EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION

Authors

  • D S Malla 2 Cha 238 Kimdol Chowni, Kathmandu

DOI:

https://doi.org/10.31729/jnma.791

Abstract

ABSTRACT

The professional literatures on the development of widely practiced procedure, episiotomy through the
years from the first publication in 1742 are reviewed. It reveals the change in number of publication as well
as the contributors to the development of perception about episiotomy. So it consisted expression of opinion
of doctors initially then the co-workers like nurses and researchers and clients or consumers themselves
too. It concludes that episiotomies prevent anterior perineal tear but fails to accomplish other benefits
traditionally ascribed to pelvic floor damage and relaxation including its sequel and also protection of
newboin from intracranial haemorrhage and intrapartum asphyxia. Episiotomy substantially increase
maternal blood loss during delivery and risk of anal sphincter damage with their long term morbidity.
There is an urgent need to restrict the use of episiotomy in vaginal delivery.

Key Words: Episiotomy, Perineal tear, anal sphincter damage.

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Published

2003-01-01

How to Cite

Malla, D. S. (2003). EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION. Journal of Nepal Medical Association, 42(145), 54–58. https://doi.org/10.31729/jnma.791

Issue

Vol. 42 No. 145 (2003)

Section

Review Article

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