| Résumé : |
Aim: There is conflicting evidence surrounding the mediolateral episiotomy and its associated postnatal outcomes. This review aims to evaluate the literature surrounding the mediolateral episiotomy, its hypothesised postnatal complications and subsequent impact on lifestyle.
Methodology: Electronic searches were undertaken using CINAHL, PubMed and Google Scholar, followed by review of literature reference lists. Inclusion and exclusion criteria were applied, and included studies were then critically analysed using an adapted critique tool and key themes identified.
Findings: Six articles were eligible for inclusion in this review and four key themes identified. The studies reported no significant difference in any key outcome; pain, dyspareunia, blood loss and infection following the use of a mediolateral technique, in comparison with different techniques or a non-episiotomy control group. The findings are inconsistent with many hypothesised risk factors associated with a mediolateral episiotomy, though consistent with many findings within the wider literature.
Conclusion: The mediolateral episiotomy remains one of the most widely used surgical incisions undertaken within the United Kingdom (UK) and Europe. While mounting evidence supports its use to reduce the incidence of anal sphincter injury worldwide, it is imperative that all associated outcomes of a mediolateral episiotomy are understood.
Implications for practice: The analysed studies highlight the need for further research into the associated postnatal outcomes of episiotomies and each recommends further randomised controlled studies with consistent methodologies, to allow clear comparison of findings. Only then can episiotomy techniques be accurately compared and evidence surrounding episiotomies and their postnatal complications for women be quantified. |
Faire une suggestion Affiner la rechercheAn examination of the postulated postnatal outcomes associated with a mediolateral episiotomy in Midwifery Digest (Midirs), Vol. 32, n° 2 (June 2022)
Chirurgie en obstétrique (2015)
