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European guidelines on perinatal care- Peripartum care Episiotomy
K. Laine, BM. Yli, V. Cole, C. Schwarz, A. Kwee, D. Ayres-de-Campos, C. Vayssiere, E. Roth, E. Gliozheni, Y. Savochkina, M. Ivanisevic, V. Kalis, S. Timonen, E. Verspyck, P. Anstaklis, A. Beke, BH. Eriksen, S. Santo, G. Kavsek, H. Duvekot, C. Dadak
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
- MeSH
- anální kanál zranění MeSH
- bolest MeSH
- dítě MeSH
- epiziotomie * škodlivé účinky metody MeSH
- komplikace porodu * etiologie MeSH
- lidé MeSH
- novorozenec MeSH
- perinatální péče MeSH
- perineum zranění MeSH
- peripartální období MeSH
- rizikové faktory MeSH
- těhotenství MeSH
- vedení porodu škodlivé účinky metody MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
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).
Albanian Association of Perinatology
Austrian Society for Pre and Perinatal Medicine
Bielorussian Society of Human Reproduction
Clinical Medicine University of Oslo Faculty of Medicine Oslo Norway
Croatian Association of Perinatal Medicine
Czech Society of Perinatology and Feto Maternal Medicine
Dutch Society of Obstetrics and Gynecology
Finnish Society of Perinatology
Hellenic Society of Perinatal Medicine
Hungarian Society of Perinatology and Obstetric Anesthesiology
Norsk Perinatalmedisinsk Forening
Norwegian Research Centre for Women's Health Oslo University Hospital Oslo Norway
Oslo University Hospital Oslo Norway
Portuguese Society of Obstetrics and Maternal Fetal Medicine
Citace poskytuje Crossref.org
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