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ACOG: New Guidance to Prevent Vaginal Tearing During Delivery
(MedPage Today) -- Continues to discourage routine episiotomy (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - June 24, 2016 Category: Emergency Medicine Source Type: news

Women’s Health Takes Center Stage at UN Population Awards   
By Aruna DuttUNITED NATIONS, Jun 24 2016 (IPS)Social Scientist, Carmen Barroso and Polish Organisation, Childbirth in Dignity received the United Nations Population Awards here Thursday for their outstanding work in population, improving individuals’ health and welfare, and specifically for their decades-long leadership in women’s rights.“I dedicate this award to anonymous health providers everywhere, who day in and day out help women to exercise their rights and preserve their health,” said Barroso on accepting the award.Barroso has been actively involved in reproductive health and population issues for more t...
Source: IPS Inter Press Service - Health - June 24, 2016 Category: Global & Universal Authors: Aruna Dutt Tags: Aid Civil Society Development & Aid Featured Gender Gender Violence Global Governance Headlines Health IPS UN: Inside the Glasshouse Population Poverty & SDGs Women in Politics Women's Health sexual and reproductive health Source Type: news

ACOG: New Recommendations on Obstetric LacerationsACOG: New Recommendations on Obstetric Lacerations
ACOG issues new recommendations for the prevention and treatment of obstetric lacerations; the group continues to discourage routine episiotomy. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 24, 2016 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

Obstetricians Group Continues to Recommend Restrictive Use of Episiotomy (FREE)
By Kelly Young Edited by André Sofair, MD, MPH, and William E. Chavey, MD, MS The American College of Obstetricians and Gynecologists again says there is not enough evidence to recommend routine use of episiotomy during … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - June 24, 2016 Category: Primary Care Source Type: news

Cochrane Making a Difference: Midwifery
The Cochrane Making a Difference series focuses on stories of how Cochrane evidence has made an impact on real-world health decision making and outcomes. This story focuses on the improved outcomes that women experience in pregnancy and delivery when they are cared for by a midwife that they know.A Cochrane Review on continuity of midwife care was first published in 2004, and most recently updated in 2016. As more trials have been added to the Cochrane Review, uncertainties in the original findings have been reduced. The current evidence demonstrates that women who have received continuity of care from a midwife they know,...
Source: Cochrane News and Events - June 2, 2016 Category: Information Technology Authors: nowens at cochrane.org Source Type: news

Episiotomies: What Your Mom Never Told You
Will you need an episiotomy, and how long will it take to recover? WebMD explains what your mom didn’t tell you about episiotomies. (Source: WebMD Health)
Source: WebMD Health - March 25, 2016 Category: Consumer Health News Source Type: news

Mayo Clinic Q and A: Episiotomy No Longer a Routine Part of Labor and Delivery
DEAR MAYO CLINIC: I am 32 weeks pregnant with my first baby. At my last appointment, my doctor mentioned that an episiotomy is sometimes needed, but I really don’t want one. What circumstances would make it necessary, and is it reasonable for me to ask that it not be done no matter the situation? ANSWER: [...] (Source: News from Mayo Clinic)
Source: News from Mayo Clinic - March 5, 2016 Category: Databases & Libraries Source Type: news

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

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

'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

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 17, 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

Mediolateral Episiotomy Reduces Obstetrical InjuryMediolateral Episiotomy Reduces Obstetrical Injury
The controversial approach during operative vaginal delivery significantly reduces the risk for injury, according to a large Dutch database study. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - July 28, 2014 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

New technique to prevent anal sphincter lesions due to episiotomy during child delivery
(Politecnico di Torino) An inexpensive disposable intra-anal probe carrying 16 circumferential electrodes identifies and displays, on a laptop or tablet, the innervation zones of the anal sphincter so that episiotomy, if deemed necessary at the moment of child delivery, can be avoided -- if too risky -- or properly planned, thereby reducing the likelihood of partial sphincter denervation and future incontinence. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - May 18, 2014 Category: Global & Universal Source Type: news

Sex After Childbirth - Most Mothers Wait At Least 6 Weeks, Some Considerably Longer
Most first-time mothers wait until after 6 weeks postpartum to resume vaginal sex following childbirth and women who have an operative vaginal birth, caesarean section, perineal tear or episiotomy appear to wait longer, suggests a new study published in BJOG: An International Journal of Obstetrics and Gynaecology. The study, conducted by the Murdoch Childrens Research Institute, Australia, used data from the Maternal Health Study, a large prospective pregnancy cohort in which data were collected from self-administered questionnaires in early pregnancy and at 3, 6 and 12 months postpartum... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - February 28, 2013 Category: Consumer Health News Tags: Sexual Health / STDs Source Type: news

Most first-time mothers wait until after 6 weeks before resuming sex following childbirth
(Wiley) Most first-time mothers wait until after six weeks postpartum to resume vaginal sex following childbirth and women who have an operative vaginal birth, caesarean section, perineal tear or episiotomy appear to wait longer, suggests a new study published today in BJOG: An International Journal of Obstetrics and Gynaecology. (Source: EurekAlert! - Social and Behavioral Science)
Source: EurekAlert! - Social and Behavioral Science - February 26, 2013 Category: Global & Universal Source Type: news

Episiotomy reduces risk of anal sphincter tears in vacuum-assisted deliveries
NEW YORK (Reuters Health) - The risk of anal sphincter injuries is increased in nulliparous women who require vacuum-assisted delivery, but lateral episiotomy reduces that risk, a study from Finland shows. (Source: Modern Medicine)
Source: Modern Medicine - August 29, 2012 Category: Journals (General) Source Type: news

Lateral Deliveries Less Damaging to the PerineumLateral Deliveries Less Damaging to the Perineum
Episiotomies are more common in the lithotomy position, according to a single-hospital study. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - June 7, 2012 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

Birth injury not major cause of late-onset fecal incontinence
Extensive episiotomy is the only obstetric event to increase the likelihood of late-onset fecal incontinence, US researchers suggest. (Source: MedWire News - Gastroenterology)
Source: MedWire News - Gastroenterology - March 23, 2012 Category: Gastroenterology Source Type: news

Birth injury not major cause of late-onset fecal incontinence
Extensive episiotomy is the only obstetric event to increase the likelihood of late-onset fecal incontinence, US researchers suggest. (Source: MedWire News - Ob/Gyn)
Source: MedWire News - Ob/Gyn - March 22, 2012 Category: OBGYN Source Type: news

Episiotomy Parameters Linked to Risk for Injury During BirthEpisiotomy Parameters Linked to Risk for Injury During Birth
An increased length and depth of episiotomy has been associated with a decreased risk for obstetric anal sphincter injuries. Medscape Medical News (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - March 8, 2012 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

Forceps delivery, perineal lacerations raise risk of pelvic floor disorders
Forceps deliveries and perineal lacerations but not episiotomies were associated with pelvic floor disorders, including stress incontinence, overactive bladder, anal incontinence, and prolapse symptoms 5 to 10 years after a first vaginal birth, according to Johns Hopkins University researchers in a study published online January 10 in Obstetrics and Gynecology. MORE (Source: Modern Medicine)
Source: Modern Medicine - January 19, 2012 Category: Journals (General) Source Type: news

Childbirth intervention rates vary by up to 20%
RATES OF Caesarean and episiotomy can vary by up to 20 per cent in Irish hospitals, depending on where a mother gives birth, a new survey has found. The figures were released yesterday by Cuidiú, the Irish Childbirth Trust, at the launch of bump2babe.ie, an online consumer guide to maternity services in Ireland. (Source: The Irish Times - Health)
Source: The Irish Times - Health - May 31, 2011 Category: Consumer Health News Source Type: news

Health Highlights: April 29, 2011
Appeals Court Reverses Stem Cell Research Funding Ban Salmonella Outbreak Linked to Labs: CDC Food Companies Should Push Healthy Foods for Kids: U.S. Government Episiotomies Decline in U.S.: Report Cheaper Drug as Good as Costly One for Eye Disease: Study (Source: Primary Care News - Doctors Lounge)
Source: Primary Care News - Doctors Lounge - April 29, 2011 Category: Primary Care Authors: webmaster at doctorslounge.com Tags: Family Medicine, WebScout, Source Type: news

Episiotomy for Shoulder Dystocia Does Not Reduce Nerve Injury Rates
Despite long-time use of episiotomy to avoid brachial plexus injury from shoulder dystocia, a review of data indicates that the strategy has little if any neonatal benefit. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - April 28, 2011 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health News Source Type: news

AHRQ News And Numbers: Use Of Episiotomy And Forceps During Childbirth Down, C-section Rates Up
Use of episiotomy, a surgical incision to widen the vaginal area during childbirth, fell by 60 percent between 1997 and 2008, according to the latest News and Numbers by the Agency for Healthcare Research and Quality. However, the proportion of hospital stays of women who delivered via cesarean section (C-section) increased by 72 percent during the same period. AHRQ's analysis also found that from 1997 to 2008: - The use of forceps to aid delivery declined by 32 percent, from 14 percent to 10 percent... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - April 28, 2011 Category: Consumer Health News Tags: Pregnancy / Obstetrics Source Type: news

Alternative birthing centers reduce drug use, promote more natural births
(NaturalNews) Where you have your baby can determine how natural the birth is, says a new review in The Cochrane Library. According to an analysis of over 10,000 women from various randomized trials, those who bear children in alternative birthing centers rather than in conventional hospital rooms require less pregnancy drugs and other unnatural interventions.Hospital rooms, where most women have their babies, can be dreary and drab, indicative more of sickness and death than of a new life coming into the world. Alternative birthing centers, on the other hand, feel more like home with comforting, peaceful decor in a relaxe...
Source: NaturalNews.com - October 31, 2010 Category: Consumer Health Advice Source Type: news

Massage for Childbirth Prep May Reduce Episiotomy Rate
Low-tech, at-home preparation in the last month before childbirth could help pregnant mothers avoid one of the more common surgeries performed on women in the United States, a new review suggests. 1/24 (Source: Health Behavior News Service)
Source: Health Behavior News Service - October 29, 2010 Category: Consumer Health News Source Type: news

Safety of home births questioned
Conclusion This is a high quality systematic review that appears to have identified all research assessing the differences in newborn and maternal outcomes associated with planned home deliveries and planned hospital deliveries. However, the associations seen should not be considered as a direct cause-and-effect relationship, i.e. it is an oversimplification to assume that planned birth location is directly or solely responsible for the birth outcomes seen. Indeed, the principle limitation is that of attributing home or hospital birth as the actual cause of the outcome. For example, it is possible that home birth is associ...
Source: NHS News Feed - July 2, 2010 Category: Consumer Health News Tags: Pregnancy/child Medical practice Source Type: news

Episiotomy: When it's needed, when it's not
An episiotomy can speed delivery, but it isn't always necessary. (Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - June 20, 2010 Category: Consumer Health News Source Type: news

Is There Sex During Pregnancy, Nursing, and Parenthood?
From the positive pregnancy test to weaning an infant typically takes up to two years, and involves major relationship changes, some wonderful, others challenging. Unfortunately, most pregnancy guides don't have much to say about the sexual issues of pregnancy and new parenthood. That's why sex educators Anne Semans and Cathy Winks interviewed 700 women about sex during and after pregnancy for their book Sexy Mamas. Their book makes no claim to be representative, but it demonstrates that the conventional wisdom is far from the whole story.The conventional wisdom holds that women's libidos decrease during the first trimeste...
Source: Psychology Today Relationships Center - June 14, 2010 Category: Psychiatry & Psychology Authors: Michael Castleman Tags: Anxiety Child Development Creativity Happiness Parenting Relationships Sex Sleep Social Life Stress anne semans cathy winks conventional wisdom expectant parents huge belly intense orgasms late pregnancy muscle contractio Source Type: news

Paracetamol/acetaminophen (single administration) for perineal pain in the early postpartum period
Source: Cochrane Library Area: Evidence > Drug Specific Reviews Abstract:   Background Perineal pain is a common but poorly studied adverse outcome following childbirth. Pain may result from perineal trauma due to bruising, spontaneous tears, surgical incisions (episiotomies), or in association with operative births (ventouse or forceps assisted births).    Objectives To determine the efficacy of a single administration of paracetamol (acetaminophen) systemic drugs used in the relief of acute postpartum perineal pain   Search strategy We searched the Cochrane Pregnancy and Childbirth Gro...
Source: NeLM - Drug Specific Reviews - March 30, 2010 Category: Drugs & Pharmacology Source Type: news

Acetaminophen Alone Works Well For Postpartum Pain
For many mothers of newborns, lingering pain from the delivery can interfere with their first days with their infant. A recent review examined whether over-the-counter medications containing acetaminophen Tylenol for example provided adequate relief for such pain and concluded that they are effective. Bruising during the delivery or interventions such as the use of forceps or an episiotomy can cause perineal pain... (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - March 17, 2010 Category: Consumer Health News Tags: Pain / Anesthetics Source Type: news

ACOG 2009: Steep Decline in Episiotomy Rates Credited to Research, Peer Pressure
A study of 10-year episiotomy trends among different practice groups in Boston found a substantial reduction in episiotomy rates across patient and provider groups, owing to factors as varied as local peer pressure and response to significant research. Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - May 8, 2009 Category: Consumer Health News Tags: Ob/Gyn & Women ' s Health Source Type: news

Similar Results With Continuous or Interrupted Sutures for Episiotomy Repair
Continuous and interrupted sutures provide similar results for repair of episiotomy and second-degree perineal tears, according to a report in the February BJOG: An International Journal of Obstetrics and Gynaecology. Reuters Health Information (Source: Medscape Ob/Gyn & Women's Health Headlines)
Source: Medscape Ob/Gyn & Women's Health Headlines - February 23, 2009 Category: OBGYN Tags: Ob/Gyn and Women ' s Health Source Type: news

Best approach to episiotomy unclear
NEW YORK (Reuters Health) - A pilot study of routine versus restrictive use of episiotomy during operative vaginal delivery has not provided conclusive evidence for the superiority of either approach, Irish and UK researchers report. (Source: Reuters: Health)
Source: Reuters: Health - December 24, 2008 Category: Consumer Health News Tags: healthNews Source Type: news

Episiotomy
Title: EpisiotomyCategory: Procedures and TestsCreated: 1/27/1999 7:40:00 PMLast Editorial Review: 12/9/2008 (Source: MedicineNet Osteoporosis General)
Source: MedicineNet Osteoporosis General - December 9, 2008 Category: Orthopaedics Source Type: news

Episiotomy: Can you deliver a baby without one?
An episiotomy can speed delivery. But is the procedure necessary?Sponsored by:Chemotherapy.com - http://www.chemotherapy.com (Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - June 20, 2008 Category: Consumer Health News Source Type: news

Episiotomy Raises Laceration Risk in Next Delivery
Women who undergo episiotomy during their first vaginal delivery have a significant increase in the risk of spontaneous obstetric lacerations in subsequent vaginal deliveries, researchers report in the June issue of Obstetrics and Gynecology. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - June 17, 2008 Category: Consumer Health News Tags: Ob/Gyn and Women ' s Health Source Type: news

Multifaceted intervention raises prophylactic oxytocin use
Examining the effects of a multifaceted intervention on prophylactic oxytocin use during labor and rates of episiotomy. (Source: MedWire News - Ob/Gyn)
Source: MedWire News - Ob/Gyn - May 2, 2008 Category: OBGYN Source Type: news

Staff Training Reduces Postpartum Bleeding, Episiotomies
Title: Staff Training Reduces Postpartum Bleeding, EpisiotomiesCategory: Health NewsCreated: 5/1/2008 2:00:00 AMLast Editorial Review: 5/1/2008 (Source: MedicineNet Osteoporosis General)
Source: MedicineNet Osteoporosis General - May 1, 2008 Category: Orthopaedics Source Type: news

Behavioral Intervention May Improve Obstetric Care, Reduce Episiotomy
In a clustered-randomized trial, a multifaceted behavioral intervention increased the prophylactic use of oxytocin during the third stage of labor and reduced the use of episiotomy. Medscape Medical News (Source: Medscape Pharmacist Headlines)
Source: Medscape Pharmacist Headlines - April 30, 2008 Category: Drugs & Pharmacology Tags: Ob/Gyn and Women ' s Health Source Type: news

Cochrane review: Water for wound cleansing
This Cochrane review has attempted to settle the unresolved debate about the safety of using of tap water for cleansing wounds. It is noted that in practice, normal saline is favoured as it is an isotonic solution and does not interfere with the normal healing process. Researchers looked for RCTs that compared water with other solutions and identified 11 trials that fitted the inclusion criteria: • 7 compared rates of infection and healing in wounds cleansed with water and normal saline • 3 compared cleansing with no cleansing • 1 compared procaine spirit with water. The researchers found no standard criteria for ...
Source: NeLM Headline News - January 31, 2008 Category: Drugs & Pharmacology Tags: 13.14 Wound management products and Elastic Hosiery (BNF Appendix 8), 13.11 Skin cleansers and antiseptics, Wound Management, Drug reviews Source Type: news

Panel Recommends Curb in Episiotomy
A routine procedure performed on up to 1 million American women per year may be needlessly contributing to incontinence in those women, an expert panel concludes. The procedure is known as an episiotomy. (Source: WebMD Health)
Source: WebMD Health - December 12, 2007 Category: Consumer Health News Source Type: news

MHRA advice regarding codeine and rare risk of side effects in breast-fed infants
In 2006, a case report was published in the Lancet describing how a breastfed neonate died from morphine poisoning associated with maternal codeine used for episiotomy pain. The mother was an ultra-rapid codeine metaboliser as a result of CYP2D6 polymorphisms. The FDA reviewed all available data on this subject and issued a public health advisory in August 2007 (see link above). Since then, the MHRA has issued the following advice regarding the use of codeine in breast-feeding: • All patients should be advised about the typical side-effects of opioids because most patients are not aware of their CYP2D6 status • If...
Source: NeLM Headline News - November 5, 2007 Category: Drugs & Pharmacology Tags: Medicines and Healthcare products Regulatory Agency (MHRA), Drugs in lactation, 4.7.2 Opioid analgesics Source Type: news

FDA Warns Breast-Feeding Women Taking Codeine About Possible Overdose Risk For Infants
FDA on Friday issued an alert that warns women who are breast-feeding and taking codeine about a possible risk of overdose for their infants, the Wall Street Journal reports (Corbett Dooren/Wilde Mathews, Wall Street Journal, 8/18). Codeine frequently is prescribed to women after giving birth for pain associated with episiotomies or caesarean sections, the [click link for full article] (Source: Pain / Anesthetics News From Medical News Today)
Source: Pain / Anesthetics News From Medical News Today - August 22, 2007 Category: Anesthesiology Source Type: news

FDA public health advisory: codeine use by fast-metabolising nursing mothers may lead to morphine overdose in the infant
The US FDA has issued a Public Health Advisory regarding potential risks associated with the use of codeine during breastfeeding. Morphine is a metabolite of codeine; therefore women who are ultra-rapid metabolisers of codeine may have higher levels of morphine in their breast milk. In such cases, the nursing infant may be at an increased risk of a morphine overdose. Many factors are known to affect codeine metabolism, and in most cases it is unknown if someone is an ultra-rapid codeine metaboliser. The FDA has reviewed all available information on this subject since the Lancet reported the death of a 13-day old breastfe...
Source: NeLM Headline News - August 20, 2007 Category: Drugs & Pharmacology Source Type: news

FDA Warning On Codeine Use By Nursing Mothers
The U.S. Food and Drug Administration (FDA) is concerned that nursing infants may be at increased risk of morphine overdose if their mothers are taking codeine and are ultra-rapid metabolizers of codeine. The agency has reviewed all available information on this subject since a medical journal reported the death of a 13-day old breastfed infant who died from morphine overdose. The morphine levels in the mother's milk were abnormally high after taking small doses of codeine to treat episiotomy pain. A genetic test showed that the mother was an ultra-rapid metabolizer of codeine. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - August 18, 2007 Category: Science Source Type: news