Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.11889/5873
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dc.contributor.authorAli-Masri, Hadil-
dc.contributor.authorHassan, Sahar-
dc.contributor.authorZimmo, Khaled-
dc.contributor.authorZimmo, Mohammed-
dc.contributor.authorKhaled M. K. Ismail, Erik-
dc.contributor.authorIsmail, Khaled M. K.-
dc.contributor.authorAlsalman, Hasan-
dc.contributor.authorVikanes, Ase-
dc.contributor.authorLaine, Katariina-
dc.date.accessioned2019-03-25T09:37:44Z-
dc.date.available2019-03-25T09:37:44Z-
dc.date.issued2018-10-08-
dc.identifier.urihttps://www.hindawi.com/journals/ogi/2018/6345497/-
dc.identifier.urihttp://hdl.handle.net/20.500.11889/5873-
dc.description.abstractEpisiotomy should be cut at certain internationally set criteria to minimize risk of obstetric anal sphincter injuries (OASIS) and anal incontinence. )e aim of this study was to assess the accuracy of cutting right mediolateral episiotomy (RMLE). An institution-based prospective cohort study was undertaken in a Palestinian maternity unit from February 1, to December 31, 2016. Women having vaginal birth at gestational weeks ≥24 or birthweight ≥1000 g and with intended RMLE were eligible (n � 240). Transparent plastic films were used to trace sutured episiotomy in relation to the midline within 24-hour postpartum. )ese were used to measure incisions’ distance from midline, and suture angles were used to classify the incisions into RMLE, lateral, and midline episiotomy groups. Clinical characteristics and association with OASIS were compared between episiotomy groups. A subanalysis by profession (midwife or trainee doctor) was done. Less than 30% were RMLE of which 59% had a suture angle of <40° (equivalent to an incision angle of <60°). )ere was a trend of higher OASIS rate, but not statistically significant, in the midline (16%, OR: 1.7, CI: 0.61–4.5) and unclassified groups (16.5%, OR: 1.8, CI: 0.8–4.3) than RMLE and lateral groups (10%). No significant differences were observed between episiotomies cut by doctors and midwives. Most of the assessed episiotomies lacked the agreed criteria for RMLE and had less than optimal incision angle which increases risk of severe complications. A well structured training program on how to cut episiotomy is recommended.en_US
dc.description.sponsorshipNoneen_US
dc.language.isoenen_US
dc.publisherObstetrics and Gynecology Internationalen_US
dc.subjectEpisiotomy - Palestineen_US
dc.subjectIncisionen_US
dc.subjectObservational Studyen_US
dc.titleEvaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Studyen_US
dc.typeArticleen_US
newfileds.departmentPharmacy - Nursing and Health Professionsen_US
newfileds.item-access-typeopen_accessen_US
newfileds.thesis-prognoneen_US
newfileds.general-subjectHuman Biology, Medicine and Health Sciences | الطب والعلوم الطبيةen_US
item.fulltextWith Fulltext-
item.grantfulltextopen-
item.languageiso639-1other-
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