Episiotomy state of the art. A sample in the deliveries of the Hernando Moncaleano Perdomo Hospital Universitario

Abstract

Episiotomy is a common intervention used in maternity ward. It is
defined as a type of surgery in the perineum intended to facilitate
the expulsion of the product extending the birth canal. This has
some indications for its realization. The objetive of our study was to
evaluate the episiotomy reasons in HUHMP, analyze whether this is
done by maternal-fetal indications, the assess the implementation of
a selective episiotomy may protect against lacerations and a review
of the relevant and current literature on this subject. The total was of
214 patients in the period of August, September and October 2016.
Of which 103 (48.13%) were primigravidae, and non primigravidae
were 111 (51.86%).
In the primigravidae group the tearing grade 1 (17.51%), tearing grade
2 (21.63%) tearing Grade 3 (0%) and tear Grade 4 (1.03%), without
tearing (39.14%); this group of Patients underwent episiotomy
(25.75%). In non primigravidae I was tear grade 1 (32.19%), tear
grade 2 (14.43%) tearing Grade 3 (0%) and tear Grade 4 (0%),
without tearing (68.82%), this group of Patients Were episiotomy
Performed (7.77%)
When episiotomies were performed were taken as indication Short
perineum and poorly compliant con un 19,3%, shortening the period
expulsive 16%, prevention tear and shortening of Labor 6.4%, 3.2%
primiparousAnd in 58% of Patients Who episiotomy was performed
in they had no indication described