Numéro de la fiche : 566 Date de saisie : 8/03/2004 Date de modification : 2/12/2007	Modifier cette fiche / Modify this record / Modificar esta ficha Ne suivez ce lien que si vous possédez un mot de passe administrateur ! Do not follow this link unless you know the admin password! Seguir este link apenas se tiver palavra chave do administrador! URL de la fiche / URL da ficha : http://afar.info/id=566 tout public / easy / fácil
Auteur(s) / Author(s) / Autores :	Rockner G, Fianu-Jonasson A.
Année de parution : Publication year: Ano de publicação :	1999
Notice bibliographique : Biblio entry: Nota bibliográfica:	Changed pattern in the use of episiotomy in Sweden. Br J Obstet Gynaecol. 1999 Feb;106(2):95-101.
Résumé (français) :
Abstract (English):	OBJECTIVE: To study changes in the use of episiotomy since 1989, controlling for variables such as severe tears, epidural anaesthesia, duration of the second stage of labour, instrumental deliveries, birthweight and maternal position at delivery. DESIGN: Retrospective study. Data were obtained from original birth records and questionnaires. SETTING: Huddinge University Hospital and all labour wards (n = 62) in Sweden. POPULATION: 10,661 women who were delivered vaginally (4575 nulliparae, 6086 multiparae) between 1992 and 1994, and 3366 nulliparae delivered in all Swedish hospitals during the month of March 1995. MAIN OUTCOME MEASURES: Episiotomy rates, severe tears and instrumental deliveries. RESULTS: The rate of episiotomy was 1% and of severe tears 0.6% among multiparae delivered vaginally (including instrumental deliveries) at Huddinge University Hospital between 1992 and 1994. The rate of episiotomy was 6.6% and of severe tears 2.3% among nulliparae. Vacuum extraction and epidural anaesthesia were more commonly associated with episiotomy. Factors significantly associated with severe tears were infant birthweight > or = 4000 g, vacuum extraction and episiotomy. In all Swedish labour wards in 1995 the mean incidence of episiotomy in nulliparae was 24.5%, a significant decrease from 33.7% in 1989. Wide variations occurred between hospitals (4%-50%). CONCLUSION: The use of episiotomy was much reduced at Huddinge University Hospital, with a consistently low rate of severe tears. This supports the growing evidence for individualised and restrictive use of episiotomy at childbirth.
Sumário (português):
URL :	http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10426673&dopt=Abstract
CianeWiki :	http://ciane.net/wiki/pmwiki.php/Articles/566
Remarques diverses : Misc remarks: Observações diversas:
Argument (français) :	Régression de la pratique de l’épisiotomie en Suède
Argument (English):
Argumento (português):
Mots clés :	déchirures / épisiotomie / médecine factuelle / péridurale / ventouse / extraction instrumentale
Keywords :	epidural / episiotomy / evidence based medicine / tears / vacuum extraction (ventouse) / instrumental delivery
Palavra-chaves :	/ rasgaduras / episiotomia / medicina baseada em evidências / epidural / ventosa / extracção instrumental

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