Elie Nkwabong1, Luc Kouam. 1. Department of Obstetrics & Gynecology, University Teaching Hospital, Yaoundé & Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon, P.O. Box 1364, Yaoundé, Cameroon.
Abstract
OBJECTIVES: To verify if episiotomy rate could be reduced without compromising materno-fetal well-being. MATERIAL AND METHODS: This retrospective study was conducted between January 1 and December 31, 2010 in the maternity unit of the University Teaching Hospital Yaoundé (Cameroon). All cases of singletons in cephalic presentation with episiotomies done or not done during deliveries were recruited. Data were analyzed by means of SPSS 12.0. The Fisher's exact test was used for comparison. The level of significance was 0.05. RESULTS: We performed 163 episiotomies (9.6 %). Main indications were rigid perineum, fetal weight ≥3,500 g, prolonged second stage of labor, and instrumental deliveries; 82.2 % of patients were nullipara. Mean 5th minute Apgar score was 9.2. Short term maternal complications were mainly perineal pain. Among fetuses delivered with or without episiotomy, no case of early neonatal death was recorded. CONCLUSIONS: The use of episiotomy can be reduced without increasing maternal and fetal morbidities.
OBJECTIVES: To verify if episiotomy rate could be reduced without compromising materno-fetal well-being. MATERIAL AND METHODS: This retrospective study was conducted between January 1 and December 31, 2010 in the maternity unit of the University Teaching Hospital Yaoundé (Cameroon). All cases of singletons in cephalic presentation with episiotomies done or not done during deliveries were recruited. Data were analyzed by means of SPSS 12.0. The Fisher's exact test was used for comparison. The level of significance was 0.05. RESULTS: We performed 163 episiotomies (9.6 %). Main indications were rigid perineum, fetal weight ≥3,500 g, prolonged second stage of labor, and instrumental deliveries; 82.2 % of patients were nullipara. Mean 5th minute Apgar score was 9.2. Short term maternal complications were mainly perineal pain. Among fetuses delivered with or without episiotomy, no case of early neonatal death was recorded. CONCLUSIONS: The use of episiotomy can be reduced without increasing maternal and fetal morbidities.
Entities:
Keywords:
Episiotomy; Indications; Singletons in cephalic presentation
Authors: Christian Dannecker; Peter Hillemanns; Alexander Strauss; Uwe Hasbargen; Hermann Hepp; Christoph Anthuber Journal: Acta Obstet Gynecol Scand Date: 2004-04 Impact factor: 3.636