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Evaluation of the Episiotomy Scissors Attached with an Adjusted Angle Plate for Mediolateral Episiotomy on the Occurrence of Obstetric Anal Sphincter Injuries |
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| รหัสดีโอไอ | |
| Creator | Phiangjit Wiruchpongsanon |
| Title | Evaluation of the Episiotomy Scissors Attached with an Adjusted Angle Plate for Mediolateral Episiotomy on the Occurrence of Obstetric Anal Sphincter Injuries |
| Contributor | Sunida Chaitikul |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2567 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 32 |
| Journal No. | 1 |
| Page no. | 68-75 |
| Keyword | episiotomy scissors, adjusted angle plate, mediolateral episiotomy, obstetric anal sphincter injuries |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To assess the rate of obstetric anal sphincter injuries (OASI) and the angle after repair following mediolateral episiotomy performed with episiotomy scissors attached with an adjusted angle plate Materials and Methods: The study group comprises 153 primiparous women at 37-42 weeks of gestation delivered between December 2022 and July 2023 in the labor room, Taksin Hospital. Scissors with a 60-degree adjusted angle plate were applied. Suture angles were recorded on transparent sheet and analyzed. Before suturing, a rectal exam was done to check for OASI. Results: Of 153 primiparous women were recruited into the present study, the mean gestational age was 38.56 ? 1.06 weeks, the mean birthweight was 2,990.82 ? 327.39 grams. The mean post-suturing episiotomy angles were 44.92 ? 5.88 degrees (95 % confidence interval 44-45.9). The change in angle decreased from before cutting by 15.07?5.88 degrees. No cases of OASI were detected. Conclusion: During childbirth, mediolateral episiotomy is performed using scissors attached to a 60-degree adjusted angle plate to cut the perineum. The mean perineal angle after suture repair was 44.9 degrees, a decrease of 15 degrees. No anal sphincter injury was detected. |
