Perineal Lacerations Episiotomy
Perineal Lacerations Episiotomy
Perineal Lacerations Episiotomy
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<strong>Episiotomy</strong>: Prof. G.B. Schembri 1896<br />
✔ “... to avoid the laceration from running down<br />
the raphe, and risking to injure the sphincter of<br />
the anus, two small cuts (1/4 inch) are made with<br />
a flat bladed and blunt pair of scissors, one on<br />
each side of the lower third of the vulva, directed<br />
obliquely outwards and downwards towards the<br />
trochanters....”<br />
<strong>Episiotomy</strong>/Laceration rate:<br />
SLH<br />
✔ 1938: 1.1% of hospital deliveries.<br />
23 perineal lacerations: of which 4 were<br />
episiotomies, 3 were third degree tears.<br />
6 cases of obstetric genital fistuale.<br />
✔ 1951: 7.5% of hospital deliveries<br />
✔ 1995: episiotomies - 39.2%<br />
1-2nd degree tears - 25.1%<br />
3rd degree tears - 0.1% [6 cases]
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