- 作者：Hakan Aytan ; Ekrem C. Tok ; Devrim Ertunc ; Osman Yasa
- 关键词：Episiotomy ; Pelvic organ prolapse ; Pelvic organ prolapse quantification
- 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
- 出版年：February, 2014
- 年：2014
- 卷：173
- 期：Complete
- 页码：34-37
- 全文大小：284 K
Objective
This study aimed to assess the association between episiotomy and measures of pelvic organ prolapse quantification system (POP-Q) in a cohort of women with vaginal parturition.Study design
A prospective study was conducted with 549 eligible patients with vaginal delivery history. Women who were pregnant, gave birth within the preceding 6 months period, had a known history of pre-pregnant prolapse, had a history of hysterectomy or any operation performed for pelvic organ prolapsus and stress urinary incontinence, refused to participate and to whom POP-Q examination could not be performed (due to anatomic or orthopedic problems) were excluded. Patients were categorized as women with episiotomy and without episiotomy. The degree of genital prolapse was assessed by using POP-Q system. The effect of episiotomy on overall POP-Q stage and individual POP-Q points was calculated with logistic regression.
Results
439 patients had a history of episiotomy whereas 110 patients had no episiotomy. 38.2% of women without an episiotomy, and 32.0% of women with episiotomy had genital prolapse determined by POP-Q system. There was no statistically significant association between episiotomy and POP-Q stage (AOR, 鈭?.24; 95% CI, 鈭?.65-0.18, P = 0.26). Episiotomy was found among the independent predictors for certain POP-Q points such as Bp, perineal body (pb) and total vaginal length (tvl). Episiotomy was negatively correlated with prolapse of Bp and with pb and tvl.
Conclusion
Episiotomy had an effect on certain POP-Q indices, but had no influence on overall POP-Q stage.