Episiotomy preferences, indication and classification-a survey among Nordic doctors

Acta Obstetricia Et Gynecologica Scandinavica
Kathrine FodstadK Laine

Abstract

Episiotomy performance impacts perineum health and rates of obstetric anal sphincter injuries (OASIS). Our objective was to assess self-reported episiotomy practice and opinions on clinical indication for episiotomy among Nordic physicians and to investigate potential misclassification MATERIAL AND METHODS: A survey was conducted among doctors attending the 2012 Nordic obstetric and gynecological conference. Participants were asked to draw an episiotomy on a photo of a perineum with a crowning fetal head similarly to their clinical practice if an episiotomy was clinically indicated, and to name the technique drawn. Differences in outcome measures were compared by country of practice and seniority RESULTS: The majority of the 297 participants (47%) drew a lateral episiotomy according to our classification by incision point and angle, but as many as 64% of these 138 doctors misclassified this as mediolateral episiotomy. Only 20% drew a mediolateral episiotomy, the great majority classifying it accurately, but 8% misclassified their mediolateral cut as a lateral episiotomy. One third of episiotomies were non-classifiable. In general, doctors in Finland, Sweden and Norway more often favored lateral episiotomies compared to doctors ...Continue Reading

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Citations

Aug 20, 2019·BMC Pregnancy and Childbirth·Thomas DesplanchesPaul Sagot
Feb 5, 2021·BJOG : an International Journal of Obstetrics and Gynaecology·V AnkarcronaS Brismar Wendel
Sep 28, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Fatemeh AzarkishMaleknaz Badiee

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