A Study of necessity of episiotomy in primigravida

Volume 16 , Issue 4 , October 2014 , Pages 75-81

Authors

¹ University of Sulaimani, Medical Faculty ,Medicine School

² University of Sulaimani, Midical Faculty ,Nursing School, Maternal & Neonate H. Nsg

³ Minstry of Health, Maternity Teaching Hosp

This prospective study has been carried out in Sulaimani Maternity Teaching Hospital, from

October 2006 to April 2007 to evaluate the outcome of those primigravida women delivered

vaginally without epiotomy who had not undergone episiotomy.

Purposive sample of (152) low risk primigravida women in the labour ward during 2nd stage of

labour has been selected to collect data properly. It should be noted that previous perineal operation,

malposition, instrumental delivery, premature babies, fetal distress, pelvic deformities, induction of

labour , short or rigid perineum, medical problems (like hypertension, diabetes, and heart

disease...ect), and have been excluded.

Questionnaire has been utilized as study institute, observations, checking &follow up for 24 hours,

1 week, 6 weeks have been used to achieve the main goals.

Through this study it was found that 34.9% of cases remain with intact perineum, 42.8% of cases

had 1st degree p. tear, 22.4% of cases had 2nd degree p. tears, and only 83 cases (54.6%) needed

suturing (49 cases with 1st degree tears &34 cases with 2nd degree tears). It was noted also that

complications in 1s 24 hours & after 1 week was less common in patients who had intact perineum.

On the bases of this study, we recommend that episiotomy should be restricted to specific

maternal or fetal conditions &routine use of episiotomy should be abandoned.

Statistics