Khan Neelofur Babar, Anjum Naureen, Hoodbhoy Zahra, Khoso Rabia
Department of Obstetrics and Gynecology, Aga Khan University Hospital Karachi, Pakistan.
Department of Obstetrics and Gynaecology, The Aga Khan University, Karachi.
J Pak Med Assoc. 2020 Nov;70(11):2036-2038. doi: 10.5455/JPMA.290331.
Episiotomy is a commonly performed procedure at the time of vaginal delivery to prevent perineal lacerations. A study was conducted to evaluate the complications of episiotomy. A sample size of 235 patients was taken. The complications were divided in two groups depending on the time of occurrence after delivery. Out of 235 patients, immediate complications were reported in 10(4.3%) patients. These included perineal tears, postpartum haemorrhage, extended episiotomy, perineal pain, inability to pass urine or stool and vaginal haematoma. Early complications including wound infection, gaping wound and resuturing of wound were reported in 21(8.9%) patients. On multivariate analysis, it was seen that age (19-29 years) was significantly associated with complications. Mediolateral episiotomy is a safe obstetrical surgical procedure in order to prevent third and fourth degree perineal tears and is not associated with increased incidence of complications.
会阴切开术是阴道分娩时常用的一种手术，用于预防会阴撕裂。开展了一项研究以评估会阴切开术的并发症。选取了235例患者作为样本量。根据分娩后发生的时间，将并发症分为两组。在235例患者中，10例（4.3%）患者出现了即刻并发症。这些包括会阴撕裂、产后出血、会阴切开术延长、会阴疼痛、排尿或排便困难以及阴道血肿。21例（8.9%）患者出现了早期并发症，包括伤口感染、伤口裂开和伤口再次缝合。多因素分析显示，年龄（19 - 29岁）与并发症显著相关。中侧会阴切开术是一种安全的产科手术，可预防三度和四度会阴撕裂，且与并发症发生率增加无关。
