Sara S Webb, Esther R Skene, Margarita Manresa, Elizabeth K Percy, Robert M Freeman, Douglas G Tincello
OBJECTIVES: The aim of this study was to evaluate current education and training of student and registered midwives across the UK and Spain; analysing both pelvic floor teaching and practical experience. STUDY DESIGN: A cross-sectional survey was carried out by 711 student and 384 registered midwives across different universities and regions in the UK and Spain. RESULTS: The vast majority (91.5 % n = 382) of UK students complete training without ever cutting or repairing an episiotomy...
November 5, 2020: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Pebalo Francis Pebolo, Ajeani Judith, Kaye Kabonge Dan
Introduction: episiotomy induced inflammatory signs like redness, edema, ecchymosis and pain may remain beyond the period of hospitalization and can be objectively measured using redness, edema, ecchymosis, discharge and apposition (REEDA) scale. Pain in the postpartum period is a common problem and can be measured using the numerical pain scale (NPS). Episiotomy is normally poorly executed and poorly repaired with little attention to the subtle pain-free scar. Postpartum perineal pain has been found to affect more people with episiotomy compared to spontaneous perineal tears or contusion in the first two weeks...
2020: Pan African Medical Journal
Yu Zang, Hong Lu, Huixin Zhang, Jing Huang, Yang Zhao, Lihua Ren
BACKGROUND: Upright positions during the second stage of labour are assumed to have many physiological advantages that may facilitate normal birth. Clarifying the underlying benefits and risks of upright positions plays an important role in the implementation of upright positions. The benefits and risks of upright positions during the second stage of labour have been explored in several systematic reviews, but the results are divergent. OBJECTIVE: To summarize the evidence on the underlying benefits and risks of upright positions during the second stage of labour by searching available systematic reviews to explore the best evidence for clinical practice and decision making...
October 29, 2020: International Journal of Nursing Studies
Clesse Christophe, Cottenet Jonathan, Lighezzolo-Alnot Joelle, Goueslard Karine, Scheffler Michele, Sagot Paul, Quantin Catherine
Episiotomy use has decreased due to the lack of evidence on its protective effects from maternal obstetric anal sphincter injuries. Indications for episiotomy vary considerably and there are a great variety of factors associated with its use. The aim of this article is to describe the episiotomy rate in France between 2013 and 2017 and the factors associated with its use in non-operative vaginal deliveries. In this retrospective population-based cohort study, we included vaginal deliveries performed in French hospitals (N = 584) and for which parity was coded...
November 19, 2020: Scientific Reports
Anna Martín-Arribas, Rafael Vila-Candel, Rhona O'Connell, Martina Dillon, Inmaculada Vila-Bellido, M Ángeles Beneyto, Inmaculada De Molina-Fernández, Nerea Rodríguez-Conesa, Cristina González-Blázquez, Ramón Escuriet
BACKGROUND: In Europe, the majority of healthy women give birth at conventional obstetric units with the assistance of registered midwives. This study examines the relationships between the intrapartum transfer of care (TOC) from midwife to obstetrician-led maternity care, obstetric unit size (OUS) with different degrees of midwifery autonomy, intrapartum interventions and birth outcomes. METHODS: A prospective, multicentre, cross-sectional study promoted by the COST Action IS1405 was carried out at eight public hospitals in Spain and Ireland between 2016-2019...
November 13, 2020: International Journal of Environmental Research and Public Health
Qiaomeng Li, Shening Zhu, Xiao Xiao
Objectives: This review aimed to explore the independent risk factors of postpartum urinary retention (PUR) after a vaginal delivery. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed and relevant studies were retrieved from eleven databases. The quality of the included articles was assessed using Critical Appraisal Skills Programme tools or the Appraisal tool for Cross-Sectional Studies. The data analysis was performed using Review Manager version 5...
October 10, 2020: International Journal of Nursing Sciences
Perrine Coste Mazeau, Nedjma Boukeffa, Nathalie Ticaud Boileau, Samantha Huet, Maud Traverse, Jean-Luc Eyraud, Alexine Laguerre, Cyrille Catalan, Cécilia Riedl
BACKGROUND: Instrumental deliveries are an unavoidable part of obstetric practice. Dedicated training is needed for each instrument. To identify when a trainee resident can be entrusted with instrumental deliveries by Suzor forceps by studying obstetric anal sphincter injuries. METHODS: A French retrospective observational study of obstetric anal sphincter injuries due to Suzor forceps deliveries performed by trainee residents was conducted from November 2008 to November 2016 at Limoges University Hospital...
November 10, 2020: BMC Pregnancy and Childbirth
Linda Petra Arendsen, Ranee Thakar, Paul Bassett, Abdul Hameed Sultan
OBJECTIVE: To investigate the effect of copper impregnated sanitary towels on the infection rate following vaginal delivery (VD). DESIGN: Single center double blind randomized controlled trial. PARTICIPANTS: Women aged 18 or over who had a sutured second-degree tear or episiotomy following VD. INTERVENTIONS: All women were randomized to receive either a copper-oxide impregnated sanitary towel (study group) or a non-copper sanitary towel (control group)...
October 23, 2020: Midwifery
Marc Possover
OBJECTIVE: To demonstrate the technique of vaginal radical hysterectomy in the treatment of cervical cancer DESIGN: Video SETTING: Tertiary referral unit specialized in advanced gynaecological surgery and neuropelveology. INTERVENTION: The modified Schauta-Stoeckel procedure consists of a radical hysterectomy performed vaginally without the need for a Schuchard episiotomy. Our modification consists of the "Click maneuver", an easy and reproducible method that allows an easy exposure of the knee of the ureter and a radical resection of both the supra-ureteral and infra-ureteral parts of the bladder pillar...
October 31, 2020: Journal of Minimally Invasive Gynecology
Deama S Al Ghamdi
OBJECTIVES: To evaluate the rates of third- and fourth-degree tears and related predisposing factors for the tears in singleton vaginal deliveries. Methods: This was a retrospective study of third- and fourth-degree perineal tears in all women who underwent vaginal delivery in a tertiary hospital in Assir region between January 2014 and December 2019. There are approximately 5000 deliveries per year at the Abha Maternity and Children Hospital. The total number of deliveries during the study period was 31,788, of which 19,374 were delivered vaginally...
November 2020: Saudi Medical Journal
Chang Xu, Wanting Zhong, Qiang Fu, Li Yi, Yuqing Deng, Zhaohui Cheng, Xiaojun Lin, Miao Cai, Shilin Zhong, Manli Wang, Hongbing Tao, Haoling Xiong, Xin Jiang, Yun Chen
BACKGROUND: Delivery methods are associated with postpartum hemorrhage (PPH) both in nulliparous and multiparous women. However, few studies have examined the difference in this association between nulliparous and multiparous women. This study aimed to explore the difference of maternal and neonatal characteristics and delivery methods between Chinese nulliparous and multiparous women, and then examine the differential effects of different delivery methods on PPH between these two-type women...
October 31, 2020: BMC Pregnancy and Childbirth
Inge Putri, Koen Simons, Jonathan Nettle, Anthony Woodward
BACKGROUND: The use of epidural as a form of analgesia is increasingly common in labour, but this has shown to have been associated with increased rates of instrumental delivery, and prolonged second stage, resulting in increased rates of OASIS (Obstetric Anal Sphincter Injury). AIMS: This study aimed to investigate the impact of epidural anaesthesia in multiparous women undergoing vaginal deliveries on OASIS and secondary maternal outcomes. MATERIALS AND METHODS: A retrospective cohort study of multiparous women with singleton pregnancies delivering at term ≥37 weeks and the use of epidural analgesia in labour at a tertiary hospital in Melbourne, Victoria, Australia, the Royal Women's Hospital was undertaken between the period 2012-2018...
October 30, 2020: Australian & New Zealand Journal of Obstetrics & Gynaecology
Fentahun Beyene, Azezu Asres Nigussie, Simachew Kassa Limenih, Azimeraw Arega Tesfu, Kihinetu Gelaye Wudineh
Background: Episiotomy is the surgical enlargement of the vaginal orifice during the last part of the second stage of labor or childbirth by an incision to the perineum. The World Health Organization advises the use of episiotomy on a restricted and selective basis. Indeed, the rate of episiotomy in developed countries is decreasing, but in developing countries, including Ethiopia, it still remains high. Therefore, this study tried to assess the proportion and factors associated with episiotomy among women who gave birth at Felege Hiwot Referral Hospital, Bahir Dar City, North West Ethiopia, 2017...
2020: Risk Management and Healthcare Policy
Hanoch Schreiber, Nir Mevorach, Maya Sharon-Weiner, Sivan Farladansky-Gershnabel, Gil Shechter Maor, Tal Biron-Shental
PURPOSE: This study evaluated whether episiotomy during vacuum-assisted delivery leads to fewer third- and fourth-degree tears. METHODS: This was a retrospective cohort study of all nulliparas who underwent a singleton, soft cup, vacuum-assisted vaginal delivery in one institution, from January 2014 to August 2019. Failed vacuum deliveries were excluded. Based on power analysis calculation, a sample size of 500 women in each group was sufficient to detect an advantage of episiotomy, if present...
October 27, 2020: Archives of Gynecology and Obstetrics
Juan Miguel Martínez-Galiano, Sergio Martinez-Vazquez, Julián Rodríguez-Almagro, Antonio Hernández-Martinez
BACKGROUND: In recent years, the concept of obstetric violence has become visible among women and professionals, but its prevalence and the factors with which it is related in our healthcare environment are unknown. AIM: To determine the prevalence of obstetric violence in the Spanish healthcare system and identify the associated factors. METHODS: A cross-sectional observational study was conducted during 2019 and included 899 women who had given birth in the last 12 months...
October 17, 2020: Women and Birth
Sebastien Madzou, Chloé Reau-Giusti, Soazig Hervé, Katherine H Zhu, Charlemagne Marie Ouédraogo, Caroline Verhaeghe, Philippe Gillard, Laurent Catala, Vanessa Combaud, Philippe Descamps, Guillaume Legendre, Romain Corroenne
OBJECTIVES: To investigate the perinatal outcomes of women with a history of female genital mutilation (FGM) who underwent clitoral reconstruction (CR) compared with women with FGM who did not undergo CR. MATERIAL AND METHODS: Retrospective case-control study at Angers University Hospital, between 2005 and 2017. INCLUSION CRITERIA: pregnant women >18 years who underwent CR after FGM. Only the first subsequent delivery after CR was included...
October 17, 2020: Journal of Gynecology Obstetrics and Human Reproduction
Sara Abedian, Parvin Abedi, Shayesteh Jahanfar, Mina Iravani, Maryam Zahedian
INTRODUCTION: Some studies have investigated the effect of Lavender on pain and the healing of wounds. The aim of this systematic review was to investigate the effect of Lavender on pain and wound healing of episiotomy. METHODS: The Cochrane Library, MEDLINE (PubMed), Scopus, and Web of Science (all databases from inception until February 2020) were searched. Data were extracted from eligible studies by two review authors individually. Our inclusion criteria were full-text interventional studies published in English or any other languages...
September 2020: Complementary Therapies in Medicine
Monique Ah Hage-Fransen, Maaike Wiezer, Amy Otto, Marleen S Wieffer-Platvoet, Mariska H Slotman, Maria Wg Nijhuis-van der Sanden, Annelies L Pool-Goudzwaard
INTRODUCTION: Risk factors for pelvic floor disorders are often related to pregnancy and delivery. Consistent evidence is needed to develop prevention strategies targeting risk factors. The objective is to identify which pregnancy and/or obstetric related risk factors can predict urinary incontinence, fecal incontinence or pelvic organ prolapse later in life by means of a systematic review and meta-analysis. MATERIAL AND METHODS: Systematic review Prospero number: CRD42019131758...
October 16, 2020: Acta Obstetricia et Gynecologica Scandinavica
Yun Zhao, Ying Gao, Guoqiang Sun, Ling Yu, Ying Lin
BACKGROUND: No Pain Labor &Delivery (NPLD) is a nongovernmental project to increase access to safe neuraxial analgesia through specialized training. This study explores the change in overall cesarean delivery (CD) rate and maternal request CD(MRCD) rate in our hospital after the initiation of neuraxial analgesia service (NA). METHODS: NA was initiated in May 1st 2015 by the help of NPLD. Since then, the application of NA became a routine operation in our hospital, and every parturient can choose to use NA or not...
October 12, 2020: BMC Pregnancy and Childbirth
Sophie Alexander, Jens Langhoff-Roos
The prevalence of obstetric anal sphincter injuries (OASIS) varies between hospitals and countries from rates below 1% to over 5%. In Europe there is a North - South gradient (Blondel et al, Acta Obstet Gynecol Scand. 2016; 95:746-54). Variations of prevalence are reported to be related to three factors: (i) insufficient diagnosis in very low prevalence settings; (ii) geographical variations in elasticity of the perineum such as, though there is some controversy, greater fragility in women from Asia; and (iii) management of the perineum at birth...
October 9, 2020: BJOG: An International Journal of Obstetrics and Gynaecology
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