Selective episiotomy versus no episiotomy – A clinical study on primigravida

Authors

  • Joydip Neogi Post Graduate Trainee, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, Nadia https://orcid.org/0000-0003-0596-5584
  • Rahul Chaudhuri Senior Resident, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, Nadia https://orcid.org/0000-0002-7499-1375
  • Swarna Nandi Post Graduate Trainee, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, Nadia https://orcid.org/0000-0002-6535-4585
  • Ranita Roy Chowdhury Associate Professor, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, Nadia https://orcid.org/0000-0003-4785-1438
  • Manidip Pal Professor, Department of Obstetrics and Gynaecology, College of Medicine and JNM Hospital, WBUHS, Kalyani, Nadia

DOI:

https://doi.org/10.3126/ajms.v12i8.36302

Keywords:

Episiotomy, Wound haematoma, Wound dehiscence

Abstract

Background: Episiotomy is the incision given over the pudendum, i.e. on the external genitalia organ during the vaginal delivery.

Aims and Objective: In this study it has been tried to evaluate the benefits and the risks of selective episiotomy over spontaneous lacerations.

Materials and Methods: This is an institution based interventional longitudinal study carried out in the Department of Obstetrics & Gynaecology of College Of Medicine & JNM Hospital, Kalyani over a period of 18 months in 218 patients (109 in each group) fulfilling the inclusion criteria. The recruitment and allocation in episiotomy and non-episiotomy groups were random after proper consent from the participants.

Results: The frequency of postpartum perineal pain was around 47% in no episiotomy group and around 60% in selective episiotomy group. There were no cases of dehiscence, haematoma or wound infection in either of the groups. Around 96.22% of the women in the non-episiotomy group were satisfied or very satisfied compared to 89.52% in the selective episiotomy group.

Conclusion: An episiotomy rate of less than 1% found in no episiotomy group as compared to around 18% episiotomy rate in selective episiotomy group. However, they have almost same feto-maternal outcome which successfully establish the effectiveness of no episiotomy practice over the selective one.

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Published

2021-07-30

How to Cite

Neogi, J., Chaudhuri, R., Nandi, S., Chowdhury, R. R., & Pal, M. (2021). Selective episiotomy versus no episiotomy – A clinical study on primigravida. Asian Journal of Medical Sciences, 12(8), 81–87. https://doi.org/10.3126/ajms.v12i8.36302

Issue

Vol. 12 No. 8 (2021)

Section

Original Articles

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Copyright (c) 2021 Asian Journal of Medical Sciences

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