Attitudes and knowledge regarding episiotomy use and technique in vacuum extraction: A web-based survey among doctors in Sweden

Episiotomy should be used selectively and restrictively [1 –3]. The clinical application of this wording is unclear, although operative vaginal delivery could be such a selected situation [3,4]. A rate below 60% is proposed to be selective in a Cochrane review of selective versus routine episiotomy in vaginal birth [5]. In this review, routine episiotomy [6z0-100%) was not protective against obstetric anal sphincter injuries (OASIS) in spontaneous vaginal delivery [5]. Further research is needed to clarify if routine episiotomy is useful in women with operative vaginal delivery [5].
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - Category: OBGYN Authors: Tags: Full length article Source Type: research