Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 6, Volume 68, Issue 1, July 2017, Pages 845-852 PDF (552.84 K) | ||
| Document Type: Original Article | ||
| DOI: 10.12816/0038183 | ||
| Authors | ||
| Salama H.A.; Sakna. A.N; Salama H.M; Abdelhafeez S.A. | ||
| Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Aim: to compare between the prevalence of obstetric anal sphincter injury (OASIS) after cutting mediolareral episiotomy by angled, curved or straight scissors in women in labour. Methods: The current randomized controlled trial was conducted at Ain Shams University Maternity Hospital. The participating women were randomly allocated into three arms. Arm (A): women had mediolateral episiotomy cut by angled scissors. Arm (c): women had mediolateral episiotomy cut by curved scissors .Arm (s): women had mediolateral episiotomy cut by straight scissors. Primary outcome was the occurrence of Obstetric Anal Sphincter Injuries (OASIS). Results A total of 300 primiparous women were included. The overall incidence of OASIS was 5%,17% and 15 % in arm A,C and S respectively. Conclusion: using angled scissors in cutting mediolateral episiotomy results in less cases of obstetric anal sphincter injury compared to cutting episiotomy by straight or curved scissors. | ||
| Keywords | ||
| Episiotomy; obstetric anal sphincter injury; scissors; mediolateral; angled; straight | ||
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