Mediolateral episiotomy and obstetric anal sphincter injuries in nullipara: a propensity score matching study.

ABSTRACT:

Background

Obstetric anal sphincter injuries are a notable adverse outcome of vaginal deliveries, with incidence rates ranging from 0.25% to 6%. Key risk factors for these injuries include primiparity and operative vaginal deliveries. In recent decades, the use of episiotomy as a preventive measure for obstetric anal sphincter injuries has been subject to extensive scrutiny. The objective of this study was to investigate the role of mediolateral episiotomy in preventing obstetric anal sphincter injuries during vaginal deliveries or vacuum-assisted deliveries within the context of selective use.

Methods

Retrospective study of all nulliparous women with a singleton gestation who underwent term vaginal delivery or vacuum-assisted delivery. A propensity score matching with a 1:1

SUBMITTER: Bercovich O 

PROVIDER: S-EPMC11771063 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature