Open AccessEpisiotomy as one of the problems of modern periniology
Author(s) -
А. А. Борщева,
Г. М. Перцева,
Nadejda Alekseeva
Publication year - 2019
Publication title -
medicinskij vestnik ûga rossii
Language(s) - English
Resource type - Journals
eISSN - 2618-7876
pISSN - 2219-8075
DOI - 10.21886/2219-8075-2019-10-4-43-50
Subject(s) - episiotomy , perineum , childbirth , medicine , obstetrics , pregnancy , obstetric labor complication , fetal distress , fetus , surgery , genetics , biology
Objective : to analyze the course of pregnancy, childbirth and indications for mediolateral episiotomy in 439 women. Materials and methods : the comparative analysis of outcomes of Rostov-on-Don in two clinical groups on materials of maternity Department of the state hospital of emergency medical care No. 1 of the city of Rostov-on-Don was carried out. The first group consisted of 439 women who are in childbirth according to the testimony was made episiotomy. Th e second clinical group consisted of 128 women who had no episiotomy if indicated. Results : the main indications for episiotomy in the fi rst clinical group was: threatened rupture of the perineum in 376 (85,65 %) cases, 41 (9,34 %) v distress of the fetus, at 22 (5,01 %) cases — the weakness of the attempts. In 128 women of the second clinical group, in the absence of an episiotomy, although indications for this operation were, there was a rupture of the perineum of the first and second degree. Conclusions : at the signs of a threatening rupture of the perineum or at the clinic of fetal hypoxia in the second period of labor, the mediolateral episiotomy is justified in modern obstetrics.