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European guidelines on perinatal care- Peripartum care Episiotomy.
Laine, Katariina; Yli, Branka M; Cole, Vanessa; Schwarz, Christiane; Kwee, Anneke; Ayres-de-Campos, Diogo; Vayssiere, Christophe; Roth, Emmanuel; Gliozheni, Elko; Savochkina, Yuliya; Ivanisevic, Marina; Kalis, Vladimir; Timonen, Susanna; Verspyck, Eric; Anstaklis, Panos; Beke, Artur; Eriksen, Beate Horsberg; Santo, Susana; Kavsek, Gorazd; Duvekot, Hans; Dadak, Christian.
Afiliação
  • Laine K; Norwegian Research Centre for Women's Health, Oslo University Hospital, Oslo, Norway.
  • Yli BM; Clinical Medicine, University of Oslo Faculty of Medicine, Oslo, Norway.
  • Cole V; Oslo University Hospital, Oslo, Norway.
  • Schwarz C; Kingston Hospital NHS Foundation Trust, Kingston upon Thames, United Kingdom of Great Britain and Northern Ireland.
  • Kwee A; Germany.
  • Ayres-de-Campos D; Netherlands.
  • Vayssiere C; Portugal.
  • Roth E; France.
  • Gliozheni E; France.
  • Savochkina Y; Albanian Association of Perinatology.
  • Ivanisevic M; Bielorussian Society of Human Reproduction.
  • Kalis V; Croatian Association of Perinatal Medicine.
  • Timonen S; Czech Society of Perinatology and Feto-Maternal Medicine.
  • Verspyck E; Finnish Society of Perinatology.
  • Anstaklis P; Societé Française de Medicine Perinatale.
  • Beke A; Hellenic Society of Perinatal Medicine.
  • Eriksen BH; Hungarian Society of Perinatology and Obstetric Anesthesiology.
  • Santo S; Norsk Perinatalmedisinsk Forening.
  • Kavsek G; Portuguese Society of Obstetrics and Maternal-Fetal Medicine.
  • Duvekot H; Slovenian Association of Perinatal Medicine.
  • Dadak C; Dutch Society of Obstetrics and Gynecology.
J Matern Fetal Neonatal Med ; 35(25): 8797-8802, 2022 Dec.
Article em En | MEDLINE | ID: mdl-34895000
ABSTRACT
OF RECOMMENDATIONS1. Episiotomy should be performed by indication only, and not routinely (Moderate quality evidence +++-; Strong recommendation). Accepted indications for episiotomy are to shorten the second stage of labor when there is suspected fetal hypoxia (Low quality evidence ++-; Weak recommendation); to prevent obstetric anal sphincter injury in vaginal operative deliveries, or when obstetric sphincter injury occurred in previous deliveries (Moderate quality evidence +++-; Strong recommendation)2. Mediolateral or lateral episiotomy technique should be used (Moderate quality evidence +++-; Strong recommendation). Labor ward staff should be offered regular training in correct episiotomy techniques (Moderate quality evidence +++-; Strong recommendation).3. Pain relief needs to be considered before episiotomy is performed, and epidural analgesia may be insufficient. The perineal skin needs to be tested for pain before an episiotomy is performed, even when an epidural is in place. Local anesthetics or pudendal block need to be considered as isolated or additional pain relief methods (Low quality evidence ++-; Strong recommendation).4. After childbirth the perineum should be carefully inspected, and the anal sphincter palpated to identify possible injury (Moderate quality evidence +++-; Strong recommendation). Primary suturing immediately after childbirth should be offered and a continuous suturing technique should be used when repairing an uncomplicated episiotomy (High quality evidence ++++; Strong recommendation).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Episiotomia / Complicações do Trabalho de Parto Tipo de estudo: Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Episiotomia / Complicações do Trabalho de Parto Tipo de estudo: Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Newborn / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article