PDF] Long- and short-term complications of episiotomy

Current meta-analyses and reviews that assessed the studies available in the literature revealed that episiotomy does not decrease the rates of urinary incontinence, perineal pain, and sexual dysfunction and that routine episiotology does not prevent pelvic floor damage; thus, the recommended use of mediolateral episiotome is restricted, rather than routine. Although extensively applied in obstetrics practice to facilitate delivery by increasing the vaginal birth conduit, most episiotomy studies are in the context of short- or medium-term outcomes, and the number of studies investigating the long-term effects is insufficient. Episiotomy is often considered associated with urinary and/or anal incontinence and dyspareunia; however, there is no concrete evidence for this issue. Current meta-analyses and reviews that assessed the studies available in the literature revealed that episiotomy does not decrease the rates of urinary incontinence, perineal pain, and sexual dysfunction and that routine episiotomy does not prevent pelvic floor damage; thus, the recommended use of mediolateral episiotomy is restricted, rather than routine. According to the limited number of studies on sexual function, there seems to be a linear relationship between the degree of perineal laceration and postpartum dyspareunia. It is still not clear whether episiotomy has any impact on pelvic floor relaxation, pelvic organ prolapse, and sexual dysfunction in the long term.

PDF) Comparison of the effects of episiotomy and no episiotomy on

Episiotomy and Repair: Background, Indications, Contraindications

A nationwide cross-sectional survey of episiotomy practice in

PDF) Long- and short-term complications of episiotomy

REEDA: Episiotomy Healing Assessment Acronym

Episiotomy

Episiotomy - Wikipedia

Episiotomy & Laceration: Divina Gracia Vibal Cielo Bsm-1

PDF] Material and type of suturing of perineal muscles used in

PDF) Long- and short-term complications of episiotomy