The study investigates the role of episiotomy in operative vaginal birth (OVB) using vacuum extraction and its relation to Obstetric Anal Sphincter Injuries (OASIs).
The research found that performing an episiotomy during OVB significantly reduced the incidence of OASIs, particularly in nulliparous (first-time) women, with a notable protective effect observed.
A shorter expulsive phase (under one hour) also acted as a protective factor against OASIs, while prolonged expulsive periods increased risk; however, fundal pressure had no significant impact on outcomes.
The study investigates the appropriateness of operative vaginal delivery, focusing on its risks for women and potential complications for newborns, conducted in three Italian hospitals among women requiring vacuum-assisted delivery.
A total of 466 women were analyzed, revealing that over half had cardiac monitoring indications for the procedure, but a significant portion (26.1%) of these were deemed inappropriate due to misinterpretations or unreadable CTG data.
The authors stress that decisions regarding operative vaginal deliveries are often made under time pressures, suggesting a need for more critical evaluation and caution in such procedures to ensure patient safety.
Synopsis of recent research by authors named "Alis Carabaneanu"
- Alis Carabaneanu's research primarily focuses on the safety and decision-making processes associated with operative vaginal deliveries, particularly the use of episiotomy and vacuum-assisted deliveries, as evidenced by his studies published in reputable journals.
- His 2023 longitudinal study explores the necessity and implications of episiotomy during operative vaginal births, highlighting the ongoing debate regarding its indications and the potential long-term consequences for patients.
- Carabaneanu has also conducted a multicenter observational study assessing the appropriateness of vacuum-assisted deliveries in pregnant women, reflecting a commitment to improving maternal and neonatal health outcomes amid the risks associated with such procedures.