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