Outcomes of episiotomy and perineorrhaphy in vaginal delivery at the National Hospital of Obstetrics and Gynecology

Tóm tắt

Objective: To evaluate the outcomes of episiotomy and perineal suturing in vaginal delivery at the Obstetrics and Gynecology Hospital. Subject and method: This is a prospective descriptive study involving all vaginal delivery patients who underwent episiotomy and perineal suturing at the National Hospital of Obstetrics and Gynecology from November 1, 2023 to December 31, 2023. Result: A total of 384 women were included in the study, with an average age of 28.32 ± 5.12 years (the youngest being 15 years and the oldest 42 years. The age under 35 years accounted for the majority of 88.3%. The proportion of primiparous was 55.73%, while 44.27% were multiparous. The incidence of mothers with diabetes was the highest, accounting for 13.5% of the total study population. The indication for perineal incision was predominantly maternal, accounting for 88.52%. There were 15 cases with a third-degree perineal tear, accounting for 3.90%. Of these, the rate of injury after forceps delivery was 100%. There were 4 cases of hematoma and 1 case of infection post-episiotomy. The rate of third-degree perineal injury when fetal weight was >3500g and BPD > 95mm were 31.2% and 73%, respectively. Conclusion: Episiotomy and perineorrhaphy remain common procedures in vaginal deliveries in Vietnam. Most cases do not result in complications, and the perineum typically tears only to a physiological degree, specifically to degree II, with a low rate of complex tearing. Our study indicates that forceps delivery increases the risk of more severe perineal injuries. Moreover, third-degree tears are associated with infants weighing over 3500grams and BPD more than 95mm.