A prospective multicenter audit of labor-room episiotomy and anal sphincter injury assessment in the Netherlands

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Jeroen van DillenAnnemieke Middeldorp

Abstract

To assess the length and angle of mediolateral episiotomies performed by midwives and resident gynecologists at 3 teaching hospitals in the Netherlands, and determine the incidence of obstetric anal sphincter injury. In this prospective audit conducted between February and September 2008, all women delivered at the 3 hospitals were examined in the labor room for perineal injury. When an injury was assessed as being grade 2 or higher, it was re-evaluated. The incidence of anal sphincter injury was then compared with that reported in the preceding year. Of 1979 women delivered, 420 (21.2%) were given an episiotomy and 58 (2.9%) sustained anal sphincter injury. The episiotomies formed a mean angle of 40 degrees with the perineal midline. There was no difference in length or angle between the episiotomies performed by resident gynecologists and those performed by midwives, and the angle of most episiotomies was sufficiently wide. Compared with the preceding year, the rate of anal sphincter injury was significantly higher. The quality of episiotomies did not differ when performed by midwives or resident gynecologists. To improve the recognition and classification of obstetric anal sphincter injuries, audits based on an international...Continue Reading

References

Feb 22, 2001·Annals of Internal Medicine·J P Vandenbroucke
Apr 18, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·J W de LeeuwH C Wallenburg
Jan 23, 2002·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Katie M Groom, Sara Paterson-Brown
Feb 28, 2002·Best Practice & Research. Clinical Obstetrics & Gynaecology·Abdul H Sultan, Ranee Thakar
Dec 11, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Douglas G TincelloZarko Alfirevic
Sep 1, 2005·Birth·Ian D GrahamJennifer Mary Medves
Jan 18, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·M EoganC O'Herlihy
May 31, 2006·Birth·Vasanth AndrewsPeter W Jones
Jun 21, 2007·International Journal of Technology Assessment in Health Care·Luan LindenAlison Cook
Oct 9, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·V KalisZ Rokyta
Aug 5, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Vladimir KalisZdenek Rokyta
Aug 23, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·John O L DeLancey

❮ Previous
Next ❯

Citations

May 26, 2011·International Urogynecology Journal·Ruben TrochezRobert M Freeman
Oct 16, 2015·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·L Sagi-Dain, S Sagi
Sep 19, 2015·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·E Gonzalez-DíazA Fernández Corona
Jan 21, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Vladimir KalisZdenek Rokyta
Mar 7, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·M StedenfeldtP Øian
Jun 1, 2012·Journal of Clinical Nursing·Flora M B da SilvaMaria L G Riesco
Aug 1, 2014·International Urogynecology Journal·Madeline BurrellEmmanuel Karantanis
Sep 18, 2014·International Urogynecology Journal·E Gonzalez-DíazA Fernández Corona
May 10, 2017·International Urogynecology Journal·Shimon GinathAlexander Condrea
Dec 11, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Nishamini SubramaniamHans Peter Dietz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

BJOG : an International Journal of Obstetrics and Gynaecology
M EoganColm O'Herlihy
BJOG : an International Journal of Obstetrics and Gynaecology
Douglas G TincelloZ Alfirevic
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Jaroslava KarbanovaZdenek Novotny
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
V KalisZdenek Rokyta
International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Themos GrigoriadisAris Antsaklis
© 2022 Meta ULC. All rights reserved