Bung Hatta statue ,Bukittinggi

About me.....

My photo

Curiculum vitaeRumah Sakit Ketergantungan Obat ,Fatmawati - Cilandak,Jakarta.-, Puskesmas Lautem -Moro/ Los Palos, Puskesmas Viqueque ( Timor Timur / Timor Leste ) . Rumah Sakit Umum Pusat Bukittinggi .Program Pendidikan Dokter Spesialis di Rumah Sakit Dr.M.Jamil,Padang. Rumah Sakit Umum Suliki,Payakumbuh.Rumah Sakit Dr.Ahmad Muchtar,Bukittinggi.Rumah Sakit Tentara ,Bukittinggi

IKATAN DOKTER INDONESIA (IDI).Sumatera Barat

IKATAN DOKTER INDONESIA (IDI).Sumatera Barat
INDONESIAN MEDICAL ASSOCIATION

ASSALAMUALAIKUM........

dr Firman Abdullah SpOG / OBGYN

dr Firman Abdullah SpOG / OBGYN

Peer - Review..Cyberounds

Blog Archive

FEEDJIT Live Traffic Feed

Discussion Board


ShoutMix chat widget

USG 3D/4D images (dr Firman Abdullah SpOG/ObGyn picture's )

FEEDJIT Live Traffic Map

FEEDJIT Recommended Reading

FEEDJIT Live Page Popularity

dr Firman Abdullah SpOG / OBGYN

dr Firman Abdullah SpOG / OBGYN

Sunday, April 26, 2009

ACOG Recommends Restricted Use of Episiotomies

| Find an Ob-Gyn | Contact Us | About Us | ACOG Home |
Search public website
Search Help
Login to search entire site


| Advocacy
About Advocacy ACOG Legislative Priorities Government Relations and Outreach Legislative Action Center Ob-Gyns For Women's Health State Legislative Activities | Education
About Education American Residency Coordinators in Obstetrics and Gynecology (ARCOG) CME (Cognate) Activity Report Continuing Medical Education CREOG Postgraduate Courses and CPT Coding Workshops Research Fellowships and Awards | Information
About Information ACOG News Releases Build Your ACOG Practice Page Build Your Medem Website Contact Information History Library/Archives InformaciĆ³n en EspaƱol Ob-Gyn Employment Online Discussion Publications Resource Center Search Medline Search Ovid Websites of Interest | Meetings
About Meetings ACOG Annual Clinical Meeting Meetings Calendar Postgraduate Courses and CPT Coding Workshops | Membership
About Membership ACOG Departments ACOG Districts ACOG Sections Committees and Councils Corporate Membership District and Section Activities Find an Ob-Gyn Grievance Junior Fellows Medical Students Member Benefits Membership Information Physician Job Placement Young Fellows | Practice Management
About Practice Management Coding and Nomenclature Health Information Technology HIPAA Practice Management and Managed Care Professional Liability Quality Improvement and Patient Safety | Publications
About Publications ACOG Clinical Review ACOG Department Publications ACOG Today Newsletter Committee Opinions Educational/Technical Bulletins Ethics in Obstetrics and Gynecology Guidelines for Perinatal Care Guidelines for Women's Health Care Health Care for Adolescents Obstetrics & Gynecology (Green Journal) Patient Education Pamphlets Practice Bulletins Special Issues in Women's Health Statements of Policy Task Force Reports Technology Assessment Transitions Purchase ACOG Publications Search ACOG Publications | Women's Issues
About Women's
Issues Adolescent Health
Care Health Care for
Underserved Women Indian Health
Service International
Activities National FIMR
Program Perinatal HIV Providers Partnership
Project Smoking Cessation Violence Against
Women Women With
Disabilities |

ACOG NEWS RELEASE
For Release: March 31, 2006
Contact: ACOG Office of Communications
(202) 484-3321
communications@acog.org


ACOG Recommends Restricted Use of Episiotomies


Washington, DC -- The use of episiotomy during labor should be restricted, with physicians encouraged to use clinical judgment to decide when the procedure is necessary, according to a new Practice Bulletin published by The American College of Obstetricians and Gynecologists (ACOG) in the April issue of Obstetrics & Gynecology. According to ACOG, "The best available data do not support the liberal or routine use of episiotomy. Nonetheless, there is a place for episiotomy for maternal or fetal indications such as avoiding severe maternal lacerations or facilitating or expediting difficult deliveries."

Episiotomy is a surgical incision made into the perineum—the region between the vagina and the anus—to widen the vaginal opening for delivery. Episiotomy was performed in more than one-fourth of all vaginal deliveries in 2002. Although rates of episiotomy have decreased in recent years, it is still one of the most commonly performed procedures in obstetrics.

Recent studies show that common indications for episiotomy were based on limited data. Additionally, there was a general underestimation of potential adverse consequences associated with the procedure, including extension to a third- or fourth-degree tear, anal sphincter dysfunction, and painful sex. Data suggest that women who have an episiotomy do not have significantly improved labor, delivery, and recovery compared with those who do not have one. Without sufficient data to develop evidence-based criteria for performing episiotomies, clinical judgment remains the best guide to determine when its use is warranted, according to ACOG.

Historically, the procedure has been indicated in circumstances such as abnormal labor progression, non-reassuring fetal heart rate pattern, vacuum- or forceps-assisted vaginal delivery, and shoulder dystocia. It also was believed to hasten the second stage of labor and reduce the risk of spontaneous perineal tearing, subsequent pelvic floor dysfunction, urinary and fecal incontinence, and sexual dysfunction.

"In the case of episiotomy, as with all medical and surgical therapies, we need to continually evaluate what we do and make appropriate changes based on the best and most current evidence available," said the document's author, ACOG Fellow John T. Repke, MD. "We should avoid the pitfall of letting anything in medicine become 'routine' and therefore, outside the realm of review and critical analysis."


# # #

Practice Bulletin #71, "Episiotomy," is published in the April 2006 issue of Obstetrics & Gynecology.
The American College of Obstetricians and Gynecologists is the national medical organization representing over 49,000 members who provide health care for women.

| ACOG Member Login |

QUICK LINKS
ACOG Departments
ACOG Districts
ACOG Sections
CPT Coding
Junior Fellows
Medical Students
Meetings Calendar
Membership Applications
My CME Transcript
Online Discussion
Postgraduate Courses
Residents Information


ACOG BOOKSTORE

Order educational materials online. It's fast, easy and secure.

• Patient Education
• Professional
• Multimedia
• Monthly specials




Privacy Statement | Important Disclaimer | Copyright Infringement | Terms of Use | Contact Us
Copyright © 2007 American College of Obstetricians and Gynecologists. All rights reserved.

No comments:

ACHMAD MOCHTAR GENERAL HOSPITAL BUKITTINGGI

ACHMAD MOCHTAR GENERAL HOSPITAL BUKITTINGGI
RUMAH SAKIT ACHMAD MOCHTAR BUKITTINGGI

Firman Abdullah Bung

drFirman Abdullah SpOG / ObGyn

drFirman Abdullah SpOG / ObGyn

KELUARGA BESAR TNI-AD

Dr Firman Abdullah SpOG/ OBGYN, Bukittinggi, Sumatera Barat ,Indonesia

Dr Firman Abdullah SpOG/ OBGYN,                              Bukittinggi, Sumatera Barat ,Indonesia

Bukittinggi , Sumatera Barat , Indonesia

Bukittinggi , Sumatera Barat  , Indonesia
Balaikota Bukittinggi

dr Firman Abdullah SpOG / OBGYN

dr Firman Abdullah SpOG / OBGYN

Ngarai Sianok ,Bukittinggi, Sumatera Barat.Indonesia

Ngarai Sianok ,Bukittinggi, Sumatera Barat.Indonesia

Brevet in Specialist Obstetric's & Gynecologist 1998

Brevet in Specialist Obstetric's & Gynecologist 1998
dr Firman Abdullah SpOG/ObGyn

Dokter Spesialis Kebidanan dan Penyakit Kandungan . ( Obstetric's and Gynaecologist ) . Jl.Bahder Johan no.227,Depan pasar pagi ,Tembok .Bukittinggi 26124 ,HP:0812 660 1614. West Sumatra,Indonesia

Sikuai Beach ,West Sumatra ,Indonesia

Sikuai Beach ,West Sumatra ,Indonesia

Fort de Kock, Bukittinggi