Jackson M B, Dunster G D
J R Coll Gen Pract. 1984 Nov;34(268):603-5.
Data was collected about the mother, the infant and the pregnancy in women who had an episiotomy performed at delivery, and those who did not, in one district hospital and two community hospitals. Factors predisposing mothers to episiotomy were sought and compared in the different hospitals. Traditional indications for episiotomy, such as a large baby and a small mother, were found to be less important than the occurrence of fetal distress, prolongation of the second stage of labour and the presence of pupil midwives at delivery. Current practice in the use of episiotomy is discussed.
收集了在一家区级医院和两家社区医院中，分娩时进行会阴切开术的妇女以及未进行会阴切开术的妇女的母亲、婴儿和妊娠相关数据。研究并比较了不同医院中促使母亲接受会阴切开术的因素。结果发现，诸如胎儿过大和母亲身材过小等传统的会阴切开术指征，不如胎儿窘迫、第二产程延长以及分娩时有实习助产士在场等因素重要。文中还讨论了当前会阴切开术的使用情况。
