The Influence of Episiotomy in Childbirth on the Degree of Posterior Perineal Tear
نویسندگان
1 Department of Medical Laboratory Technics, AlNoor University College, Nineveh, Iraq
2 Al-Hadi University College, Babylon, 10011, Iraq
3 Anesthesia Techniques, Al–Nisour University College, Baghdad, Iraq
4 Department of Pediatric Surgery and Orthopedics, Non-Profit Joint-Stock Company, Semey Medical University, Semey, Republic of the Kazakhstan
5 Department of Pharmaceutics, Faculty of Pharmacy, University of Al-Ameed, Najaf, Iraq
6 Department of dentistry, Al-Manara College For Medical Sciences, Maysan, Iraq
7 Mazaya University College, Nasiriyah, Iraq
8 College of Pharmacy, National University of Science and Technology, Dhi-Qar, Iraq
doi
10.30699/jogcr.9.6.613چکیده
Background & Objective: Episiotomy complications include infection, pain, hematoma, and third- and fourth-degree tears. All primiparous women must undergo this procedure routinely. The current study was conducted with aim to examine the length of perineal tears in primiparous women with and without episiotomy referred to the Basra maternity hospital in 2020.Materials & Methods: This clinical trial study involved 212 full-term, singleton, and primiparous women with cephalic fetuses weighing 2500-3000 gr. The samples were randomly divided into two test and control groups. In the test group, delivery occurred without an episiotomy, whereas in the control group, an episiotomy was performed. The length of the posterior perineal tear, the presence of an anterior perineal tear, and the necessity for repair were subsequently compared.Results: In this study, 45.3% of women in the test group gave birth without perineal tears, while the remainder experienced posterior perineal tears (P<0.001). The mean length of posterior perineal tears in the test group was 3.64±1.15 cm, compared to 7.12±1.67 cm in the control group (P<0.001). The mean length of a second-degree posterior perineal tear in the test group was 5.32±1.17 cm, compared to 6.13±1.62 cm in the control group (P>0.05).Conclusion: Delivery without episiotomy decreased the incidence of posterior perineal tears; however, delivery without episiotomy should not be performed for all primiparous women.
