THIRD- AND FOURTH-DEGREE PERINEAL TEAR: ROLE AND VALUE OF EPISIOTOMY


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Abstract

The paper gives data on the rates of third- and fourth-degree postpartum perineal laceration and the results of studies of the risk factors and immediate and late sequels of perineal tears involving the anal sphincter and rectum. It shows the role of episiotomy that is in most cases a method to prevent third- and fourth-degree perineal tear, but may be an additional or independent risk factor in some situations. Particular emphasis is placed on the problem of rational episiotomy techniques.

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About the authors

Vitaly Borisovitch Tskhai

F. Voino-Yasenetsky, Krasnoyarsk State Medical University, Ministry of Health of Russia. Russia

Email: tchai@yandex.ru
MD, PhD, Head of Department of Perinatology, Obstetrics, and Gynecology, Faculty of Therapeutics Krasnoyarsk, Partizana Zheleznyaka str. 1

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