Retrospective Analysis of Episiotomy Rate in Erciyes University

ÖZGÜN, Mahmut Tuncay; AYGEN, Ercan; Kutuk, Mehmet Serdar; OZDEMIR, FATMA; ÇAKIR, Elif; DOLANBAY, MEHMET

Retrospective Analysis of Episiotomy Rate in Erciyes University

Mehmet Serdar KÜTÜK, (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

Mehmet DOLANBAY, (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

Mahmut Tuncay ÖZGÜN, (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

Fatma ÖZDEMİR, (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

Ahmet ÖZTÜRK, (Erciyes Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Kayseri, Türkiye)

Ercan AYGEN (Erciyes Üniversitesi, Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Kayseri, Türkiye)

GORM:Gynecology Obstetrics & Reproductive Medicine

3 0

Yıl: 2014 Cilt: 20 Sayı: 1 Sayfa Aralığı: 10 - 14 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Retrospective Analysis of Episiotomy Rate in Erciyes University

Öz:

AMAÇ: Bu çalışmanın amacı, 2013-2014 senesinde kliniğimizdeki doğumlarda epizyotomi oranının ve perineal sonuçların incelenmesidir. GEREÇ VE YÖNTEM: Erciyes ÜniversitesiTıp Fakültesi Kadın Hastalıkları ve Doğum Ana Bilim Dalı'nda, 2013-2014 senesinde 1000 gram üzerindeki canlı doğum yapan ve sınırlı epizyo tomi uygulaması yapılan olgularda perineal sonuçlar retrospektif olarak değerlendirildi. BULGULAR: 2013-2014 senesinde kliniğimizde toplam 580 doğum gerçekleşti. Ortalama anne yaşı 27,6±6,2 (min- max: 16-46 yıl), parite 1,17±1,2 (min- max: 0-14), doğum ağırlığı 3033,1±610 (min-max: 1070-4580 gram) olarak belirlendi. Tüm popülasyon için epizyotomi oranı %19,4 iken, bu oran multiparlarda %6,1, nulliparlarda %43,1 olarak bulundu. Çalışma süresince üçüncü veya dördüncü derece perine laserasyonu izlenmedi. En sık epizyotomi endikasyonu uygunsuz pelvik muayene olarak belirlendi (n:35, %31,2). SONUÇ: Sınırlı epizyotomi uygulaması üçüncü ve dördüncü derece perine laserasyonu insidansını artırmamaktadır. Artan deneyim ve eğitim ile epizyotomi oranlarının nullipar olgularda daha da düşürülmesi mümkündür.

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Erciyes Üniversitesi'nde Epizyotomi Oranının Retrospektif Analizi

Öz:

OBJECTIVE: The purpose of the study was to assess the episiotomy rate and perineal outcome in women delivered in 2013-2014. STUDY DESIGN: Birth data and perineal outcome of women delivering singleton, live- born infant weighting more than 1000 gram in 2013- 2014 in Erciyes University Department of Obstetrics and Gynecology were evaluated retrospectively. RESULTS: A total of 580 birth occurred in our clinics in 2013- 2014. The mean maternal age 27.6±6.2 (min- max: 16-46 years), parity 1.17±1.2 (min- max: 0-14), birth weight 3033.1± 610 (min- max: 1070- 4580 gram). The episiotomy rate for whole population was 19.4%. The episiotomy rate for multiparous and nulliparous were 6.1%, and 43.1% respectively. No cases of third and/or fourth degree perineal trauma were detected during the study period. The most common episiotomy indication was unfavorable pelvic examination (n: 35, 31.2%). CONCLUSION: Restrictive episiotomy application does not increase third and fourth degree perineal lacerations. With the increasing experiences and training, the episiotomy ratio can be further decreased in nulliparous women.

Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

Yanık FF. Episiotomy. T Clin J Gynecol Obst-Special Topics 2008;1:50-4.
Thacker SB, Banta HD. Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860-1980. Obstet Gynecol Surv 1983;38:322-38.
Hartmann K, Viswanathan M, Palmieri R, Gartlehner G, Thorp J Jr, Lohr KN. Outcomes of routine episiotomy: a systematic review. JAMA 2005;293:2141-8.
Fritel X, Schaal JP, Fauconnier A, Bertrand V, Levet C, Pigné A. Pelvic flor disorders four years after first deliv- ery: a comparative study of restrictive versus systematic episiotomy. Gynecol Obstet Fertil 2008;36:991-7.
Carroli G, Mignini L. Episiotomy for vaginal birth. Cochrane Database Syst Rev. 2009; 21; CD000081. doi: 10.1002/14651858.CD000081.pub2. Review.
Karaçam Z, Ekmen H, Calişır H, Seker S. Prevalence of episiotomy in primiparas, related conditions, and effects of episiotomy on suture materials used, perineal pain, wound healing 3 weeks postpartum, in Turkey: A prospec- tive follow-up study. Iran J Nurs Midwifery Res 2013;18:237-45.
Kutuk MS, Ozgun MT, Uludag S,Dolanbay M, Ozdemir F, Aykut G, Ozturk A. Rutin Epizyotomi Uygulamasının Terk Edilmesi: Erciyes Üniversitesi Deneyimi. T Clin J Gynecol Obst 2013;23:154-59.
Fernando R, Sultan AH, Kettle C, Thakar R. Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev. 2013:Dec 8;12. CD002866. Doi: 10.1002/14651858.CD002866.pub3
Maduma-Butshe A, Dyall A, Garner P. Routine epi- siotomy in developing countries. Time to change a harm- ful practice. BMJ 1998;18:1179-80.
Duran EH, Eroğlu D, Sandıkçı N, Arda Lembet A, Bağış T, Zeyneloğlu HB. A Prospective Randomized study on routine use of episiotomy in vaginal deliveries. T Clin J Gynecol Obst 2002;12:16-19
Rodriguez A, Arenas EA, Osorio AL, Mendez O, Zuleta JJ. Selective vs routine midline episiotomy for the pre- vention of third- or fourth-degree lacerations in nulli- parous women. Am J Obstet Gynecol 2008;198:285.
Joint Policy Statement on Normal Childbirth.; J Obstet Gynaecol Can 2008;30:1163-5.
Macleod M, Strachan B, Bahl R, Howarth L, Goyder K, Van de Venne M, Murphy DJ. A prospective cohort study of maternal and neonatal morbidity in relation to use of episiotomy at operative vaginal delivery. BJOG 2008; 115:1688-94.
Graham ID, Carroli G, Davies C, Medves JM. Episiotomy rates around the world: an update. Birth 2005;32:219-23.
Şahin NH, Yıldırım G, Aslan E. Evaluating the second stage of deliveries in a maternity hospital. T Clin J Gynecol Obst 2007;17:37-43.
Sayıner FD, Demirci N. Effectiveness of prenatal perineal massage on vaginal delivery. İÜNF Hem Derg 2007;15: 146-54.
Reinbold D, Eboue C, Morello R, Lamendour N, Herlicoviez M, Dreyfus M. Fromthe impact of French guidelines to reduce episiotomy's rate. J Gynecol Obstet Biol Reprod (Paris) 2012;41:62-8.
Routine vs selective episiotomy: a randomised controlled trial. Argentine Episiotomy Trial Collaborative Group. Lancet 1993;18-25;342:1517-8.
Nkwabong E, Kouam L. Episiotomies During Deliveries of Singletons in Cephalic Presentation: The Incidence can be Reduced. J Obstet Gynaecol India 2012;62:641-3.
Reinbold D, Eboue C, Morello R, Lamendour N, Herlicoviez M, Dreyfus M. [Fromthe impact of French guidelines to reduce episiotomy's rate]. J Gynecol Obstet Biol Reprod (Paris) 2012;41:62-8.
Routine vs selective episiotomy: a randomised controlled trial. Argentine Episiotomy Trial Collaborative Group. Lancet 1993;18-25;342:1517-8.
Episiotomy. In: Gilstrap III LG, Cunningham FG, Vandorsten JP. Operative Obstetrics. 2nd ed. USA: McGraw- Hill 2002:63-88.
ACOG Practice Bulletin Number 49 (2003) Dystocia and augmentation of labor. Obstet Gynecol 102:1445-54.

APA	Kutuk M, DOLANBAY M, ÖZGÜN M, OZDEMIR F, ÇAKIR E, AYGEN E (2014). Retrospective Analysis of Episiotomy Rate in Erciyes University. , 10 - 14.
Chicago	Kutuk Mehmet Serdar,DOLANBAY MEHMET,ÖZGÜN Mahmut Tuncay,OZDEMIR FATMA,ÇAKIR Elif,AYGEN Ercan Retrospective Analysis of Episiotomy Rate in Erciyes University. (2014): 10 - 14.
MLA	Kutuk Mehmet Serdar,DOLANBAY MEHMET,ÖZGÜN Mahmut Tuncay,OZDEMIR FATMA,ÇAKIR Elif,AYGEN Ercan Retrospective Analysis of Episiotomy Rate in Erciyes University. , 2014, ss.10 - 14.
AMA	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E Retrospective Analysis of Episiotomy Rate in Erciyes University. . 2014; 10 - 14.
Vancouver	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E Retrospective Analysis of Episiotomy Rate in Erciyes University. . 2014; 10 - 14.
IEEE	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E "Retrospective Analysis of Episiotomy Rate in Erciyes University." , ss.10 - 14, 2014.
ISNAD	Kutuk, Mehmet Serdar vd. "Retrospective Analysis of Episiotomy Rate in Erciyes University". (2014), 10-14.

APA	Kutuk M, DOLANBAY M, ÖZGÜN M, OZDEMIR F, ÇAKIR E, AYGEN E (2014). Retrospective Analysis of Episiotomy Rate in Erciyes University. GORM:Gynecology Obstetrics & Reproductive Medicine, 20(1), 10 - 14.
Chicago	Kutuk Mehmet Serdar,DOLANBAY MEHMET,ÖZGÜN Mahmut Tuncay,OZDEMIR FATMA,ÇAKIR Elif,AYGEN Ercan Retrospective Analysis of Episiotomy Rate in Erciyes University. GORM:Gynecology Obstetrics & Reproductive Medicine 20, no.1 (2014): 10 - 14.
MLA	Kutuk Mehmet Serdar,DOLANBAY MEHMET,ÖZGÜN Mahmut Tuncay,OZDEMIR FATMA,ÇAKIR Elif,AYGEN Ercan Retrospective Analysis of Episiotomy Rate in Erciyes University. GORM:Gynecology Obstetrics & Reproductive Medicine, vol.20, no.1, 2014, ss.10 - 14.
AMA	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E Retrospective Analysis of Episiotomy Rate in Erciyes University. GORM:Gynecology Obstetrics & Reproductive Medicine. 2014; 20(1): 10 - 14.
Vancouver	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E Retrospective Analysis of Episiotomy Rate in Erciyes University. GORM:Gynecology Obstetrics & Reproductive Medicine. 2014; 20(1): 10 - 14.
IEEE	Kutuk M,DOLANBAY M,ÖZGÜN M,OZDEMIR F,ÇAKIR E,AYGEN E "Retrospective Analysis of Episiotomy Rate in Erciyes University." GORM:Gynecology Obstetrics & Reproductive Medicine, 20, ss.10 - 14, 2014.
ISNAD	Kutuk, Mehmet Serdar vd. "Retrospective Analysis of Episiotomy Rate in Erciyes University". GORM:Gynecology Obstetrics & Reproductive Medicine 20/1 (2014), 10-14.