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Episiotomy and perineal tear risk factors in a group of 4493 women

Grażyna Gebuza1, Marzena Kaźmierczak1, Alicja Gdaniec1

  • 1a Faculty of Health Sciences, Nicolaus Copernicus University Torun , Tourn , Poland.

Health Care for Women International
|April 13, 2018
PubMed

Episiotomy belongs to the most frequent procedures carried out during delivery. Performing episiotomy should be reduced as there is scientific evidence indicating that it can cause pain, sexual problems, and serious, long-term health consequences. The aim of the researchers is to identify factors associated with episiotomy and the perineal tear. Analyses were performed using a model of a logistic regression. The study involved 4493 women. The episiotomy risk was related to: a birth weight exceeding 3500 grams, an instrumental delivery by means of forceps or vacuum extraction. The decrease of episiotomy rate increased the rate of perineal tear of first and second degree. The study has shown that episiotomy protects women from third- and fourth-degree perineal tear.

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