Mary McGuinness, CNM, MS, completed her master's degree from the University of Illinois in December 1989. She is currently practicing as a CNM at Hutzel Hospital in Detroit, Michigan. She is a member of ACNM and Sigma Theta Tau.
COMPARISON BETWEEN DIFFERENT PERINEAL OUTCOMES ON TISSUE HEALING
Article first published online: 6 JAN 2011
1991 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 36, Issue 3, pages 192–198, May-June 1991
How to Cite
McGuinness, M., Norr, K. and Nacion, K. (1991), COMPARISON BETWEEN DIFFERENT PERINEAL OUTCOMES ON TISSUE HEALING. Journal of Nurse-Midwifery, 36: 192–198. doi: 10.1016/0091-2182(91)90007-C
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Perineal healing was compared between 181 women with episiotomies and 186 women without episiotomies at one to two weeks after delivery. Subjects were medically indigent low-risk women who had normal spontaneous vaginal deliveries at the same tertiary-care hospital. Maternal age, race, parity, and birth weight did not have an independent effect on perineal healing. Perineal outcome at delivery and length of second stage exhibited a significant relationship with perineal healing. Overall, there was a 4.9% incidence of delayed perineal healing due to wound separation or clinical infection. In the episiotomy group, 7.7% of the subjects experienced delayed perineal healing compared with 2.2% in the no-episiotomy group. This was statistically significant using Pearson chi-square analysis. These results suggest that women without episiotomies exhibit better perineal healing than women with episiotomies.