Islam Aliya, Hanif Ayesha, Ehsan Ambreen, Arif Saadia, Niazi Shaharyar Khan, Niazi Asfandyar Khan
Military Hospital Rawalpindi, Islamabad.
J Pak Med Assoc. 2013 Jun;63(6):696-701.
To assess the morbidity from episiotomy.
The prospective randomised control study was conducted at the Military Hospital Rawalpindi's Gynaecology & Obstetrics Department from January 2006 to April 2008. It comprised 100 patients who were given a mediolateral episiotomy at the crowning of the foetal head (group 1). Another group of 100 patients were delivered without an episiotomy (group 2). Postpartum morbidity was compared in the two groups. Morbidity included perineal damage by tears, subjective assessment of pain at perineum, dyspareunia after puerperium, feeling of pressure puerperium, incontinence and objective assessment of prolapse after puerperium.
Morbidity including perineal damage by tears, pain at perineum and dyspareunia, was much more in group I as compared to the group II. There was no significant difference in feeling of pressure perineum, subjective feeling of urinary and flatus incontinence or objective assessment of prolapse of vagina and uterus.
There are no significant advantages of episiotomy. In fact, it leads to morbidity which is otherwise avoidable in deliveries that are episiotomy-free.
评估会阴切开术的发病率。
2006年1月至2008年4月在拉瓦尔品第军医院妇产科进行了前瞻性随机对照研究。研究包括100例在胎头着冠时接受会阴侧切术的患者（第1组）。另一组100例患者未行会阴切开术分娩（第2组）。比较两组产后发病率。发病率包括会阴撕裂伤、会阴疼痛主观评估、产褥期后性交困难、产褥期压迫感、尿失禁以及产褥期后脱垂客观评估。
与第2组相比，第1组包括会阴撕裂伤、会阴疼痛和性交困难在内的发病率要高得多。会阴压迫感、尿失禁和排气失禁主观感受或阴道及子宫脱垂客观评估方面无显著差异。
会阴切开术没有显著优势。事实上，它会导致发病率增加，而在无会阴切开术的分娩中这种情况原本是可以避免的。
