Impact of mediolateral episiotomy on incidence of obstetrical anal sphincter injury diagnosed by endoanal ultrasound.

CONCLUSIONS: mediolateral episiotomy does not seem to be protective against clinically or sonographically diagnosed OASIS even when episiotomy technique is considered. Endoanal ultrasound allows a significantly better detection of symptomatic OASIS compared to clinical examination alone. IMPLICATIONS FOR PRACTICE: mediolateral episiotomy should be considered only when shortening the second stage of labour is indicated due to foetal distress, and not as a means of OASIS prevention. PMID: 28544989 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/28544989?dopt=Abstract

Source: Midwifery - May 18, 2017 Category: Midwifery Authors: Drusany Staric K, Lukanovic A, Petrocnik P, Zacesta V, Cescon C, Lucovnik M Tags: Midwifery Source Type: research