Department of obstetrics and gynecology, King Saud University, Riyadh, Saudi Arabia
 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, Ayman Aly Hamed El-Sallamy and Mohamed Mahmoud Abdelaziz             
                                        
                                                                                
                                 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»