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The Outcomes of Midline Versus Medio-lateral Episiotomy by Ratchadawan Sooklim; Jadsada Thinkhamrop; Pisake Lumbiganon; Witoon Prasertcharoensuk; Jeerichuda Pattamadilok; Kanok Seekorn; Chompilas Chongsomchai; Prakai Pitak; Sukanya Chansamak is a Medicine article available to read on EtoBox.

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## Background Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data available to indicate if an episiotomy should be midline or medio-lateral. We compared midline versus medio-lateral episiotomy for complication such as extended perineal tears, pain scores, wound infection rates and other complications. ## Methods We conducted a prospective cohort including 1,302 women, who gave birth vaginally between April 2005 and February 2006 at Srinagarind Hospital – a tertiary care center in Northeast Thailand. All women included had low risk pregnancies and delivered at term. The outcome measures included deep perineal tears (including perineal tears with anal sphincter and/or rectum tears), other complications, and women's satisfaction at 48 hours and 6-weeks postpartum. ## Results In women with midline episiotomy, deep perineal tears occurred in 14.8%, which is statistic

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Author

Ratchadawan Sooklim; Jadsada Thinkhamrop; Pisake Lumbiganon; Witoon Prasertcharoensuk; Jeerichuda Pattamadilok; Kanok Seekorn; Chompilas Chongsomchai; Prakai Pitak; Sukanya Chansamak

Publisher

BioMed Central; Springer (Biomed Central Ltd.); [London]: BioMed Central, 2004-; Springer Science and Business Media LLC (ISSN 1742-4755)

Published

2007

Language

EN

Field

Medicine (Health Sciences)