Effects of episiotomy on bonding and mothers' health

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dc.authoridKaracam, Zekiye/0000-0002-0419-8961
dc.contributor.authorKaraçam, Z
dc.contributor.authorEroglu, K
dc.date.accessioned2025-03-23T19:35:41Z
dc.date.available2025-03-23T19:35:41Z
dc.date.issued2003
dc.departmentSinop Üniversitesi
dc.description.abstractBackground. Historically, episiotomy has been carried out during labour to facilitate delivery, shorten the duration of the second stage and prevent spontaneous lacerations. However, recent studies of episiotomy have recommended that it be carried out only when necessary. In Turkey, midwives are authorized to perform episiotomy. Aim. To analyse the effects of episiotomy on mothers' health and mother-infant bonding. Design. A cohort study of 100 women who gave birth by normal vaginal delivery in a Turkish hospital between 15 March 1999 and 6 April 2000. Methods. Participants were divided into episiotomy (n = 50) and control (n = 50) groups. Data on biographical characteristics and the process of labour were collected in hospital, and follow-up was conducted at home 1, 3 and 12 weeks after labour. Results. Mean duration of the second stage was longer in the episiotomy group than the control group, but the difference was not significant. The number of spontaneous lacerations was significantly lower in the episiotomy group. Mean time from delivery to maternal rest and time taken to bond with the infant were significantly longer in the episiotomy group. There were significantly higher scores for overall incidence and severity of pain on the first day, and pain incidence and severity at 1 week in the episiotomy group. Significantly fewer women in the episiotomy group were able to do chores and to sit/stand up comfortably in the first postpartum week Conclusion. Episiotomy should not be used unless indicated. Measures should be taken to avoid perineal trauma during labour, establish bonding between mother and infant as soon as possible, and minimize perineal discomfort after delivery.
dc.identifier.doi10.1046/j.1365-2648.2003.02727.x
dc.identifier.endpage394
dc.identifier.issn0309-2402
dc.identifier.issue4
dc.identifier.pmid12887357
dc.identifier.scopusqualityQ1
dc.identifier.startpage384
dc.identifier.urihttps://doi.org/10.1046/j.1365-2648.2003.02727.x
dc.identifier.urihttps://hdl.handle.net/11486/5906
dc.identifier.volume43
dc.identifier.wosWOS:000184392600010
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing Ltd
dc.relation.ispartofJournal of Advanced Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250323
dc.subjectepisiotomy
dc.subjectspontaneous laceration
dc.subjectpostpartum rest
dc.subjectperineal pain
dc.subjectmother-infant bonding
dc.subjectpostpartum activity
dc.subjectwound healing
dc.subjectdyspareunia
dc.subjectstress incontinence
dc.subjectmidwifery
dc.subjectnursing
dc.titleEffects of episiotomy on bonding and mothers' health
dc.typeArticle

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