Author/Editor		Čeh, Anže
Title		Vpliv epiziotomije na pogostost poškodb perineja III. in IV. stopnje pri prvorodnicah v Sloveniji
Translated title		The impact of episiotomy on the frequency of the third and fourth degree perineal lacerations during vaginal delivery in Slovenian primiparous women
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 45, št. 2
Publication year		2011
Volume		str. 101-4
Language		slo
Abstract		Introduction: Episiotomy is perhaps one of the most frequently performed obstetric surgical procedures to facilitate delivery and prevent perineal lacerations and obstetric anal sphincter injuries. The article describes the effects of episiotomy on the incidence of severe third and fourth degree perineal lacerations. Methods: The author focused on the statistical data from the National Perinatal Information System of Slovenia for the period between 2005 and 2010. The data were analyzed by using basic statistics and presented with descriptive and quantitative methods. Results: Statistically significant correlation was identified between the frequency of episiotomies and perineal tears. Women who had undergone episiotomy suffered from the third degree perineal rupture/tear injury in 55.4 percent. Similar results were confirmed in women with the fourth degree perineal tears. Negative impacts on the frequency of perineal damage can also be seen in stimulated and induced deliveries.Discussion and conclusions: The fact remains that episiotomy rates in Slovenia are too high. To reach the percentage of the Northern and Western Europe, it would be necessary to reduce the present episiotomy rates to below 25%. The research indicates that the extension of the second stage of the labor and the reduced labour stimulation with Oxytocin might significantly diminish the incidence of severe perineal damages.
Descriptors		LABOR ONSET EPISIOTOMY PERINEUM