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Colegio de Medicos y Cirujanos República de Costa Rica

2011, Number 599

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Rev Med Cos Cen 2011; 68 (599)

Episiotomía

Vargas BMJ

Language: Spanish
References: 10
Page: 461-466
PDF size: 344.54 Kb.


ABSTRACT

Episiotomy is one of the most commonly performed surgical procedures. Its use was justified as prevention of severe perineal tears and fetal complications. After multiple studies that evaluated the risks and benefits of the routine use of episiotomy, there has been less frequent vaginal and labial, but show an increase in the incidence of third and fourth perineal lacerations with their consequent long term complications. Therefore, in the United States the use of episiotomy has decreased remarkably by using the selective use policy, according to the assessment of risk factor for each patient and the experience that has the personal responsible for care delivery.


REFERENCES

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  2. Eogan M, Daly L, O´Connell P, O´Herlihy C. Does the angle of episiotomy affect the incidence of anal sphincter injury? JOG 2006; 113: pp. 190-194

  3. Frankman EA, Wang L, Bunker CH, et al. Episiotomy in the United States: has anything changed? Am J Obstet Gynecol 2009; 200: 573.e1-573.e7

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  7. Kudish B, Blackwell S, McNeeley SG, et al. Operative vaginal delivery and midline episiotomy: A bad combination for the perineum. Am J Obstet Gynecol 2006: 195; pp. 749-754

  8. Lede RL. Belizan JM, Carroli G. Is routine use of episiotomy justified? Am J Obstet Gynecol 1996; 174: pp. 1399-1402

  9. Rodríguez A, Arenas EA, Osorio AL, et al. Selective vs routine midline episiotomy for the prevention of third or fourth degree lacerations in nulliparous women. Am J Obstet Gynecol 2008; 198: 285.e1-285.e4

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