The DOI matches its Crossref record.
West Berkshire perineal management trial.
Open accessAbstract
One thousand women were allocated at random to one of two perineal management policies, both intended to minimise trauma during spontaneous vaginal delivery. In one the aim was to restrict episiotomy to fetal indications; in the other the operation was to be used more liberally to prevent perineal tears. The resultant episiotomy rates were 10% and 51% respectively. An intact perineum was more common among those allocated to the restrictive policy. This group experienced more perineal and labial tears, however, and included four of the five cases of severe trauma. There were no significant differences between the two groups either in neonatal state or in maternal pain and urinary symptoms 10 days and three months post partum. Women allocated to the restrictive policy were more likely to have resumed sexual intercourse within a month after delivery. These findings provide little support either for liberal use of episiotomy or for claims that reduced use of the operation decreases postpartum morbidity.
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Citations
Cited by
Norton, P., & Brubaker, L. (2006) · The Lancet · doi:10.1016/s0140-6736(06)67925-7 · Cited by 579
Obstetric practice and the prevalence of urinary incontinence three months after delivery
Wilson, P. D., Herbison, R. M., & Herbison, G. P. (1996) · BJOG: An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1996.tb09668.x · Cited by 419
Oliver, S., Clarke-Jones, L., Rees, R., Milne, R., Buchanan, P., Gabbay, J., Gyte, G., Oakley, A., & Stein, K. (2004) · Health Technology Assessment · doi:10.3310/hta8150 · Cited by 400
Fenner, D. E., Genberg, B., Brahma, P., Marek, L., & DeLancey, J. O. L. (2003) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2003.09.030 · Cited by 332
Costs and benefits of community postnatal support workers: a randomised controlled trial
Morrell, Spiby, Stewart, Walters, & Morgan (2000) · Health Technology Assessment · doi:10.3310/hta4060 · Cited by 166
Metadata
- Authors
- Sleep, J., Grant, A., Garcia, J., Elbourne, D., Spencer, J., & Chalmers, I.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1984-09-08
- Volume
- 289
- Issue
- 6445
- Pages
- 587-590
- ISSN
- 0007-1447 (ISSN-L)
- 1468-5833
- OpenAlex
- W1980592488
- Cited by
- 426
- References
- 0
- FWCI
- 17.27
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Sleep, J., Grant, A., Garcia, J., Elbourne, D., Spencer, J., & Chalmers, I. (1984). West Berkshire perineal management trial. BMJ. https://doi.org/10.1136/bmj.289.6445.587
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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