[Dehiscence in episiotomies].
Among 3,977 episiotomies (51.80%) in 1977 there were 99 cases (2.48) of dehiscence and 21 of them (0.52%) had to be treated with secondary suture. Dehiscences were found to be more frequent in nulliparae than in multiparae. They were also more frequent in anaemic women. The labour lasted longer in the group of women where dehiscences had to be surgically treated than in the group where they were treated conservatively or where episiotomies were healed per primam. Vaginal examination were more frequent in the group of women where dehiscences in episiotomies were surgically treated than in other groups. A higher precentage of operative deliveries was found in the group of women with dehisced episiotomies. The author believes it possible to reduce the number of dehisced episiotomies using safer surgical methods (interrupted suture) and a better material (dexon) in treating episiotomies in primiparae, in cases of prolonged labour involving a great number of vaginal examinations, and in surgically completed deliveries. In the author's opinion, a strict prevention and treating of anaemia during pregnancy could also reduce the number of dehisced episiotomies.
D000328:Adult; D004841:Episiotomy; D005260:Female; D006801:Humans; D011247:Pregnancy; D013529:Surgical Wound Dehiscence
Dehiscencija epiziotomije.