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. 1985 Aug;92(8):820-3.
doi: 10.1111/j.1471-0528.1985.tb03052.x.

Episiotomy and third-degree tears

P Buekens, R Lagasse, M Dramaix, E Wollast

Episiotomy and third-degree tears

P Buekens et al. Br J Obstet Gynaecol. 1985 Aug.

Abstract

The relation of episiotomy to third-degree perineal tears was investigated in 21 278 singleton deliveries. The incidence of episiotomy was 28.4% (n = 6041). Third-degree tears occurred in 1.4% (85) of the deliveries with episiotomy and in 0.9% (132) of the deliveries without episiotomy (P less than 0.01). To avoid the effect of confounding factors, we analysed a sub-sample that included only vertex presentations with spontaneous occipitoanterior vaginal deliveries. After stratification for birthweight and parity, no relation between episiotomy and third-degree tear was found.

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