کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2635954 1137371 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Curved versus straight scissors to avoid 3rd and 4th degree perineal tears: A randomised feasibility study
ترجمه فارسی عنوان
قیچی های انحنادار در مقابل قیچی های مستقیم برای جلوگیری از اشک های پرینال درجه 3 و 4 : یک مطالعه امکان سنجی تصادفی
کلمات کلیدی
اپیزیاتومی؛ اشک درجه 3؛ اشک درجه 4؛ آسیب اسفنکت مقعدی مادر؛ قیچی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

BackgroundSevere perineal tears sustained during childbirth cause significant distress and morbidity amongst women. The objective of this study was to compare the use of straight scissors for cutting an episiotomy with the use of curved scissors, which are designed to curve away from the anal sphincter.MethodsWe used a single-centre, randomised feasibility trial. The intervention was the use of curved scissors. Women were recruited during a prenatal visit and randomised in the delivery suite, when it became clear that an episiotomy was required. The feasibility outcomes were the proportion of women able to be recruited, randomised and followed up. We also calculated the incidence of obstetric anal sphincter injury when either straight or curved scissors were used to cut an episiotomy. Other outcomes assessed were pain, length of hospital stay, perineal infection and perineal dehiscence.ResultsOf the 155 patients recruited in the prenatal period, only 20 (12.9%) were eventually randomised at birth. The main reasons for the high loss were that women either did not have a vaginal delivery (38, 24.5%), or they did not need an episiotomy (72, 46.5%). Rates of obstetric anal sphincter injury and other outcomes were similar between groups.DiscussionAnal sphincter injury during childbirth remains an important problem. Although the use of curved scissors provides a theoretical solution, we found that the high attrition rate made feasibility of conducting a suitably powered, randomised trial using the current design untenable. Alternative strategies have been suggested to make any future study more viable.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Women and Birth - Volume 27, Issue 3, September 2014, Pages 163–167
نویسندگان
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