[Impact of a major decrease in the use of episiotomy on perineal tears in a level III maternity ward].

Date publication

juin 2014

Auteurs

Membres identifiés du Cancéropôle Est :
Pr RAMANAH Rajeev

Tous les auteurs :
Chehab M, Courjon M, Eckman-Lacroix A, Ramanah R, Maillet R, Riethmuller D

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/23906972

Résumé

OBJECTIVE: To evaluate the perineal outcome after a major decrease in episiotomy rate in a high-risk (level III) maternity ward. MATERIALS AND METHODS: This was a retrospective cohort study in a teaching high-risk maternity comparing perineal tears between 2003 and 2010. We included for analysis: pregnancies at 25 weeks or more, fetal birthweights of 500 g or more, vaginal deliveries in our maternity, singletons or multiple pregnancies, cephalic or breech presentations. RESULTS: The two populations were comparable. In 2003, we performed 18.8% of episiotomies and 1.3% in 2010. Between these years, our intact perineum rate increased from 28.8 to 37.5% (P

Référence

J Gynecol Obstet Biol Reprod (Paris). 2014 Jun;43(6):463-9