World Journal of Pharmaceutical
and Medical Research

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical and Medical Research and Technology
An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)
ISSN 2455-3301
IMPACT FACTOR: 6.842

ICV : 78.6

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Abstract

COMPARISON OF RESTRICTED VS ROUTINE USE OF EPISIOTOMY IN A TERTIARY CENTRE

Sieqa Shah, Aquisa Bashir*, Anjum Malik

ABSTRACT

Objectives: To compare the outcome of restricted versus routine use of episiotomy in a tertiary center. Method: A prospective study was conducted for singleton normal vaginal deliveries at term. Deliveries managed with routine use of episiotomy formed the ‘Control Group’ while those managed with restricted use of episiotomy formed the ‘Study Group’. Data thus obtained was analyzed. Result: Total number of deliveries analyzed were 440 (‘Control Group’: n=200, ‘Study Group’: n=240). Restricted use of episiotomy led to 65% (n=151) women delivering without any perineal laceration in ‘Study Group’. This translated into 44% (n=42) reduction in the number of perineal lacerations in primipara and 25% (n=37) in multipara, compared to the ‘Control Group’. Only 2% of primipara in ‘Study Group’ had third-degree perineal tear. Conclusion: Restricted use of episiotomy resulted in considerable reduction in maternal morbidity due to perineal lacerations.

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