Differentiated approach to episiotomy for prevention of obstetric perineal rupture

Ziganshin A.M.; Mudrov V.A.

doi:https://doi.org/10.17116/rosakush20202005179

Ziganshin A.M.

Bashkir State Medical University

Mudrov V.A.

Chita State Medical Academy

Differentiated approach to episiotomy for prevention of obstetric perineal rupture

Authors:

Ziganshin A.M., Mudrov V.A.

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Journal: Russian Bulletin of Obstetrician-Gynecologist. 2020;20(5): 79‑83

DOI: 10.17116/rosakush20202005179

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To cite this article:

Ziganshin AM, Mudrov VA. Differentiated approach to episiotomy for prevention of obstetric perineal rupture. Russian Bulletin of Obstetrician-Gynecologist. 2020;20(5):79‑83. (In Russ.)
https://doi.org/10.17116/rosakush20202005179

Подписка 2026 Российский вестник акушера-гинеколога (Russian Bulletin of Obstetrician-Gynecologist)

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Abstract:

AIM OF STUDY

Assessment of the possibility of preventing obstetric perineal rupture by means of a differentiated approach to episiotomy.

MATERIAL AND METHODS

On the basis of obstetric institutions, a prospective analysis of 90 births through the vaginal birth canal was carried out. The elasticity of the perineal tissue was determined by a perineoelastometer.

RESULTS

Based on the assessment of the data obtained, a prognostic coefficient of the possibility of perineal injury in childbirth (T) was proposed. With a T factor of more than 1, perineal rupture is predicted during labor.

CONCLUSIONS

In the development of obstetric perineal rupture, the ratio of the circumference of the fetal head and the maximum perimeter of stretching of the vulvar ring is of great importance, which, together with the size of the pubic arch angle, gestational age and the coefficient of elastic deformation of the vulvar ring, can serve as a criterion in favor of episiotomy for the prevention of obstetric perineal rupture.

Keywords:

birth injuries

perineal rupture

perineal tissue elasticity

prevention of rupture

pubic arch angle

episiotomy

perineal rupture probability coefficient

Authors:

Ziganshin A.M.

Bashkir State Medical University

Mudrov V.A.

Chita State Medical Academy

Received:

14.01.2020

Accepted:

27.04.2020

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References:

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