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DOI: 10.1055/a-0830-2317
Episiotomie
Publikationsverlauf
Publikationsdatum:
19. Juni 2019 (online)
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Die Geburt als physiologischer Vorgang sollte grundsätzlich möglichst ohne medizinische Interventionen erfolgen. Im Mittelpunkt dieser Überlegung steht insbesondere die weltweit häufig durchgeführte Episiotomie. Sie ist – trotz nur weniger wissenschaftlicher Daten – eine der häufigsten geburtshilflichen Operationen. Eine Sichtung der aktuellen Literatur rechtfertigt eine äußerst zurückhaltende Empfehlung zur Episiotomie in der klinischen Routine.
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Die Episiotomie ist – trotz weitreichend fehlender wissenschaftlicher Daten – eine der häufigsten geburtshilflichen Operationen.
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Die Episiotomie hat jedoch Risikofaktoren.
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Sie trägt zur Protektion des Beckenbodens bei und verringert die postpartale Urin- und Analinkontinenz.
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Die Episiotomie ermöglicht eine Verbesserung des sexuellen Erlebens Jahre nach der vaginalen Entbindung.
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Die Episiotomie verringert die kindliche Morbidität, insbesondere bei Frühgeburt.
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Literatur
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