The role of episiotomy in current obstetric practice

被引:26
作者
Cleary-Goldman, J [1 ]
Robinson, JN [1 ]
机构
[1] Columbia Presbyterian Med Ctr, Dept Obstet & Gynecol, Div Maternal Fetal Med, New York, NY 10032 USA
关键词
D O I
10.1053/sper.2003.50000
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This review traces the clinical use of episiotomy from the eighteenth century to the present and explains why the procedure has a restricted function in current practice. The types of episiotomy are described, and the controversies surrounding the sequelae associated with the procedure are explored. The modern indications for episiotomy including the procedure's place at operative vaginal delivery are discussed. Although the role of the episiotomy in modern obstetrics may be limited, the procedure is important in situations involving nonreassuring fetal status, shoulder dystocia, and perhaps operative vaginal delivery. The optimal type of episiotomy, if any, at forceps or vacuum delivery is yet to be determined. Copyright 2003, Elsevier Science (USA). All rights reserved.
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收藏
页码:3 / 12
页数:10
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