[Influence of a major decrease in the use of episiotomy applied to a high risk perineal situation: Occiput posterior presentation.]

Date publication

janvier 2015

Auteurs

Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev

Tous les auteurs :
Toubin C, Mottet N, Chehab M, Maurice M, Ramanah R, Riethmuller D

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/25639962

Résumé

OBJECTIVES: Occiput-posterior presentation represents 5% of all deliveries and is a high-risk situation for perineal tears requiring, for some authors, an episiotomy. The aim of this study was to evaluate the impact of an ultra-restrictive policy in the use of episiotomy on perineal tears in this high-risk situation. MATERIALS AND METHODS: This is a retrospective cohort study in a tertiary maternity comparing perineal outcome of occipito-posterior (OP) to occipito-anterior deliveries. We included all, spontaneous or assisted, live single pregnancies that delivered after 37 weeks in OP from January 2008 to December 2012. This group was then compared to a control group of occipito-anterior pregnancies. RESULTS: Episiotomy rate was similar in both groups (1.3 versus 1.8 in OP; p=0.5). We found more second degree perineal tears in the OP group (p

Référence

J Gynecol Obstet Biol Reprod (Paris). 2015 Jan 29. pii: S0368-2315(15)00002-2