A major general discount within the prevalence of episiotomy in France from 2010 to 2021 has not been adopted by an general improve in obstetric anal sphincter damage (OASI), in line with a examine printed on-line Jan. 14 in PLOS Medication.
Raphaele Houlbracq, from Université Paris Cité, and colleagues assessed variations within the prevalence of each episiotomy and OASI utilizing information from the 2010, 2016, and 2021 Nationwide Perinatal Surveys (29,750 girls with a vaginal supply).
The researchers discovered that the general prevalence of episiotomy decreased considerably from 25.8% in 2010, to twenty.1% in 2016, and to eight.3% in 2021 (adjusted danger ratio, 0.33). This pattern persevered throughout all teams of the classification, starting from −33.0% in nulliparous girls with a time period cephalic singleton present process forceps supply to −94.0% in these with a number of being pregnant.
In an adjusted evaluation, the distinction in general prevalence of OASI between 2010 (0.7%) and 2021 (1.0%) was not statistically vital. Among the many classification teams, solely nulliparous girls with a time period cephalic singleton present process spatula supply skilled a big improve within the prevalence OASI.
“Our results and recent literature suggest that there is a need to reconsider indications of restrictive episiotomy policies for instrumental deliveries in nulliparous women,” the authors write.
Extra info:
Raphaele Houlbracq et al, Episiotomies and obstetric anal sphincter accidents following a restrictive episiotomy coverage in France: An evaluation of the 2010, 2016, and 2021 Nationwide Perinatal Surveys, PLOS Medication (2025). DOI: 10.1371/journal.pmed.1004501
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Drop in episiotomy not tied to extend in obstetric anal sphincter damage for most girls (2025, January 17)
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