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Chapter 18 - Episiotomy and Obstetric Perineal Trauma

Published online by Cambridge University Press:  27 January 2017

By
Ranee Thakar  and
Abdul H. Sultan
Edited by
Sir Sabaratnam Arulkumaran
Sir Sabaratnam Arulkumaran
Affiliation:
St George's Hospital Medical School, University of London
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Information
Best Practice in Labour and Delivery , pp. 212 - 225
Publisher: Cambridge University Press
Print publication year: 2016

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References

McCandlish, R, Bowler, U, van Asten, H, et al. A randomised controlled trial of care of the perineum during second stage of normal labour. Br J Obstet Gynaecol. 1998; 105: 1262–72.CrossRefGoogle ScholarPubMed
Graham, DD, Carroli, G, Davis, C, Medves, JM. Episiotomy rates around the world: an update. Birth. 2005; 32: 219–23.CrossRefGoogle ScholarPubMed
Gurol-Urganci, I, Cromwell, D, Edozien, L, et al. Third- and fourth-degree perineal tears among primiparous women in England between 2000 and 2012: time trends and risk factors. BJOG. 2013; 120: 1516–25.CrossRefGoogle ScholarPubMed
Sultan, AH, Kamm, MA, Hudson, CN, Thomas, JM, Bartram, CI. Anal sphincter disruption during vaginal delivery. New Engl J Med. 1993; 329: 1905–11.CrossRefGoogle ScholarPubMed
Andrews, V, Thakar, R, Sultan, AH. Occult anal sphincter injuries: myth or reality. Br J Obstet Gynaecol. 2006; 113: 195–200.CrossRefGoogle ScholarPubMed
Sultan, AH, Kettle, C. Diagnosis of perineal trauma. In Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 13–19). London: Springer-Verlag; 2007.CrossRefGoogle Scholar
RCOG. Management of Third and Fourth Degree Perineal Tears Following Vaginal Delivery. London: RCOG Press; 2007.Google Scholar
Sultan, AH, Thakar, R. Third and fourth degree tears. In Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 33–51). London: Springer-Verlag; 2007.CrossRefGoogle Scholar
Kettle, C, Dowswell, T, Ismail, KMK. Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database Syst Rev. 2012; 11: CD000947. doi: 10.1002/14651858.CD000947.pub3.Google ScholarPubMed
Thakar, R, Fenner, DE. Anatomy of the perineum and the anal sphincter. In Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 1–12). London: Springer-Verlag; 2007.Google Scholar
Norton, C, Christensen, J, Butler, U, et al. Anal Incontinence, 2nd edition, pp. 985–1044. Plymouth: Health Publication Ltd; 2005.Google Scholar
Carroli, G, Mignini, L. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2009; 1: CD000081. doi: 10.1002/14651858.CD000081.pub2.CrossRefGoogle Scholar
Andrews, V, Thakar, R, Sultan, AH, Jones, PW. Are mediolateral episiotomies actually mediolateral? BJOG. 2005; 112: 1156–8.CrossRefGoogle ScholarPubMed
Eogan, M, Daly, L, O'Connell, , PRO'Herlihy, C. Does the angle of episiotomy affect the incidence of anal sphincter injury? BJOG. 2006; 113: 190–4.CrossRefGoogle ScholarPubMed
Stedenfeldt, M, Pirhonen, J, Blix, E, et al. Episiotomy characteristics and risks for obstetric anal sphincter injury: a case-control study. BJOG. 2012; 119: 724–30.Google ScholarPubMed
NICE. Intrapartum Care: Care of Healthy Women and their Babies During Childbirth: Cinical Guidline 190. London: NICE; 2014.Google Scholar
Kalis, V, Karbanova, J, Horak, M, et al. The incision angle of mediolateral episiotomy before delivery and after repair. Int J Gynaecol Obstet. 2008; 103: 5–8.CrossRefGoogle ScholarPubMed
Kalis, V, Karbanova, J, Bukacova, Z, et al. Evaluation of the incision angle of mediolateral episiotomy at 60 degrees. Int J Gynecol Obstet. 2011; 112: 220–4. doi: 10.1016/j.ijgo.2010.09.015.CrossRefGoogle ScholarPubMed
Kettle, C, Dowswell, T, Ismail, KMK. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database Syst Rev. 2010; 6: CD000006. doi: 10.1002/14651858.CD000006.pub2.Google Scholar
Kettle, C, Fenner, D. Repair of episiotomy, first and second degree tears. In Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 20–32). London: Springer; 2007.CrossRefGoogle Scholar
Fernando, RJ, Sultan, AH, Kettle, C, Thakar, R. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2013; 12: CD002866. doi: 10.1002/14651858.CD002866.pub3.Google Scholar
Thakar, R, Sultan, A. Postpartum problems and the role of a perineal clinic. In: Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 65–79). London: Springer-Verlag; 2007.CrossRefGoogle Scholar
Scheer, I, Thakar, R, Sultan, AH. Mode of delivery after previous obstetric anal sphincter injuries (OASIS): a reappraisal? Int Urogynecol J. 2009; 20: 1095–101.CrossRefGoogle ScholarPubMed
NHS Litigation Authority Ten Years of Maternity Claims: An Analysis of NHS Litigation Authority Data, pp. 49–60. London: NHSLA; 2012.Google Scholar
Andrews, V, Thakar, R, Sultan, AH. Structured hands-on training in repair of obstetric anal sphincter injuries (OASIS): an audit of clinical practice. Int Urogynecol J. 2009; 20(2): 193–9.CrossRefGoogle ScholarPubMed
O'Mahony, F, Hofmeyr, GJ, Menon, V. Choice of instruments for assisted vaginal delivery. Cochrane Database Syst Rev. 2010; 11: CD005455. doi: 10.1002/14651858.CD005455.pub2.Google Scholar
Aasheim, V, Nilsen, ABV, Lukasse, M, Reinar, LM. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database Syst Rev. 2011; 12: CD006672. doi: 10.1002/14651858.CD006672.pub2.CrossRefGoogle Scholar
Beckmann, MM, Stock, OM. Antenatal perineal massage for reducing perineal trauma. Cochrane Database Syst Rev. 2013; 4: CD005123. doi: 10.1002/14651858.CD005123.pub3.Google Scholar
Thakar, R, Eason, E. Prevention of perineal trauma. In Sultan, AH, Thakar, R, Fenner, D (eds), Perineal and Anal Sphincter Trauma (pp. 52–64). London: Springer-Verlag; 2007.CrossRefGoogle Scholar
Sultan, AH, Stanton, SL. Preserving the pelvic floor and perineum during childbirth: elective caesarean section? BJOG. 1996; 103: 731–4.CrossRefGoogle ScholarPubMed

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