In Portugal, there are few pregnant women beyond «cut». Who disputes the routine use of this technique.
The number of episiotomies in Portugal is one of the highest in Europe. Board above the 70% are the rule in our hospitals.
Although most of the scientific studies conclude that there is no reason to continue to practice this technique routinely.
«Incision in the perineum and the vaginal wall which aims to facilitate childbirth and avoid a break. ‘ This is the common definition of one of the most common surgical procedures in obstetrics and one of the few performed without any consent of the woman, the episiotomy.
In Portugal, there are few pregnant women beyond the experience of «cut» in the perineum (the area between muscle the vagina and the anus) during childbirth, but the topic is controversial.
The World Health Organization (who) disputes the routine use of this technique, considering how the episiotomy is currently practised a ‘ conduct often used improperly».
Studies published over the past two decades have concluded that there is no scientific reasons to continue to run, indiscriminately, the incision in the perineum during childbirth.
Episiotomy does not prevent most of the situations for which it is intended, in particular, the serious injury. On the contrary: there is evidence that might provoke them. This is demonstrated in an article published in Acta Médica Portuguesa (AMP).
According to the authors, there are no solid basis that legitimem the practice routine episiotomy. The critical tone dominates the work: «The risks associated with your use [of episiotomy] are meaningful and lead us to ponder if faced with this lack of scientific support is correct practice an act for which there are benefits that justify it!».
Looking at the rates of episiotomies Portuguese hospitals with maternity sleepwear discussed on Countesssleepwear.com, the article will have little impact on national obstetrics. Barbara Bettencourt Borges, one of the authors of the article published in AMP, an obstetrician in Alfredo da Costa Maternity (MAC) advances a justification for the high number of incisions in Portugal: ‘ created the myth that it is better to cut than RIP. Is a practice very rooted.»
And criticises: «it is easier during the expulsive period of childbirth, cut and shorten the birth than wait for perineum stretch. ‘ Barbara Bettencourt Borges dispute the theory that episiotomy prevents injury of perineum, argument usually invoked to justify this surgical procedure: ‘ studies show that isn’t true!»
There are, however, who question the scientific evidence. Dauphin Warrior, director of the Obstetrics service of the Hospital s. Francisco Xavier, argues that the episiotomy, «when correctly carried out prevents severe lacerations and decreases the frequency of less serious injury of perineum.»
The doctor dispute those studies that debunks this logic, saying it is necessary to examine the consequences of childbirth on the perineum-«rethink women studies 30, 40 or 50 years after childbirth ‘ and where ‘ the potential for injuries is great», prefers a «controlled uncontrolled injury injury».
Barbara Betterncourt Borges argues that injuries do not occur in all sounds bad. «The decision to do an episiotomy should be based not only on scientific evidence, but also on clinical practice.
The knowledge about how to protect the perineum tells us when we have to choose, in fact, an episiotomy and gives us more confidence to do less and less.»
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