H.A., S., A.N, S., H.M, S., S.A., A. (2017). Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial. The Egyptian Journal of Hospital Medicine, 68(1), 845-852. doi: 10.12816/0038183
Salama H.A.; Sakna. A.N; Salama H.M; Abdelhafeez S.A.. "Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial". The Egyptian Journal of Hospital Medicine, 68, 1, 2017, 845-852. doi: 10.12816/0038183
H.A., S., A.N, S., H.M, S., S.A., A. (2017). 'Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial', The Egyptian Journal of Hospital Medicine, 68(1), pp. 845-852. doi: 10.12816/0038183
H.A., S., A.N, S., H.M, S., S.A., A. Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial. The Egyptian Journal of Hospital Medicine, 2017; 68(1): 845-852. doi: 10.12816/0038183
Impact of Scissors Type Used for Episiotomy on the Prevalence of Obstetric Anal Sphincter Injury: Randomised Controlled Trial
Department of Obstetrics and Gynecology,Faculty of Medicine, Ain Shams University, Cairo, Egypt
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.
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