Khalid Akkour
Department of obstetrics and gynecology, King Saud University, Riyadh, Saudi Arabia
Publications
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Research
A comparative prospective cohort study between the Angled episiotomy scissors and straight scissors in low and outlet forceps delivery
Author(s): Ahmed Sherif Abdel Hamid, Salwa Niyazi, Nada Alayed*, Khalid Akkour, Eman Al Shehri and Ayman Aly Hamed El-Sallamy
Background: Obstetric anal sphincter injuries (OASIS) are reported to depend greatly on episiotomy angle. Episiotomy is done in almost all forceps deliveries. Aim: To evaluate the extent of vaginal and perineal trauma using the angled episiotomy scissors versus straight scissors. Design: Prospective comparative observational study conducted in 2 hospitals in Saudi Arabia. Methods: 60 patients delivered by forceps were divided in 2 groups; angle episiotomy group (n=30) vs. straight episiotomy group (n=30), with each having given birth to in a different hospital. The primary outcome measures were the suture angle, suture distance from midline, length of episiotomy, and occurrence of OASIS. Secondary outcomes were pain and neonatal outcomes. Results: Women with t.. Read More»