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Of episiotomies, implementation science, and repeating trials.

Guidelines from the UK, France, USA, and Canada all concur to recommend that the use of episiotomy should be restricted to selected cases. This new publication opens two lines of debate: (i) is there an ideal rate of episiotomy and should it be adapted to the patient, in particular Asian women; and...

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Publicado en:BJOG: An International Journal of Obstetrics & Gynaecology Vol. 127; no. 3; pp. 404 - 405
Autores principales: Alexander, S, Blondel, B
Formato: commentary Journal Article
Publicado: Wiley-Blackwell Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2020
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      pub: Wiley-Blackwell
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        atl: Of episiotomies, implementation science, and repeating trials.
      aug:
        au:
          Alexander, S
          Blondel, B
        affil: Perinatal Epidemiology and Reproductive Health Unit, Université libre de Bruxelles (ULB), Brussels Belgium
      sug:
        subj:
          Labor Complications
          Episiotomy
          Female
          Pregnancy Trimester, Third
          Pregnancy
          Anus
          Female
      ab: Guidelines from the UK, France, USA, and Canada all concur to recommend that the use of episiotomy should be restricted to selected cases. This new publication opens two lines of debate: (i) is there an ideal rate of episiotomy and should it be adapted to the patient, in particular Asian women; and (ii) is it legitimate to perform a repeat trial when there is already robust evidence from previous trials. These two questions and more regarding episiotomy warrant new trials: restrictive versus very restrictive episiotomy and individualised versus universal policy for episiotomy.
      pubtype: Academic Journal
      doctype:
        commentary
        Journal Article
      ougenre: Article
    language: English
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