Abstract
Episiotomy is the most frequently performed surgical procedure for labour management especially when expedited delivery is warranted as in non-reassuring fetal heart rate tracing, a prolonged second stage of labour, or when operative vaginal delivery is indicated [1-3]. Postpartum perineal pain and dyspareunia affect about 42% of primiparous women within the first 2 weeks after vaginal delivery. Pain resolved in the majority of women within 2 months after delivery. Spontaneous second degree tears cause less perineal pain than episiotomies [4].
Highlights
Episiotomy is the most frequently performed surgical procedure for labour management especially when expedited delivery is warranted as in non-reassuring fetal heart rate tracing, a prolonged second stage of labour, or when operative vaginal delivery is indicated [1,2,3]
The aim of the study was to test the hypothesis whether the type of episiotomy can affect the degree of perineal pain and female sexual function over two years postdelivery or not
Moderate to severe perineal pain affects 53.4%, 41.9%, 34.3% and 29.5% of primaparous women who underwent median episiotomy at 3 months, 6 months, one and two years following delivery compared to 50.5%, 40.4%, 33.9% and 26.6% of primaparous women underwent mediolateral episiotomy respectively in the current study
Summary
Episiotomy is the most frequently performed surgical procedure for labour management especially when expedited delivery is warranted as in non-reassuring fetal heart rate tracing, a prolonged second stage of labour, or when operative vaginal delivery is indicated [1,2,3]. Postpartum perineal pain and dyspareunia affect about 42% of primiparous women within the first 2 weeks after vaginal delivery. Pain resolved in the majority of women within 2 months after delivery. Spontaneous second degree tears cause less perineal pain than episiotomies [4]. The aim of the study was to test the hypothesis whether the type of episiotomy (median versus mediolateral) can affect the degree of perineal pain and female sexual function over two years postdelivery or not
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