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The barriers and facilitators to evidence-based episiotomy practice in Jordan
This paper examines the barriers to evidence-based episiotomy practice in Jordan and identifies strategies that may be effective in introducing evidence-based practice. (Source: Women and Birth)
Source: Women and Birth - January 30, 2016 Category: Midwifery Authors: Suha Abed Almajeed Abdallah Hussein, Hannah G. Dahlen, Margaret Duff, Virginia Schmied Tags: ORIGINAL RESEARCH – QUALITATIVE Source Type: research

Episiotomy preferences, indication and classification–a survey among Nordic doctors
ConclusionsThe great variation in self‐reported episiotomy performance between Nordic physicians and large misclassification rates indicate that educational programs are warranted. Uniform classification and appropriate techniques may be crucial in order to investigate the role of episiotomies in preventing OASIS.This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - January 27, 2016 Category: OBGYN Authors: Kathrine Fodstad, Anne Cathrine Staff, Katariina Laine Tags: Original Research Article Source Type: research

The Effect of Warm Compress Bistage Intervention on the Rate of Episiotomy, Perineal Trauma, and Postpartum Pain Intensity in Primiparous Women with Delayed Valsalva Maneuver Referring to the Selected Hospitals of Shiraz University of Medical Sciences in 2012-2013
CONCLUSIONS: Warm compress bistage intervention was effective in reducing episiotomies and the mean length of episiotomy incision, reducing pain after delivery, and increasing the rate of intact perinea. However, the rate of ruptures slightly increased in the intervention group compared with the control group. (Source: Advances in Skin and Wound Care)
Source: Advances in Skin and Wound Care - January 16, 2016 Category: Dermatology Tags: Features: Original Investigations Source Type: research

The Effect of Warm Compress Bistage Intervention on the Rate of Episiotomy, Perineal Trauma, and Postpartum Pain Intensity in Primiparous Women with Delayed Valsalva Maneuver Referring to the Selected Hospitals of Shiraz University of Medical Sciences in 2012-2013.
CONCLUSIONS: Warm compress bistage intervention was effective in reducing episiotomies and the mean length of episiotomy incision, reducing pain after delivery, and increasing the rate of intact perinea. However, the rate of ruptures slightly increased in the intervention group compared with the control group. PMID: 26765160 [PubMed - as supplied by publisher] (Source: Adv Data)
Source: Adv Data - January 15, 2016 Category: Epidemiology Authors: Akbarzadeh M, Vaziri F, Farahmand M, Masoudi Z, Amooee S, Zare N Tags: Adv Skin Wound Care Source Type: research

A qualitative study exploring how Somali women exposed to female genital mutilation experience and perceive antenatal and intrapartum care in England
Conclusions Female genital mutilation impacts Somali women's experiences of antenatal and intrapartum care. This study suggests that midwives should routinely ask Somali women about female genital mutilation to encourage open communication and facilitate more positive experiences. As antenatal deinfibulation is unpopular, we should consider developing strategies to promote deinfibulation to non-pregnant women, to align with current guidelines. Women with unfavourable social factors may require additional support to improve access to English antenatal care services. (Source: BMJ Open)
Source: BMJ Open - January 7, 2016 Category: Journals (General) Authors: Moxey, J. M., Jones, L. L. Tags: Open access, General practice / Family practice, Public health, Obgyn Research Source Type: research

Obstetric Outcomes of First- and Second-Generation Pakistani Immigrants: A Comparison Study at a Low-Risk Maternity Ward in Norway
Abstract This population-based study compares obstetric outcomes of first- and second-generation Pakistani immigrants and ethnic Norwegians who gave birth at the low-risk maternity ward in Baerum Hospital in Norway from 2006 to 2013. We hypothesized that second-generation Pakistani immigrants are more similar to the ethnic Norwegians because of increased acculturation. Outcome measures were labor onset, epidural analgesia, labor dystocia, episiotomy, vaginal/operative delivery, postpartum hemorrhage, preterm birth, birth weight, transfer to a neonatal intensive care unit, and neonatal jaundice. Compared to first-g...
Source: Journal of Immigrant and Minority Health - December 26, 2015 Category: Global & Universal Source Type: research

Quality of intra-partum care at a university hospital in Nepal: A prospective cross-sectional survey
Conclusions The management of care in normal birth could be improved in the studied setting, and there is a need for more research to support such improvement. (Source: Sexual and Reproductive Healthcare)
Source: Sexual and Reproductive Healthcare - December 25, 2015 Category: Reproduction Medicine Source Type: research

Labor and delivery service use: indigenous women’s preference and the health sector response in the Chiapas Highlands of Mexico
Conclusions: Evidence from the study suggests the presence of important barriers to the utilization of institutional labor and delivery services in indigenous communities, in spite of the intercultural strategies implemented. It is important to consider strengthening intercultural models of care, to sensitize personnel towards cultural needs, beliefs, practices and preferences of indigenous women, with a focus on human rights, gender equity and quality of care. (Source: International Journal for Equity in Health)
Source: International Journal for Equity in Health - December 23, 2015 Category: Global & Universal Authors: Midiam Ibáñez-CuevasIleana Heredia-PiSergio Meneses-NavarroBlanca Pelcastre-VillafuerteMiguel González-Block Source Type: research

Endometriosis of episiotomy scar: a case report.
Authors: Mihmanli V, Ózkan T, Genc S, Cetinkaya N, Uctas H Abstract Endometriosis is characterized by the presence of histologically normal endometrial glands and stroma outside the uterine cavity. Endometriosis predominantly locates on peritoneal surfaces, but it also affects the vagina, vulva, and perineum, usually secondary to surgical or obstetric trauma. Endometriosis in an episiotomy scar is a fairly rare phenomenon. The authors present a case of endometriosis in an episiotomy scar. PMID: 26411231 [PubMed - indexed for MEDLINE] (Source: Clinical and Experimental Obstetrics and Gynecology)
Source: Clinical and Experimental Obstetrics and Gynecology - December 20, 2015 Category: OBGYN Tags: Clin Exp Obstet Gynecol Source Type: research

Severe perineal morbidity of instrumental deliveries using Thierry's spatulas and vacuum extraction: A prospective observational cohort study.
CONCLUSIONS: Spatulas extraction is an independent risk factor for severe perineal tear. The practice of episiotomy was not shown to have any significant impact on this risk. PMID: 26710994 [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 - December 17, 2015 Category: OBGYN Authors: Hamouda S, Mancini J, Marchand F, Bretelle F, Boubli L, D'Ercole C, Carcopino X Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

A Rare Case of Episiotomy Scar Endometriosis
(Source: The Journal of Obstetrics and Gynecology of India)
Source: The Journal of Obstetrics and Gynecology of India - December 17, 2015 Category: OBGYN Source Type: research

Clinical impact of the disposable ventouse iCup® versus a metallic vacuum cup: a multicenter randomized controlled trial
Background: Assisted vaginal delivery by vacuum extraction is frequent. Metallic resterilizible metallic vacuum cups have been routinely used in France. In the last few years a new disposable semi-soft vacuum extraction cup, the iCup, has been introduced. Our objective was to compare maternal and new-born outcomes between this disposable cup and the commonly used Drapier-Faure metallic cup. Methods: This was a multicenter prospective randomized controlled open clinical trial performed in the maternity units of five university hospitals and one community hospital in France from October 2009 to February 2013. We included con...
Source: BMC Pregnancy and Childbirth - December 15, 2015 Category: OBGYN Authors: Véronique EquySandra David-TchoudaMichel DreyfusDidier RiethmullerFrançoise VendittelliVictoire CabaudBruno LangerJennifer MargierJean-Luc BossonJean-Patrick Schaal Source Type: research

Manual protection of the perineum reduces the risk of obstetric anal sphincter ruptures.
CONCLUSION: After the first year of intervention, our results demonstrate that manual protection of the perineum reduces the overall risk of OASIS significantly. FUNDING: not relevant. TRIAL REGISTRATION: not relevant. PMID: 26050831 [PubMed - in process] (Source: Danish Medical Journal)
Source: Danish Medical Journal - December 12, 2015 Category: Journals (General) Tags: Dan Med J Source Type: research

Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair.
Authors: Harvey MA, Pierce M, Urogynaecology Committee, Alter JW, Chou Q, Diamond P, Epp A, Geoffrion R, Harvey MA, Larochelle A, Maslow K, Neustaedter G, Pascali D, Pierce M, Schulz J, Wilkie D, Special Contributors, Sultan A, Thakar R Abstract Objective: To review the evidence relating to obstetrical anal sphincter injuries (OASIS) with respect to diagnosis, repair techniques and outcomes. To formulate recommendations as to patient counselling regarding route of delivery for subsequent pregnancy after OASIS. Options: Obstetrical care providers caring for women with OASIS have the option of repairing the anal sphi...
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - December 7, 2015 Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research

Evaluation of the prevalence, type, severity, and risk factors of urinary incontinence and its impact on quality of life among women in Turkey
Conclusion In this study, the prevalence of UI in women was substantial, and UI had a significantly negative impact on all aspects of QoL. However, these women had not sought medical help for the problem. Therefore, health professionals should query women of all ages about symptoms of this prevalent condition and offer treatment if it is detected. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - December 5, 2015 Category: OBGYN Source Type: research

[Evaluation of Teissier's spatulas during preterm fetal vaginal delivery].
CONCLUSION: Instrumental deliveries by Teissier's spatulas for preterm fetuses are not accompanied by any increase in neonatal or maternal morbidity. PMID: 26655689 [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 - December 3, 2015 Category: OBGYN Authors: Khallouk B, Mottet N, Goujon E, Ramanah R, Riethmuller D Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Demographic, maternal, and infant health correlates of post‐partum depression in Jordan
Abstract This cross‐sectional correlational study examined post‐partum depression and its relationship with demographic, maternal, and infant health problems in urban Jordanian women. Participants (n = 315) were selected from five maternal child healthcare centers and one major hospital in Amman, Jordan. Patient Health Questionnaire‐9 was used to measure post‐partum depression within 12 weeks of birth. A number of socio‐demographic and health problems were examined for an association with post‐partum depression. Results showed that 25% of post‐partum women suffered moderate to severe depression and 50% ...
Source: Nursing and Health Sciences - December 1, 2015 Category: Nursing Authors: Reema R. Safadi, Lubna A. Abushaikha, Muayyad M. Ahmad Tags: Research Article Source Type: research

Sarcoidosis of the vagina treated with methotrexate.
We describe the first case of mediolateral episiotomic sarcoidosis of the deep vaginal tissue, without involvement of the pulmonary parenchyma or pulmonary symptoms. A 68-year-old female was admitted with a vaginal mass that had developed about 1 month prior. On bimanual examination, we found a painful solid mass approximately 4 cm in diameter on the episiotomy line of the deep vaginal tissue. The patient underwent pelvic magnetic resonance imaging on suspicion of a malignancy, and a vaginal true-cut biopsy was performed. The biopsy specimen exhibited non-caseating, granulomatous inflammation and many multinucleated gian...
Source: Climacteric - December 1, 2015 Category: Geriatrics Authors: Şahin N, Solak A, Karaarslan S, Doruk S Tags: Climacteric Source Type: research

The Development of a New Medical Device for Standardized Episiotomy: A Pre-Clinical Validation Study
Conclusion: We have shown that optimizing the technical performance and safety of an innovative device in animals, prior to opposing patients to its potential hazards, is feasible. Our design optimizing study can be used as a model for the pre-clinical validation of future innovative medical devices.Gynecol Obstet Invest (Source: Gynecologic and Obstetric Investigation)
Source: Gynecologic and Obstetric Investigation - November 21, 2015 Category: OBGYN Source Type: research

Obstetric vulvar lacerations and postpartum dyspareunia.
CONCLUSION: Almost half of patients with spontaneous vaginal delivery without episiotomy experienced some type of vaginal laceration. A first degree was documented in >25% of cases; however, <10% of those subsequently had complaints of vulvar pain or dyspareunia. PMID: 25552128 [PubMed - indexed for MEDLINE] (Source: Journal of Reproductive Medicine)
Source: Journal of Reproductive Medicine - November 20, 2015 Category: Reproduction Medicine Tags: J Reprod Med Source Type: research

National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data.
This report presents 2005 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to International Classification of Diseases, Ninth Revision, Clinical Modification codes. METHODS: The estimates are based on data collected through the National Hospital Discharge Survey. The survey has been conducted annually since 1965. In 2005, data were collected for approximately 375,0...
Source: Vital and Health Statistics, Series 13: Data on Health Resources Utilization - November 18, 2015 Category: American Health Tags: Vital Health Stat 13 Source Type: research

Timing of episiotomy and outcome of a non‐instrumental vaginal delivery
ConclusionsOur results suggesting that episiotomy performed at crowning is not associated with worse anatomical or functional delivery outcome support restrictive approach to episiotomy. The effect of episiotomy timing on pelvic organ prolapse development remains to be determined.This article is protected by copyright. All rights reserved. (Source: Acta Obstetricia et Gynecologica Scandinavica)
Source: Acta Obstetricia et Gynecologica Scandinavica - November 13, 2015 Category: OBGYN Authors: Zdenek Rusavy, Jaroslava Karbanova, Vladimir Kalis Tags: Original Research Article Source Type: research

Response to the letter to the editor: the correct episiotomy—does it exist?
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 12, 2015 Category: OBGYN Source Type: research

The correct episiotomy: Does it exist?
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - November 12, 2015 Category: OBGYN Source Type: research

Spatules de Thierry ou forceps : comparaison des morbidités materno-fœtales
Conclusion Les spatules de Thierry sont moins délétères que les forceps pour les tissus maternels et pour les lésions faciales du nouveau-né. Ainsi, les spatules pourraient bénéficier d’une diffusion plus large. Cependant une étude prospective sera nécessaire afin de confirmer nos résultats. Objective To compare maternal and fetal morbidity during forceps or Thierry spatulas operative deliveries. Methods Retrospective and descriptive study in a one center from 2006 to 2012. Operative deliveries were performed with forceps or spatulas, in case of no mobile fetal progression, on singleton term pregnancies with...
Source: Gynecologie Obstetrique and Fertilite - November 5, 2015 Category: OBGYN Source Type: research

Our experience with long-term triptorelin therapy in a large endometriosis nodule arising in an episiotomy scar
Publication date: Available online 17 October 2015 Source:Gynécologie Obstétrique &amp; Fertilité Author(s): B. Darwish, G. Leleup, C. Martin, H. Roman (Source: Gynecologie Obstetrique and Fertilite)
Source: Gynecologie Obstetrique and Fertilite - November 5, 2015 Category: OBGYN Source Type: research

[Management of shoulder dystocia].
CONCLUSION: All physicians and midwives should know and perform obstetric maneuvers if needed quickly but without precipitation. PMID: 26530178 [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 - October 31, 2015 Category: OBGYN Authors: Le Ray C, Oury JF Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

[Delivery management for the prevention of shoulder dystocia in case of identified risk factors].
CONCLUSION: To avoid shoulder dystocia and its complications, only two measures are proposed. Induction of labor is recommended in case of impending macrosomia if the cervix is favourable and gestational age greater than 39 weeks of gestation (Professional consensus). Cesarean delivery is recommended before labor in case of (i) EFW greater than 4500g if associated with maternal diabetes (gradeC), (ii) EFW greater than 5000g in the absence of maternal diabetes (gradeC), and finally (iii) during labor, in case of fetal macrosomia and failure to progress in the second stage, when the fetal head is above a +2 station (gradeC)....
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - October 31, 2015 Category: OBGYN Authors: Schmitz T Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

[Maternal care after vaginal delivery and management of complications in immediate post-partum - Guidelines for clinical practice].
CONCLUSION: During the immediate post-partum period, complications may be unrecognized or confused with the natural post-partum evolution, which implies a strong vigilance from practitioners. This vigilance is all the more necessary that the maternal residence durations are shortened. PMID: 26530173 [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 - October 31, 2015 Category: OBGYN Authors: Simon EG, Laffon M Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

Committee Opinion No. 647 Summary: Limitations of Perineal Lacerations as an Obstetric Quality Measure.
Authors: Abstract Perineal lacerations are a common occurrence with vaginal delivery. Although perineal lacerations are tracked easily from coding data, there are a variety of problems with using rates of such tears as a quality measure. The rate of severe perineal lacerations should not be used as a measure of obstetric quality for the following three reasons: 1) third-degree and fourth-degree perineal lacerations may not be defined uniformly; 2) severe perineal lacerations are associated strongly with nonmodifiable risk factors; and 3) diminishing the use of operative vaginal delivery, in an effort to decrease s...
Source: Obstetrics and Gynecology - October 24, 2015 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Committee Opinion No. 647: Limitations of Perineal Lacerations as an Obstetric Quality Measure.
Authors: Abstract Perineal lacerations are a common occurrence with vaginal delivery. Although perineal lacerations are tracked easily from coding data, there are a variety of problems with using rates of such tears as a quality measure. The rate of severe perineal lacerations should not be used as a measure of obstetric quality for the following three reasons: 1) third-degree and fourth-degree perineal lacerations may not be defined uniformly; 2) severe perineal lacerations are associated strongly with nonmodifiable risk factors; and 3) diminishing the use of operative vaginal delivery, in an effort to decrease s...
Source: Obstetrics and Gynecology - October 24, 2015 Category: OBGYN Tags: Obstet Gynecol Source Type: research

Diagnosis and treatment of perineal endometriosis: review of 17 cases
Conclusions A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - October 17, 2015 Category: OBGYN Source Type: research

[Thierry's spatulas or forceps - a comparison between maternal-fetal morbidities].
CONCLUSIONS: Thierry spatulas are less harmful than forceps to maternal tissues and reduce facial injuries of the newborn. Consequently, spatulas could benefit from a wider use. However, a prospective study will be needed to confirm our results. PMID: 26482834 [PubMed - as supplied by publisher] (Source: Gynecologie, Obstetrique et Fertilite)
Source: Gynecologie, Obstetrique et Fertilite - October 16, 2015 Category: OBGYN Authors: Durand-Maison O, Mangin-Meyniel M, Tabard F, Bulot P, Cottenet J, Gobenceaux AS Tags: Gynecol Obstet Fertil Source Type: research

Our experience with long-term triptorelin therapy in a large endometriosis nodule arising in an episiotomy scar.
PMID: 26482835 [PubMed - as supplied by publisher] (Source: Gynecologie, Obstetrique et Fertilite)
Source: Gynecologie, Obstetrique et Fertilite - October 16, 2015 Category: OBGYN Authors: Darwish B, Leleup G, Martin C, Roman H Tags: Gynecol Obstet Fertil Source Type: research

Diagnosis and treatment of perineal endometriosis: review of 17 cases
Conclusions A detailed history and thorough pelvic examination are essential in diagnosing perineal endometriosis. Surgical intervention is the first choice of treatment. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - October 15, 2015 Category: OBGYN Source Type: research

Pushing/bearing down methods for the second stage of labour.
CONCLUSIONS: This review is based on a total of 20 included studies that were of a mixed methodological quality.Timing of pushing with epidural is consistent in that delayed pushing leads to a shortening of the actual time pushing and increase of spontaneous vaginal delivery at the expense of an overall longer duration of the second stage of labour and double the risk of a low umbilical cord pH (based only on one study). Nevertheless, there was no difference in the caesarean and instrumental deliveries, perineal laceration and episiotomy, and in the other neonatal outcomes (admission to neonatal intensive care, five-minute...
Source: Cochrane Database of Systematic Reviews - October 9, 2015 Category: Journals (General) Authors: Lemos A, Amorim MM, Dornelas de Andrade A, de Souza AI, Cabral Filho JE, Correia JB Tags: Cochrane Database Syst Rev Source Type: research

Obstetric care of women with female genital mutilation attending a specialized clinic in a tertiary center
Conclusions Routine obstetric follow-up combined with a specialized care for women with FGM, including defibulation, can avoid inappropriate obstetric practices and reduce obstetric complications known to be associated with FGM. (Source: International Journal of Gynecology and Obstetrics)
Source: International Journal of Gynecology and Obstetrics - October 9, 2015 Category: OBGYN Source Type: research

Birth position and obstetric anal sphincter injury: a population-based study of 113 000 spontaneous births
Conclusions: Compared with sitting position, lateral position has a slightly protective effect in nulliparous women whilst an increased risk is noted among women in the lithotomy position, irrespective of parity. Squatting and birth seat position involve an increase in risk among parous women. (Source: BMC Pregnancy and Childbirth)
Source: BMC Pregnancy and Childbirth - October 9, 2015 Category: OBGYN Authors: Charlotte ElvanderMia AhlbergLi Thies-LagergrenSven CnattingiusOlof Stephansson Source Type: research

Testing the Epi-No birth trainer where episiotomy is not practiced
(Source: International Urogynecology Journal)
Source: International Urogynecology Journal - October 8, 2015 Category: OBGYN Source Type: research

Glyburide vs Insulin and Adverse Pregnancy Outcomes
To the Editor We were prompted by the increasing prevalence of gestational diabetes and widespread obstetric use of oral sulfonylureas to read with interest the retrospective analyses by Camelo Castillo et al. From an employer-based insurance database, Camelo Castillo and colleagues confirmed reports of others that infants born to women treated with glyburide are at increased risk for being large for gestation age and having hypoglycemia, both potential markers of fetal and neonatal hyperinsulemia. The authors also found these infants exposed to glyburide during the fetal period were at increased risk for birth injury. Whi...
Source: JAMA Pediatrics - October 1, 2015 Category: Pediatrics Source Type: research

Obstetric perineal injury: risk factors and prevalence in a resource-constrained setting.
Abstract The prevalence of obstetric perineal injuries and risk factors vary between affluent and resource-constrained settings. This prospective observational study reports on the factors associated with perineal lacerations in a cohort of Black African and Indian women delivering at two regional hospitals in South Africa. Binary logistic regression analysis was used to test for associations between independent variables and the dependent variable on multivariate analysis. All variables significant on bivariate analysis (P < 0.05) were included in the multivariate model. There were 202 (16.2%) perineal tear...
Source: Tropical Doctor - October 1, 2015 Category: Tropical Medicine Authors: Naidoo TD, Moodley J Tags: Trop Doct Source Type: research

Sexual pain disorders
Purpose of review: The purpose of this review was to assess recent research (the last 18 months) and its impact on understanding sexual pain disorders relevant to daily clinical practice. Recent findings: It has been highlighted that sexual pain is related to the number of tender points, pressure pain threshold, more deliberate fear and less global positive affective associations with sexual stimuli, episiotomy, attachment styles, drug abuse and the influence of ambivalence over emotional expression in couples. The efficacy of a multidisciplinary vulvodynia programme of treatment, another type of therapy based on the fear-...
Source: Current Opinion in Psychiatry - September 26, 2015 Category: Psychiatry Tags: SEXUAL DISORDERS: Edited by Antonio Jose Pacheco Palha Source Type: research

Risk factors for vertical transmission of hepatitis C virus: a single center experience with 710 HCV-infected mothers
Conclusions Invasive procedures as fetal scalp blood sampling or internal electrode and episiotomy increase vertical transmission of HCV, especially in patients with positive HCV RNA virus load at delivery. (Source: European Journal of Obstetrics and Gynecology and Reproductive Biology)
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - September 26, 2015 Category: OBGYN Source Type: research

Length of perineal pain relief after ice pack application: A quasi-experimental study.
CONCLUSION: Ice pack application for 20min is effective for alleviating postpartum perineal pain and continues to be effective between 1h 35min for up to 2h. PMID: 26395154 [PubMed - as supplied by publisher] (Source: Women Birth)
Source: Women Birth - September 19, 2015 Category: Midwifery Authors: de Souza Bosco Paiva C, Junqueira Vasconcellos de Oliveira SM, Amorim Francisco A, da Silva RL, de Paula Batista Mendes E, Steen M Tags: Women Birth Source Type: research

Midwife-led continuity models versus other models of care for childbearing women.
CONCLUSIONS: This review suggests that women who received midwife-led continuity models of care were less likely to experience intervention and more likely to be satisfied with their care with at least comparable adverse outcomes for women or their infants than women who received other models of care.Further research is needed to explore findings of fewer preterm births and fewer fetal deaths less than 24 weeks, and overall fetal loss/neonatal death associated with midwife-led continuity models of care. PMID: 26370160 [PubMed - as supplied by publisher] (Source: Cochrane Database of Systematic Reviews)
Source: Cochrane Database of Systematic Reviews - September 15, 2015 Category: Journals (General) Authors: Sandall J, Soltani H, Gates S, Shennan A, Devane D Tags: Cochrane Database Syst Rev Source Type: research

Does the Finnish intervention prevent obstetric anal sphincter injuries? A systematic review of the literature
Conclusions A reduction in OASIS has been contributed to the Finnish intervention in seven observational studies, all with a low level of evidence. Knowledge about the potential perinatal and maternal side effects and women's perceptions of the intervention is extremely limited and the biological mechanisms underlying the Finnish intervention are not well documented. Studies with a high level of evidence are needed to assess the effects of the intervention before implementation in clinical settings can be recommended. (Source: BMJ Open)
Source: BMJ Open - September 14, 2015 Category: Journals (General) Authors: Poulsen, M. O., Madsen, M. L., Skriver-Moller, A.-C., Overgaard, C. Tags: Open access, Evidence based practice, Obgyn Research Source Type: research

Screening occult anal sphincter injuries in primigravid women after vaginal delivery with transperineal use of vaginal probe: a prospective, randomized controlled trial
Conclusion Here, we found that only a portion of anal sphincter injuries can be detected after physical examination, with many of cases of “occult tears” escaping notice. These cases of occult anal sphincter injury are detectable by sonography with transperineal use of a vaginal probe. Based on these findings, we propose that this technique is convenient for obstetric, gynecologic and proctologic evaluation of sphincter anatomy. (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - September 4, 2015 Category: OBGYN Source Type: research

Position in the second stage of labour and de novo onset of post-partum urinary incontinence
Conclusions Upright positions at delivery are related to a lower episiotomy rate and a higher rate of greater than second degree perineal tears. Supine positions are an independent risk factor for the onset of de novo UI. (Source: International Urogynecology Journal)
Source: International Urogynecology Journal - September 4, 2015 Category: OBGYN Source Type: research

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