Volume : 09, Issue : 08, August – 2022
Title:
46.FREQUENCY OF PERINEAL TEARS IN PRIMIGRAVIDA DELIVERED WITH AND WITHOUT EPISIOTOMY AT A TERTIARY CARE HOSPITAL
Authors :
Razia Fatima, Nazia Nazir, Tahira Shaheen
Abstract :
Objective: To ascertain the occurrence of perineal tears in primigravidas delivered without episiotomy at a tertiary care hospital. Setting: Department of Obstetrics and Gynecology at Mayo Hospital, Lahore. Duration of Study: Six month from January 2021 to June 2021.
Study Design: Randomized control trial. Subject and Methods: 100 primigravida with singleton pregnancy and cephalic presentation and no other risk factors were included in the study. The subjects were kept under observation in labor room till the commencement of second stage of labour. Two groups containing 50 subjects each were assigned as groups (A and B). In Group-A, patients a right mediolateral incision was made for episiotomy under local anesthesia at the time of crowing. In Group B no episiotomy nck was given. After delivery, the subjects were observed for any extension of episiotomy mark in Group A and 3rd and 4th degree perineal tear in both groups. Results: Mean age was 25.71±5.29 years in group A and 27.44±4.56 years in group B (p=0.424). Mean gestational age was 37.09±1.91 weeks was in group A and 37.33±1.67 weeks in group B (p=0.546). The rate of 3rd and 4th degree perineal tear stood significantly higher in group A as compared to group B [69% vs. 49% p=0.022] and [59% vs. 39% p=0.017] respectively. Conclusion: Episiotomy incision was found to be an independent risk factor for the creation and extension of the perineal trauma in terms of tears and lacerations. Therefore it is always wise to perform only where it is life saving and highly indicated like unyielding perineum, android pelvis, forceps assisted delivery, obstructed labor and shoulder dystocia.
Keywords: Perineal tear; pregnancy; episiotomy; primigravida; obstructed labor; spontaneous vaginal delivery; perineal trauma
Cite This Article:
Please cite this article in press Razia Fatima et al, Frequency Of Perineal Tears In Primigravida Delivered With And Without Episiotomy At A Tertiary Care Hospital., Indo Am. J. P. Sci, 2022; 09(8).
Number of Downloads : 10
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