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The Role of Passive Descent and Epidural Analgesia in Outcomes Associated With Prolonged Pushing Among Nulliparous Individuals in Midwifery Care.

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Mediolateral Episiotomy: Technique, Practice, and Training.

Sally Rollow Hersh1, Cathy L Emeis1

  • 1Nurse-Midwifery Education Program, School of Nursing, Oregon Health & Science University, Portland, Oregon.

Journal of Midwifery & Women'S Health
|March 30, 2020
PubMed
Summary
This summary is machine-generated.

Mediolateral episiotomy, though less common in the US, is examined for its effects, particularly in fetal bradycardia cases. This review details its technical aspects, outcomes, and educational implications for obstetric practice.

Keywords:
OASIsepisiotomymedian episiotomymediolateral episiotomymidline episiotomymidwiferyobstetric anal sphincter injuriesperineal traumapostpartum

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Procedures

Background:

  • Episiotomy is a common obstetric procedure, but its use is declining in the United States.
  • Mediolateral episiotomy is performed less frequently than median episiotomy, with both having distinct advantages and disadvantages.

Purpose of the Study:

  • To describe the performance of mediolateral episiotomy in cases of fetal bradycardia.
  • To review technical aspects, outcomes, and knowledge gaps related to mediolateral episiotomy.

Main Methods:

  • Case description of mediolateral episiotomy during fetal bradycardia.
  • Summary of existing outcome data and identification of research gaps.

Main Results:

  • Detailed technical description of mediolateral episiotomy incision and repair.
  • Summary of current knowledge on outcomes and identified areas for further research.

Conclusions:

  • Mediolateral episiotomy requires specific technical considerations, especially in emergency situations like fetal bradycardia.
  • Further research is needed to fully understand the implications of mediolateral episiotomy on obstetric anal sphincter injuries and patient outcomes.