Posted on 02/02/2025 8:16:43 AM PST by ConservativeMind
A significant overall reduction in the prevalence of episiotomy in France from 2010 to 2021 has not been followed by an overall increase in obstetric anal sphincter injury (OASI), according to a study.
Raphaele Houlbracq and colleagues assessed variations in the prevalence of both episiotomy and OASI using data from the 2010, 2016, and 2021 National Perinatal Surveys (29,750 women with a vaginal delivery).
The researchers found that the overall prevalence of episiotomy decreased significantly from 25.8% in 2010, to 20.1% in 2016, and to 8.3% in 2021 (adjusted risk ratio, 0.33). This trend persisted across all groups of the classification, ranging from −33.0% in nulliparous women with a term cephalic singleton undergoing forceps delivery to −94.0% in those with multiple pregnancy.
In an adjusted analysis, the difference in overall prevalence of OASI between 2010 (0.7%) and 2021 (1.0%) was not statistically significant. Among the classification groups, only nulliparous women with a term cephalic singleton undergoing spatula delivery experienced a significant increase in the prevalence OASI.
"Our results and recent literature suggest that there is a need to reconsider indications of restrictive episiotomy policies for instrumental deliveries in nulliparous women," the authors write.
(Excerpt) Read more at medicalxpress.com ...
It was only helpful for certain pre-term births with first time mothers, as I read it (“nulliparous women with a term cephalic singleton undergoing spatula delivery”).
ie, forceps?
“undergoing spatula delivery”
So I can moonlight as a hamburger flipper and obstetrician?
OB Gyn Kenobi: Use the forceps, Luke!
Salad tongs.
CC
Any standard loggerhead will clear his or her own path and literally rip apart like wet tissue paper any real estate south of Vagina City
Which requires stitching back up obviously
I’ve seen my share torn asunder Vag to Bootie
Is it better to have OB Surgically do it first?
Maybe at least cosmetically if one is concerned about such
So France is having less cases of
a$$hole babies. We should be so lucky.
That is how I took it.
:}
I picked the wrong day to quit sniffing glue
Yes, some babies are coming too fast to allow the tissues time to stretch and/or are too big. In those cases an episiotamy is helpful.
But months before delivery perineum massages can prep and toughen up the tissues down there, and it's undeniable that some doctors don't want to wait for things to slowly stretch and accommodate the baby and they unnecessarily cut to hurry things along.
Induced labor with oxytocin can result in complications that increase the time of deliveries. Our first daughter was such a case. They broke the waterbag deliberately, thus committing her to the delivery. Then they started the oxytocin. The baby hadn't yet turned properly. With forced contractions it jammed her occiput transverse. After fourteen hours of labor the OB dug out the foreceps or one or both of them could have died. Thank heaven she didn't tear.
My daughter was big. My ex-wife was small. I can STILL hear the sound this procedure made.
I always thought Episiotomy was one of the Old Testament books.
No, Paul wrote the Book of Episiotomy.
Same here LOL
My older brother was my mom’s first birth and he had to be delivered using forceps. His head was terribly bruised and she was convinced that this led to his epilepsy which required life-long medical treatment.
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