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Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Group ‘Discussion of épisiotomy and obstetrical tears

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6 records found

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ID

Argument

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Difficulty - Comments

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2530
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We advocate the use of a mediolateral episiotomy in all operative vaginal deliveries to reduce the incidence of obstetrical anal sphincter injuries.

de Vogel, Joey; van der Leeuw-van Beek, Anneke; Gietelink, Dirk; Vujkovic, Marijana; de Leeuw, Jan Willem; van Bavel, Jeroen; Papatsonis, Dimitri (2012)

The effect of a mediolateral episiotomy during operative vaginal delivery on the risk of developing obstetrical anal sphincter injuries - American Journal of Obstetrics and Gynecology - Vol. 206, 5 - ISBN: 0002-9378 - p.404.e1-404.e5  Display this record
➡ perineal/vaginal tears ; episiotomy

hard

Cet article est contredit par celui de Riethmuller : http://afar.info/id=2257

Related records : #2257 #2260 #755 #566 #2258

http://www.sciencedirect.…
https://doi.org/10.1016/j…

2257
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A comment on article “Mediolateral episiotomy reduces the risk for anal sphincter injury during operative vaginal delivery”

D. Riethmuller (2008)

Épisiotomie et extraction instrumentale : la mise à mort des RPC du CNGOF ? À propos de l’article Mediolateral episiotomy reduces the risk for anal sphincter injury during operative vaginal delivery. BJOG 2008; 115:104—8  Display this record
➡ episiotomy ; forceps delivery ; vacuum extraction (ventouse)

easy

Cet article contredit une étude de de Leeuw http://afar.info/id=2258 qui concluait que, finalement,  more…

Related records : #2258 #2260 #755 #2530 #566

http://www.em-consulte.co…
https://doi.org/10.1016/j…

2260

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A policy of routine episiotomy does not protect against urinary or anal incontinence four years after first delivery.

X. Fritel, J.-P. Schaal, A. Fauconnier, V. Bertrand, C. Levet, A. Pigné (2008)

Troubles périnéaux quatre ans après le premier accouchement : comparaison entre épisiotomie restrictive et systématique. Journal de Gynécologie Obstétrique et Biologie de la Reproduction. Gynécologie Obstétrique & Fertilité. Volume 36, numéro 10, pages 991-997.  Display this record
➡ perineal/vaginal tears ; incontinence/prolapsus ; episiotomy

easy

Related records : #2257 #2258 #755 #2530 #566

http://www.em-consulte.co…
https://doi.org/10.1016/j…

2258
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(public)

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The highly significant protective effect of mediolateral episiotomies in both types of operative vaginal delivery warrants the conclusions that this type of episiotomy should be used routinely during these interventions to protect the anal sphincters.

JW de Leeuw, C de Wit, JPJA Kuijken, HW Bruinse (2007)

Mediolateral episiotomy reduces the risk for anal sphincter injury during operative vaginal delivery. BJOG: An International Journal of Obstetrics & Gynaecology Volume 115 Issue 1, Pages 104 - 108  Display this record
➡ episiotomy ; forceps delivery ; vacuum extraction (ventouse)

easy

Cet article est contredit par celui de Riethmuller : http://afar.info/id=2257

Related records : #2257 #2260 #566 #2530 #755

http://www3.interscience.…
https://doi.org/10.1111/j…

755
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(public)

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Risk factors for severe perineal tears: nulliparity, baby size, forceps, suction cup, fundal pressure, syntocinon.

J.W. de Leeuw, P.C. Struijk, M.E. Vierhout, H.C.S. Wallenburg (2001)

Risk factors for third degree perineal ruptures during delivery. BJOG: An International Journal of Obstetrics and Gynaecology. Vol. 108 Issue 4 Page 383 April 2001  Display this record
➡ perineal/vaginal tears ; incontinence/prolapsus ; episiotomy ; fundal pressure

hard

Les biais de cette étude, pour ce qui concerne l’effet protecteur supposé de l’épisiotomie pour  more…

Related records : #2257 #2260 #566 #3028 #2530 #2258

https://www.ncbi.nlm.nih.…

566
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The use of episiotomy was much reduced at Huddinge University Hospital, with a consistently low rate of severe tears. This supports the growing evidence for individualised and restrictive use of episiotomy at childbirth.

Röckner G, Fianu-Jonasson A. (1999)

Changed pattern in the use of episiotomy in Sweden. Br J Obstet Gynaecol. 1999 Feb;106(2):95-101.  Display this record
➡ evidence-based medicine/midwifery ; perineal/vaginal tears ; episiotomy ; epidural ; vacuum extraction (ventouse)

easy

Cette étude met en évidence les biais de l’étude de De Leeuw et collègues, 2001 (http://afar.info/id=755)  more…

Related records : #755 #2257 #2258 #2260 #2530

http://www.ncbi.nlm.nih.g…
https://doi.org/10.1111/j…

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