Abstract
The use of episiotomy emerged with the advent of “modern obstetrics”. Few of the benefits attributed to it have been sustained by scientific study. The author of this article explores the interrelationship between episiotomy and other interventions in the second stage of labour and makes a plea for a reassessment of our management of this stage of labour. In particular, he questions the place of episiotomy in the prevention of pelvic floor relaxation.
Keywords: episiotomy, labour, birth, second stage of labour
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Selected References
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- BEYNON C. L. The normal second stage of labour; a plea for reform in its conduct. J Obstet Gynaecol Br Emp. 1957 Dec;64(6):815–820. doi: 10.1111/j.1471-0528.1957.tb08483.x. [DOI] [PubMed] [Google Scholar]
- Banta D., Thacker S. B. The risks and benefits of episiotomy: a review. Birth. 1982 Spring;9(1):25–30. doi: 10.1111/j.1523-536x.1982.tb01599.x. [DOI] [PubMed] [Google Scholar]
- 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]
- Buchan P. C., Nicholls J. A. Pain after episiotomy--a comparison of two methods of repair. J R Coll Gen Pract. 1980 May;30(214):297–300. [PMC free article] [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]
- Cohen W. R. Influence of the duration of second stage labor on perinatal outcome and puerperal morbidity. Obstet Gynecol. 1977 Mar;49(3):266–269. [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]
- Gordon H., Logue M. Perineal muscle function after childbirth. Lancet. 1985 Jul 20;2(8447):123–125. doi: 10.1016/s0140-6736(85)90227-2. [DOI] [PubMed] [Google Scholar]
- Irwin H. W. Practical considerations for the routine application of left lateral Sims' position for vaginal delivery. Am J Obstet Gynecol. 1978 May 15;131(2):129–133. doi: 10.1016/0002-9378(78)90654-3. [DOI] [PubMed] [Google Scholar]
- KEGEL A. H. Early genital relaxation; new technic of diagnosis and nonsurgical treatment. Obstet Gynecol. 1956 Nov;8(5):545–550. [PubMed] [Google Scholar]
- Kirkwood C. R., Clark L. Lateral Sims' deliveries: a new application for an old technique. J Fam Pract. 1983 Oct;17(4):701–705. [PubMed] [Google Scholar]
- Reynolds J. L., Yudkin P. L. Changes in the management of labour: 1. Length and management of the second stage. CMAJ. 1987 May 15;136(10):1041–1045. [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]
- Roberts J. E., Mendez-Bauer C., Wodell D. A. The effects of maternal position on uterine contractility and efficiency. Birth. 1983 Winter;10(4):243–249. doi: 10.1111/j.1523-536x.1983.tb01433.x. [DOI] [PubMed] [Google Scholar]
- Roberts J., Mendez-Bauer C. A perspective of maternal position during labor. J Perinat Med. 1980;8(6):255–264. doi: 10.1515/jpme.1980.8.6.255. [DOI] [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]