Abstract
A review of 2188 records compared the numbers and types of episiotomies and tears in low-risk women delivered by family physicians and obstetricians. Family physicians performed significantly fewer episiotomies and were more likely to rely on the mediolateral procedure; obstetricians varied episiotomy type more often. The rates of third-degree tears and intact perineum were very similar.
Full text
PDF






Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beynon C. L. Midline episiotomy as a routine procedure. J Obstet Gynaecol Br Commonw. 1974 Feb;81(2):126–130. doi: 10.1111/j.1471-0528.1974.tb00430.x. [DOI] [PubMed] [Google Scholar]
- Bliwise N. G., Grade M., Irish T. M., Ficarrotto T. J. Measuring medical and nursing students' attitudes toward AIDS. Health Psychol. 1991;10(4):289–295. doi: 10.1037//0278-6133.10.4.289. [DOI] [PubMed] [Google Scholar]
- Buekens P., Lagasse R., Dramaix M., Wollast E. Episiotomy and third-degree tears. Br J Obstet Gynaecol. 1985 Aug;92(8):820–823. doi: 10.1111/j.1471-0528.1985.tb03052.x. [DOI] [PubMed] [Google Scholar]
- Coats P. M., Chan K. K., Wilkins M., Beard R. J. A comparison between midline and mediolateral episiotomies. Br J Obstet Gynaecol. 1980 May;87(5):408–412. doi: 10.1111/j.1471-0528.1980.tb04569.x. [DOI] [PubMed] [Google Scholar]
- Goodlin R. C. On protection of the maternal perineum during birth. Obstet Gynecol. 1983 Sep;62(3):393–394. doi: 10.1097/00006250-198309000-00026. [DOI] [PubMed] [Google Scholar]
- Greenland S., Neutra R. Control of confounding in the assessment of medical technology. Int J Epidemiol. 1980 Dec;9(4):361–367. doi: 10.1093/ije/9.4.361. [DOI] [PubMed] [Google Scholar]
- Harrison R. F., Brennan M., North P. M., Reed J. V., Wickham E. A. Is routine episiotomy necessary? Br Med J (Clin Res Ed) 1984 Jun 30;288(6435):1971–1975. doi: 10.1136/bmj.288.6435.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Reid A. J., Carroll J. C., Ruderman J., Murray M. A. Differences in intrapartum obstetric care provided to women at low risk by family physicians and obstetricians. CMAJ. 1989 Mar 15;140(6):625–633. [PMC free article] [PubMed] [Google Scholar]
- Reynolds J. L., Yudkin P. L. Changes in the management of labour: 2. Perineal management. CMAJ. 1987 May 15;136(10):1045–1049. [PMC free article] [PubMed] [Google Scholar]
- Sleep J., Grant A., Garcia J., Elbourne D., Spencer J., Chalmers I. West Berkshire perineal management trial. Br Med J (Clin Res Ed) 1984 Sep 8;289(6445):587–590. doi: 10.1136/bmj.289.6445.587. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thacker S. B., Banta H. D. Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860-1980. Obstet Gynecol Surv. 1983 Jun;38(6):322–338. [PubMed] [Google Scholar]
- Varner M. W. Episiotomy: techniques and indications. Clin Obstet Gynecol. 1986 Jun;29(2):309–317. [PubMed] [Google Scholar]
