Abstracts

Angle of Episiotomy Practices among Medical Personnel: HKL Experience (Preliminary Report)

POB 22 / Obstetrics

Irwati, P., Ng PY., Nasrulliza, AM., Rohani, K., Farina S., Noraihan, AM.
O&G Department, Hospital Kuala Lumpur, Malaysia

Introduction: OASIS incidence had been increasing over the years. Multiple risks factors had been identified. Among them Asian ethnicity, nulliparity, birth weight of more than more than 4 kg, occipito-posterior position, instrumental deliveries and angle of episiotomy. A post episiotomy angle of more than 45 degree is associated with decreased anal sphincter injuries.

Objective: To assess the post episiotomy angle among medical personnel.

Methodology: This is a retrospective study done from 1st May 2016 till 21st May 2016. All patients who had episiotomy were recruited into this study. Demographics data, accoucher‘s details (i.e. type of medical personnel and experience) and post episiotomy angle were collected.

Results: A total of 119 patients were recruited. Only 5 patients (4.2%) had angle of 15 degree and below and 26 patients (21.8%) had post episiotomy angle of 30 degree. Therefore 88 patients (73.9%) had a post episiotomy angle of 45 degree and more.

Conclusion: Episiotomy was properly done by the medical personnel.