Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2017, Vol 68, Issue 1
Abstract
Aim: to compare between the prevalence of obstetric anal sphincter injury (OASIS) after cutting mediolareral episiotomy by angled, curved or straight scissors in women in labour. Methods: The current randomized controlled trial was conducted at Ain Shams University Maternity Hospital. The participating women were randomly allocated into three arms. Arm (A): women had mediolateral episiotomy cut by angled scissors. Arm (c): women had mediolateral episiotomy cut by curved scissors .Arm (s): women had mediolateral episiotomy cut by straight scissors. Primary outcome was the occurrence of Obstetric Anal Sphincter Injuries (OASIS). Results A total of 300 primiparous women were included. The overall incidence of OASIS was 5%,17% and 15 % in arm A,C and S respectively. Conclusion: using angled scissors in cutting mediolateral episiotomy results in less cases of obstetric anal sphincter injury compared to cutting episiotomy by straight or curved scissors.
Authors and Affiliations
Salama H. A. ; Sakna. A. N; Salama H. M; Abdelhafeez S. A.
Keywords
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