Dimitrov A, Nalbanski B, Nikolov A, Stamenov G, Dimitrov I, Lazarova L, Gamishev G
Akush Ginekol (Sofiia). 1997;36(1):1-3.
The aim is to analyze the accepted indications for episiotomy in nowadays practice. The investigations is retrospective for the period from April to May 1996. The material includes 459 term singleton pregnancy in vertex presentation and 46 cases of premature neonates with weight from 1300 to 1499 g. The results show high risk (77.1%) of episiotomy in nulliparous women. The multiparity, the length of second period and the high risk pregnancies have not effect on the use of episiotomy. The wight of the fetus is essential factor. The highest rate of episiotomy is at premature births (65.2%) followed by the group of neonates with weight over 4000 g (61.5%). The lowest rist of episiotomy is then the weight of newborn is between 2500 and 3800 g (21.8%). Almost hundred percent rate of episiotomy in operative vaginal and breech deliveries show that we accept the episiotomy as obligatory of these vaginal deliveries.
目的是分析当今临床实践中会阴切开术的公认指征。该研究为对1996年4月至5月期间的回顾性调查。材料包括459例足月单胎头先露妊娠和46例体重在1300至1499克之间的早产儿。结果显示初产妇会阴切开术的风险很高（77.1%）。经产妇、第二产程时长和高危妊娠对会阴切开术的使用没有影响。胎儿体重是关键因素。会阴切开术发生率最高的是早产（65.2%），其次是体重超过4000克的新生儿组（61.5%）。会阴切开术发生率最低的是新生儿体重在2500至3800克之间（21.8%）。几乎百分之百的阴道手术分娩和臀位分娩会进行会阴切开术，这表明我们认为会阴切开术是这些阴道分娩的必要操作。
