Post -Episiotomy Morbidity amongst Parturients at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Authors

  • Tamunomie Kennedy Nyengidiki Department of Obstetrics and Gynecology, College of Health Science, University of Port Harcourt, Port Harcourt, Nigeria
  • Solomon Nyeche Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt

DOI:

https://doi.org/10.60787/tnhj.v8i1-2.7

Keywords:

Post Episiotomy, Morbidity, Port Harcourt

Abstract

Background: Episiotomy, a commonly performed obstetric operation is associated with complications following its administration and care. These complications largely go unnoticed because of the deviation of attention after a successful delivery and subsequent loss of follow up of parturients after delivery. The objective of this study is to identify the morbidities associated with episiotomies and factors associated with such morbidities.

Methods: This was a cross sectional descriptive study among females who were attended to at the Obstetric Department of the University of Port Harcourt Teaching Hospital between 1st of January and 31st of May 2010. The study population consisted of patients who had episiotomies in their previous confinements attending either the antenatal clinic or the post-natal clinic in the University of Port Harcourt Teaching Hospital.

Results: Majority of the subjects were in the 31-35 year age group. Post-operative pain was the commonest complication and dyspareumia accounted of 70% of sexual complications. Majority of episiotomies were performed on subjects in their first confinement and repair performed by interns.

Conclusion: There is need to have a review of the pain management of patients with episiotomies and surgical techniques of interns repairing episiotomies. A restrictive use of routine episiotomy amongst primigravidae is advised to reduce the rate of episiotomy amongst this group

Downloads

Download data is not yet available.

Author Biographies

Tamunomie Kennedy Nyengidiki, Department of Obstetrics and Gynecology, College of Health Science, University of Port Harcourt, Port Harcourt, Nigeria

Lecturer and Consultant Obstetrician and Gynecologist

Solomon Nyeche, Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt

Senior Registrar Obstetrics and Gynecology

References

Johnson R. Obstetric procedures. In Edmond KD (ed). Dewhurst's Textbook of Obstetrics and Gynaecology for thPostgraduates. 6 edn. Oxford, Blackwell Scientific Publications. 1999; 308-329.

Warren PC. Episiotomy and Repair. In Darlene P, Martins W, Joan M (eds). Surgical Obstetrics. WB Saunders Publications.1992; 365-72.

Thacker B, Banta HD. Benefits and risk of episiotomy: An interpretative review of the English literature 1860-1980.Obstet Gynaecol Surv.1983.38:322-328.

Royal college of Obstetricians and Gynaecologist (RCOG) Guidelines NO. 23: Methods and materials used in perineal repair. 2000:1-2.

Mascarenhas T, Elliot BW, Mackenzie B. Comparison ofperinatal outcome, Antenatal and Intrapartum Care between England, Wales and France; British Journal ofObstet and Gynaecol; 1992:555-558.

Argentine Episiotomy Trial collaborative Group. Routine versus Selective Episiotomy. A randomized control Trial, Lancet 1993; 343:1517- 1518.

Graham IB. Episiotomy- Challenging Obstetrics Intervention, Oxford Blackwell Science Publications.1997:3-7.

Carole G, Belizaan J, stamp G. Episiotomy policies in vaginal birth. In: Pregnancy and child birth module ofthe Cochrane Database of systemic reviews. The Cochrane Library. Oxford: Update Software. 1997.

Ola ER, Bello O, Abudu OO, Anorluu RI. Episiotomy in Nigeria- should their use be restricted? Nigeria Postgraduate Medical Journal 2002(1): 13-16.

Otoide VO, Ogbonmwan SM, Okonuofua EF. Episiotomy in Nigeria. International Journal ofGynaecology and Obstetricians 2000. 68(1): 13-17.

Enyindah CE, Fieba PO, Anya SE, Okpani AOU. Episiotomy and Perineal Trauma Prevalence and Obstetric risk Factors in Port Harcourt Nigeria. Nigerian Journal of Medicine. 2007.16(3):242-245.

Houden NL, Weber AM, Meyen LA. Episiotomy Use Amongst Residents in Faculty Compared to Private Practitioners. Obstetric Gynaecology. 2004. 103(1):114-118.

Weber AM, Meyn L Episiotomy use in the United State of America. 1979- 1997. Obstet, Gynaecol. 2002:100(6): 1177-1182.

Williams FL, Du V. Florey C, Mires GJ, Ogston SA. Episiotomy and Perineal Tears in the low risk U.K Primigravidae. Journal of Public Health Med. 1998. 20(4): 422- 427.

Marinho AO. Episiotomies and Tears in 9255 Nigerian Obstetric patients. West Africa Journal of Medicine 1986. 5 (2): 117-120.

Lorenz N, Nougtara A, Garner P. Episiotomy in Burkina Faso. Tropical Doctor, 1998.28(2): 83-85.

Henriksens TB, Bek KM, Hedegaard M, and Secher NJ. Changes in use of Episiotomy- Methods and Consequences. Ugeskr Laeger. 1995.157(40): 5525-5529.

Henrisksen TB, Beks KM, Hedegaard. M, Scher NJ: Episiotomy and perineal lesions in spontaneous vaginal delivery. Ugeskr Laeger 1994. 156(21):3176-3179.

Reynold JL: Reducing the frequency of Episiotomies through a continuous quality improvement programme. CMAJ 1995.153(3): 275-282.

Dimitrov A, Nikolov A, Nalbanski B, Stamenov G,Dimitrov I, Lazarova L et al. The Result of the limited use of Episiotomy in managing the second stage oflabour. Akush Ginekol (Sofilia). 1997. 36(1): 3-4.

Dannecker C, Hillemanns P, Strauss A, Hasbargen U, Hepp H, Anthuber C. Episiotomy and perineal tear presumed to be imminent: Randomized controlled trial: Acta Obstet Gynaecology Scand 2004. 83(4): 364-368.

Zonderan KT, Buitendijk SE, Anthony S,Van Rijssel EJ,Verkerk PH.Frequency and Determinants ofEpisiotomy in second line Obstetrics in Netherlands Ned Tijdscher Geneckd 1995. 139(9): 449- 452.

Anthony S., Buitendijk S.E., Zonderan K.T, Van Rijssel E.J Verkerk P.H. Episiotomies and the occurrence ofsevere perineal laceration. British Journal of Obstet and Gynaecology. 1994. 101(12): 1064-7.

Sartore A, De Seta F, Maso G, Pergazzi R, Grimaldi E, Guaschino S. The effect of mediolateral episiotomy on pelvic floor function after vaginal delivery. Obstet Gynaecol 2004. 103(4): 669-673.

Peon AC, Fel Bersma RJK, Dekker GA, Deville W, Cuesta MA, Menwissen SGM. Third degree obstetric perineal tear; risk factors and the preventive role ofMediolateral Episiotomy. British Journal of Obstet Gynaecol. 1997. 104:563- 566.

Shipman MK, Boniface DR, Tefft ME, Mc Cloghry F. Antenatal perineal massage and subsequent perineal outcome. A randomized controlled trial British Journal of Obstet Gynaecol. 1997.104(70) 787-91.

Imarengiaye C0, Andet AB. Post partum perineal pain amongst Nigerian women. West African Journal ofMedicine. 2008. 27(3) 148-51

Downloads

Published

2015-11-29

How to Cite

Nyengidiki, T. K., & Nyeche, S. (2015). Post -Episiotomy Morbidity amongst Parturients at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. The Nigerian Health Journal, 8(1-2), 16. https://doi.org/10.60787/tnhj.v8i1-2.7
Abtract Views | PDF Download | EPUB Download: 820 / 58

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.