alice as a grad of unisa (1st year) going into the hospital system i was rather horrified that we were expected to cut episiotomies i can however say that i have not cut one thus far although i am only in my first year out. good luck with your theisis. regards sharon ----- Original Message ----- From: "Alice Morgan" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Thursday, November 03, 2005 12:49 AM Subject: RE: [ozmidwifery] article FYI
> > This is interesting for me. I am currently writing my midwifery honours > thesis on women's views about episiotomy (or trying to at least, > unfortunately I am having great difficulty with participant recruitment). > It's always nice to see more research backing up what I am saying. > > :) Alice (one of the first SA BMid grduate midwives) > > > >From: "leanne wynne" <[EMAIL PROTECTED]> > >Reply-To: [email protected] > >To: [email protected] > >Subject: [ozmidwifery] article FYI > >Date: Wed, 02 Nov 2005 11:05:02 +1100 > > > >Unnecessary episiotomies > >Issue 22: 31 Oct 2005 > >Source: International Journal of Gynecology & Obstetrics 2005; 91: 157-9 > > > >Researchers have questioned the continuing widespread use of routine > >episiotomy, after finding high rates at some centres in countries in South > >America, Asia, and Africa. > > > >Systematic reviews of published trials, including a Cochrane review, have > >suggested that episiotomies should not be performed routinely, because of > >the associated maternal morbidity. > > > >Some specialists have said that no more than 10 percent of nulliparous > >women delivering vaginally should need one, according to the researchers > >writing in the latest issue of the International Journal of Gynecology & > >Obstetrics. > > > >But their study suggests that episiotomy rates are far higher than this at > >some hospitals. The researchers, from Uruguay and the USA, analyzed data on > >episiotomy rates for nulliparous and multiparous women at hospitals in > >Argentina, Brazil, Bolivia, Chile, the Democratic Republic of Congo, > >Ecuador, India, Tibet, Uruguay, Venezuela, and Zambia. > > > >The hospitals studied (from 1 to 13 per country) were part of the US > >National Institute of Child Health and Human Development's Global Network > >for Women's and Children's Health Research. > > > >Rates above 90 percent > >Reporting their findings, the researchers say that episiotomy rates among > >nulliparous women were higher than 90 percent in all countries except > >Zambia (6.9 percent). > > > >Episiotomy rates for all vaginal births were higher than 20 percent in all > >countries except Zambia, and were as high as 80 percent in Brazil. The > >exception, Zambia, was unusual in having a lower rate for nulliparous women > >than for all vaginal births. The researchers, however, caution that the > >data for Zambia were obtained from only one hospital. > > > >They also advise against generalizing the findings beyond the centres > >studied. However, they say the data "illustrate the widespread use of > >routine episiotomy. in contradiction to the evidence questioning its > >efficacy." > > > >Unnecessary episiotomies, the researchers write, increase the risk of > >morbidity as indicated by the Cochrane review, including posterior perineal > >trauma, the need for suturing the perineal wound, and healing complications > >at 7 days. > > > >They conclude: "Strategies should be developed to decrease episiotomy rates > >at a global level." > > > > > > > >Leanne Wynne > >Midwife in charge of "Women's Business" > >Mildura Aboriginal Health Service Mob 0418 371862 > > > > > >-- > >This mailing list is sponsored by ACE Graphics. > >Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > > _________________________________________________________________ > REALESTATE: biggest buy/rent/share listings > http://ninemsn.realestate.com.au > > -- > This mailing list is sponsored by ACE Graphics. > Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe. > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
