Grigoriadis Themos, Athanasiou Stavros, Zisou Antonia, Antsaklis Aris
Department of Urogynecology, Alexandra Hospital, First University Clinic of Obstetrics and Gynecology, University of Athens, Greece.
Int J Gynaecol Obstet. 2009 Jul;106(1):27-9. doi: 10.1016/j.ijgo.2009.03.013. Epub 2009 Apr 9.
To assess current preferences regarding episiotomy and management of obstetric perineal injuries used by obstetricians in Greece, and to assess the impact of evidence-based information on everyday practices.
A questionnaire survey of obstetricians regarding episiotomy use and the management of obstetric perineal injuries.
Fifty-one percent of obstetricians reported routinely performing an episiotomy during a normal vaginal delivery in primiparous women and 89% reported performing an episiotomy during vacuum-assisted deliveries. Forty-two percent of the respondents performed lateral, 44% mediolateral, and 14% midline episiotomies. Following an obstetric anal sphincter tear, half of the respondents recommended a vaginal delivery, regardless of bowel symptoms. There was significant heterogeneity of practices regarding the repair techniques of all obstetric perineal injuries.
The majority of obstetricians prefer to perform routine mediolateral and lateral episiotomies, for both normal and operative vaginal deliveries. The adoption of evidence-based information should be implemented while considering working and cultural backgrounds.
评估希腊产科医生目前对会阴切开术及产科会阴损伤处理的偏好，并评估循证信息对日常实践的影响。
针对产科医生进行一项关于会阴切开术使用及产科会阴损伤处理的问卷调查。
51%的产科医生报告在初产妇正常阴道分娩时常规行会阴切开术，89%报告在真空辅助分娩时行会阴切开术。42%的受访者行侧切口会阴切开术，44%行中侧切口会阴切开术，14%行正中切口会阴切开术。产科肛门括约肌撕裂后，半数受访者建议经阴道分娩，无论有无肠道症状。所有产科会阴损伤的修复技术在实践中存在显著异质性。
大多数产科医生倾向于在正常及手术阴道分娩时常规行中侧切口和侧切口会阴切开术。在考虑工作和文化背景的同时，应采用循证信息。
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