episiotomy 英 [ɪˌpiːsiˈɒtəmi] 美 [ɪˌpiːsiˈɑːtəmi]
释 义 n. [妇产]会阴切开术
例 句 The effects of mediolateral episiotomy on pelvic floor function after vaginal delivery. 会阴侧切术对阴道分娩后骨盆底组织功能的影响。
作者： Maurizio Serati
期刊：International Urogynecology Journal
Episiotomy is one of the most commonly performed surgical procedures in medicine. The Cochrane library first published a meta-analysis in 2000 on the role of the episiotomy in modern clinical practice that concluded that only a policy of selective episiotomy is acceptable with evidence-based improvement in maternal health compared with routine episiotomy. An update of this review in 2008 confirmed the same conclusions. Ten years later, however, the new version of the Cochrane meta analysis changed the previous recommendations in that the selective use of episiotomy could not be considered beneficial in all cases, although there is no clear evidence that this approach would result in harm to mother and baby. What are the advantages of selective versus routine episiotomy? Is there a difference between the complications of medio-lateral and midline procedures? What are the reasons for the recent change in the recommendations of Cochrane’s review? It seems timely to revisit this debate by urogynecologists to give a balanced and evidence-based opinion on whether or not episiotomy is routinely indicated at vaginal birth and whether the benefits and risks of medio-lateral versus the midline procedures are different.