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Perineal Trauma and Episiotomy

  • Dharmesh S. Kapoor
  • Abdul H. Sultan
Chapter

Abstract

Perineal trauma affects 80% of women during parturition with nearly 50% requiring suturing. All clinicians practicing obstetrics should be trained in accurately diagnosing and classifying perineal trauma and rectal examination is an integral component of management. An episiotomy is a grade 2 perineal tear and is an incision made to enlarge the vaginal outlet to facilitate delivery of the foetus. This should be mediolateral to avoid injury to the anal sphincter. Clear guidance is provided on the indications for an episiotomy and the technique to be adopted.

Keywords

Episiotomy 60 degree angled mediolateral episiotomy Obstetric anal sphincter injuries Perineal tears Perineal trauma 

Notes

Conflicts of Interest

DS Kapoor is a co-inventor of the EPISCISSORS-60 episiotomy scissors. He is a shareholder of MEDINVENT LTD, the company that owns the commercial rights to the scissors.

AH Sultan-none.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Royal Bournemouth HospitalDorsetUK
  2. 2.Croydon University HospitalCroydonUK

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