851).
Conclusion: The postpartum hemorrhage model was constructed over a period of one week and tested for required functionality. The completed model was successfully deployed and tested with the simulation scenario for a postpartum/labor and delivery multi-department in-situ training session. The model worked as intended. Initial anecdotal reviews had favorable responses. The participants did not require additional familiarization with the model. Future research will include assessing if the participants in the postpartum hemorrhage simulation scenario improved competency and ultimately if this reflects in an improvement in cl...
Source: Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare - December 1, 2014 Category: Medical Equipment Tags: Abstracts: 1st PLACE AWARD WINNER: PDF Only Source Type: research

Risk factors for severe perineal trauma during vaginal childbirth: A Western Australian retrospective cohort study.
CONCLUSION: Parity differences in risk factors such as episiotomy, infant weight, OP delivery, gestational diabetes and prolonged second stage warrant investigation into clinical management. Although rates differ internationally, and replication evidence has confirmed consistency for certain demographic and obstetric factors, the development of internationally endorsed clinical guidelines and further research around interventions to protect the perineum are recommended. PMID: 25476878 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - December 1, 2014 Category: Midwifery Authors: Hauck YL, Lewis L, Nathan EA, White C, Doherty DA Tags: Women Birth Source Type: research

A Comparison of the “Hands-Off” and “Hands-On” Methods to Reduce Perineal Lacerations: A Randomised Clinical Trial
Conclusion Application of the “Hands-off” method for vaginal delivery has a positive effect on the mother’s health because of the reduction of Episiotomy and third degree tearing. Therefore, we conclude that the “Hands-off” method offers a safer alternative for perineal control during labor. (Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 1, 2014 Category: OBGYN Source Type: research

Evaluation of In Vivo Properties of Velosorb™ Fast Versus Vicryl™ Rapide in a Functional Rabbit Model of Intradermic Suture and Episiotomy.
Conclusions: Velosorb™ Fast seems to be as efficient as Vicryl™ Rapide for use in perineal and skin closure. PMID: 25437773 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - December 1, 2014 Category: Surgery Authors: Vieille P, Huberlant S, Bastide S, Bayon Y, de Tayrac R Tags: J Invest Surg Source Type: research

OASI: a preventable Injury?
Conclusions Most risk factors related to OASI are non-modifiable however gestational age and episiotomy are modifiable risk factors. (Source: European Journal of Obstetrics and Gynecology and Reproductive Biology)
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - November 27, 2014 Category: OBGYN Source Type: research

Provider contribution to an episiotomy risk model
Journal of Maternal-Fetal and Neonatal Medicine, Ahead of Print. (Source: Journal of Maternal-Fetal and Neonatal Medicine)
Source: Journal of Maternal-Fetal and Neonatal Medicine - November 25, 2014 Category: Perinatology & Neonatology Tags: article Source Type: research

National survey of perineal trauma and its subsequent management in the United Kingdom
Conclusions This study provides comprehensive data regarding the incidence and management of perineal trauma across the UK. Clinicians and policy-makers, both local and at the RCOG, can devise up-to-date realistic guidelines on the anticipated rate of OASIS and help to assess the compliancy of units with guidelines on the appropriate management of perineal trauma. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 18, 2014 Category: OBGYN Source Type: research

Effect of different episiotomy techniques on perineal pain and sexual activity 3 months after delivery
Conclusions No difference was found in perineal pain perception 3 months postpartum between different episiotomy techniques or when comparing midline and lateral incision points. Dyspareunia was not associated with any particular episiotomy technique or incision point. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 18, 2014 Category: OBGYN Source Type: research