Gynecology Obstetrics & Reproductive Medicine, sa.20, ss.10-14, 2014 (Hakemli Dergi)
OBJECTIVE: The purpose of the study was to assess the episiotomy rate and perineal outcome in
women delivered in 2013-2014.
STUDY DESIGN: Birth data and perineal outcome of women delivering singleton, live- born infant
weighting more than 1000 gram in 2013- 2014 in Erciyes University Department of Obstetrics and
Gynecology were evaluated retrospectively.
RESULTS: A total of 580 birth occurred in our clinics in 2013- 2014. The mean maternal age 27.6±6.2
(min- max: 16-46 years), parity 1.17±1.2 (min- max: 0-14), birth weight 3033.1± 610 (min- max: 1070-
4580 gram). The episiotomy rate for whole population was 19.4%. The episiotomy rate for multiparous
and nulliparous were 6.1%, and 43.1% respectively. No cases of third and/or fourth degree perineal
trauma were detected during the study period. The most common episiotomy indication was unfavorable
pelvic examination (n: 35, 31.2%).
CONCLUSION: Restrictive episiotomy application does not increase third and fourth degree perineal
lacerations. With the increasing experiences and training, the episiotomy ratio can be further decreased
in nulliparous women.
Key Words: Episiotomy, Routine episiotomy, Restrictive episiotomy, Perineal damage