title: [Complaints caused by episiotomy. Study of 413 women with spontaneous complication-free labor].
abstract: In 413 women following normal spontaneous delivery the short and long term complaints due to the episiotomy were studied. Every fifth woman found the cutting of the episiotomy painful. Episiotomies done by specialist's or chief residents were found to be less-painful. The suturing of the episiotomy was found to be painful by 4 of 10 women. The more experienced the surgeon the less was the pain. Only every tenth woman had no pain in the episiotomy immediately post-partum independent of the experience of the obstetrician. Medilateral episiotoma were twice as often very painful (21%) as median episiotomies (11%). Every fifth woman had pain in the perineum for more than one month. A third of these women had more pain with sexual intercourse than prior to delivery. Every tenth woman had infections in the episiotomy, half of these required treatment. Following medio-lateral episiotomy there were twice as many complication with the episiotomy than following median-episiotomy. Every fifth woman though that her vagina and perineum was disfigured by the episiotomy scar. This impression was independent of the type of episiotomy and of the experience of the obstetrician. More dyspareunia than prior to delivery was reported by twice as many primipara (20%) as multipara (11%). 18% of the women reported that the vaginal introitus appeared to be narrower than prior to the delivery.
mesh_terms: D004414:Dyspareunia / Q000209:etiology; D004841:Episiotomy; D005260:Female; D005860:Germany, West; D006801:Humans; D010146:Pain; D011183:Postoperative Complications; D013530:Surgical Wound Infection / Q000453:epidemiology; D013997:Time Factors
vernacular_title: Beschwerden infolge Episiotomie. Studie an 413 Frauen mit komplikationsloser Spontangeburt.