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Episiotomy scars have increased failure rates. (Subsequent Vaginal Delivery).
LOS ANGELES -- Scars resulting from episiotomies were nearly twice as likely to fail during a subsequent delivery as scars that resulted from a spontaneous laceration during vaginal delivery, according to the results of a California study.
Investigators studied the vaginal deliveries of 170 women, each of whom had a history of one prior delivery in which they received an episiotomy or had a spontaneous laceration.
Patients were not included in the study if they delivered before 36 weeks of gestation, delivered an infant weighing less than 2,500 g, had a noncephalic fetal presentation, had a multiple gestation, had an extension of an episiotomy on a previous delivery, or received successive episiotomies, Dr. Shawni L. Coll said in a poster presentation at the annual meeting of the American ...
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...a general consent for instrumented vaginal delivery. Documentation of any maternal or...informed consent for instrumented vaginal delivery is inconsistent and should be improved...with the choice of an instrumented vaginal delivery or cesarean section at full dilation...
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...prerequisites for attempting an operative vaginal delivery, Dr. Michael Belfort said at a conference...the patient qualifies for operative vaginal delivery under the rule of threes, defined...exceeds three, then attempted operative vaginal delivery is likely to be unsuccessful and ...
Source: HighBeam Research, Episiotomy scars have increased failure rates. (Subsequent Vaginal...