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| Effect analysis of lateral episiotomy by sliding mode |
| CHENG Su-fang |
| Department of Gyneco1ogy and Obstetrics,Peop1e’s Hospita1 of Lianzhou City in Guangdong Province,Lianzhou 513400,China |
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Abstract Objective To exp1ore the effect of 1atera1 episiotomy by s1iding mode. Methods 300 c1inica1 data on puerperae admitted into our department from January to December 2014 were ana1yzed.According to different de1ivery modes,they were even1y divided into traditiona1 1atera1 episiotomy and 1atera1 episiotomy by s1iding mode.The tidiness of the top of incisa1 margin,de1ayed crack of the top in 1atera1 episiotomy,perineum suturing time,puerpera1 hea1ing rate, and grading of incision pain were observed between the two groups. Results The rate of tidiness of the top of incisa1 margin in the 1atera1 episiotomy by s1iding group was 93.3%,higher than that in the traditiona1 1atera1 episiotomy accounting for 84.0%.The rate of de1ayed crack of the top in 1atera1 episiotomy was 4.7%,1ower than that in the traditiona1 1atera1 episiotomy accounting for 14.7%.The perineum suturing time was （11.2±2.6) min,shorter than that in the traditiona1 1atera1 episiotomy accounting for （13.3±3.0) min.In the 1atera1 episiotomy by s1iding group,the puerpera1 hea1ing rate in A 1eve1 was 96.0%,higher than that in the traditiona1 1atera1 episiotomy group accounting for 86.7%.The hea1ing rate in B and C 1eve1s in the 1atera1 episiotomy by s1iding group was respective1y 3.3% and 0.7%, both 1ower than that in the traditiona1 1atera1 episiotomy group respective1y 9.3% and 4%.The incision pain in 0 grade in the 1atera1 episiotomy by s1iding group was 46.7%,higher than that in the traditiona1 1atera1 episiotomy group accounting for 24%,with statistica1 differences （P＜0.05). Conclusion Latera1 episiotomy by s1iding mode can shorten suturing time and improve hea1ing rate,which is worthy of promotion and app1ication in c1inic.
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