Episiotomy as one of the problems of modern periniology
https://doi.org/10.21886/2219-8075-2019-10-4-43-50
Abstract
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.
About the Authors
A. A. Borshcheva
Rostov State Medical University
Russian Federation
Rostov-on-Don
Russian Federation
Rostov-on-Don
G. M. Pertseva
Rostov State Medical University
Russian Federation
Rostov-on-Don
Russian Federation
Rostov-on-Don
N. A. Alekseeva
Rostov State Medical University
Russian Federation
Rostov-on-Don
Russian Federation
Rostov-on-Don
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Review
For citations:
Borshcheva A.A., Pertseva G.M., Alekseeva N.A. Episiotomy as one of the problems of modern periniology. Medical Herald of the South of Russia. 2019;10(4):43-50. (In Russ.) https://doi.org/10.21886/2219-8075-2019-10-4-43-50
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