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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Restrictive versus routine episiotomy among Southeast Asian term pregnancies: a multicentre randomised controlled trial
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Restrictive versus routine episiotomy among Southeast Asian term pregnancies: a multicentre randomised controlled trial

机译：Southeast亚洲术语怀孕中的限制性与常规episofymy：多期一组随机对照试验

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Objective To determine whether restrictive or routine episiotomy in term pregnant Southeast Asian women results in fewer complications. Design A multicentre randomised controlled trial. Setting Two tertiary and two general hospitals in Thailand. Population 3006 singleton pregnant women 18?years or older, ≥37?weeks of gestation, cephalic presentation and planned vaginal delivery. Methods This randomised controlled trial compared routine versus restrictive episiotomies in Thai women giving birth vaginally. Participants were singleton, term pregnant women with cephalic presentation. Block randomisation was stratified by study site and parity. Risk ratios (RR) and 95% confidence intervals (CI) were calculated to indicate between‐group differences. Main outcome measures Primary outcome was severe perineal laceration. Secondary outcomes included vaginal laceration, cervical laceration, and pregnancy outcomes. Results 3006 women were randomly assigned to restrictive (1502) and routine (1504) episiotomy. There was no difference in severe perineal laceration between the groups (RR 0.72, 95% CI 0.46–1.12). Restrictive episiotomy resulted in more intact perineums in multiparous women (RR 3.09, 95% CI 2.10–4.56). Restrictive episiotomy increased the risk of vaginal laceration in primiparous (RR 1.96, 95% CI 1.62–2.37) and multiparous women (RR 2.21, 95% CI 1.77–2.75) but did not lead to more suturing. There were comparable risks of cervical laceration, postpartum haemorrhage, wound complication, birth asphyxia, and admission to neonatal intensive care unit. Conclusions Restrictive episiotomy results in more intact perineum in multiparous women. Risks of maternal and neonatal outcomes were comparable between the two practices. These results strengthen the certainty?of the existing Cochrane review findings in supporting restrictive episiotomy. Tweetable abstract Restrictive episiotomy results in more intact perineums after vaginal birth in multiparous Southeast Asian women.
机译：目的判断怀孕孕妇术语中是否有限制性或常规的ePiSICY，导致了更少的并发症。设计多中心随机对照试验。在泰国设定两个大三级和两位综合医院。人口3006单身孕妇18？岁月或以上，≥37？几周的妊娠，头部介绍和计划阴道分娩。方法采用随机对照试验比较日常生活与严重的妇女患有阴道生育的惯例。参与者是单身孕妇，患有头颅介绍的孕妇。通过研究现场和平价分层嵌段随机化。计算风险比（RR）和95％置信区间（CI）以表明组差异。主要结果测量主要结果是严重的会阴撕裂。二次结果包括阴道裂伤，宫颈损伤和妊娠结果。结果3006例妇女随机分配给限制性（1502）和常规（1504）eaciocyy。在组之间的严重的会阴撕裂中没有差异（RR 0.72,95％CI 0.46-1.12）。限制性生物术导致多重妇女更完整的阴部（RR 3.09,95％CI 2.10-4.56）。限制性生物术增加了初步（RR 1.96,95％CI 1.62-2.37）和多重妇女的阴道裂伤风险（RR 2.21,95％CI 1.77-2.75），但没有导致更多的缝合。宫颈损伤，产后出血，伤口复杂，避孕药和新生儿重症监护单位的患者有相当的风险。结论限制性生物术导致多重妇女更完整的阴部。两种实践之间的孕产妇和新生儿结果的风险是可比的。这些结果加强了肯定的核心综述在支持限制性ePiSiofy中的现有Cochrane评论结果。在多体东南亚女性的阴道出生后，发布的抽象抽象限制性ePiSioMy结果在更完整的阴部患者中。

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