EPISIORRAFIA EPISIOTOMIA PDF

Routine use of episiotomy in modern obstetrics. Should it be performed? Obstet Gynecol Clin North Am. An evaluation of the median episiotomy. Am J Obstet Gynecol. Influence of the duration of second stage labor on perinatal outcome and puerperal morbidity.

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Routine use of episiotomy in modern obstetrics. Should it be performed? Obstet Gynecol Clin North Am. An evaluation of the median episiotomy. Am J Obstet Gynecol. Influence of the duration of second stage labor on perinatal outcome and puerperal morbidity.

Obstet Gynecol. The role of episiotomy in pelvic symptomatology. In: Kitzenger S, ed. Episiotomy: Physical and Emotional Aspects.

London: National Childbirth Trust; Br Med J. Benefits and risks of episiotomy: an interpretative review of the English language literature, Obstet Gynecol Surv.

Episiotomy for vaginal birth Review. Cochrane Database Syst Rev. West Berkshire perineal management trial. Selected use of midline episiotomy: effect on perineal trauma.

Midline episiotomies: more harm than good? Does episiotomy prevent perineal trauma and pelvic floor relaxation? Online J Curr Clin Trials. Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation.

Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 71, April Is there a benefit to episiotomy at operative vaginal delivery? Observations over ten years in a stable population.

Operative vaginal delivery and midline episiotomy: a bad combination for the perineum. Benefits and risks of episiotomy: a review of the English-language literature since Part I and II. Episiotomy: clinical, technical and psychological aspects. Minerva Ginecol.

Managing complications in Pregnancy and Childbirth: A guide for midwives and doctors. Episiotomy and vaginal trauma. Humanization of childbirth in Brazil: results in a public maternity in Northeast. Humanization of childbirth in a public hospital of Brazil: maternal and neonatal outcomes. Episiotomy for vaginal birth Cochrane Review. In: The Cochrane Library, Issue 1, Oxford: Update Software.

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Qué es la episiotomía

Episiotomy is done in an effort to prevent against soft-tissue tearing which may involve the anal sphincter and rectum. Tears can involve the perineal skin or extend to the muscles and the anal sphincter and anus. The cut is repaired with stitches sutures. Some childbirth facilities have a policy of routine episiotomy. Both are depicted in the above image. In one variation, the midline episiotomy, the line of incision is central over the anus. This technique bifurcates the perineal body , which is essential for the integrity of the pelvic floor.

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Episiotomia

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