Classification of episiotomy: towards a standardisation of terminology
Article first published online: 3 FEB 2012
© 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2012 RCOG
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 119, Issue 5, pages 522–526, April 2012
How to Cite
Kalis, V., Laine, K., de Leeuw, J., Ismail, K. and Tincello, D. (2012), Classification of episiotomy: towards a standardisation of terminology. BJOG: An International Journal of Obstetrics & Gynaecology, 119: 522–526. doi: 10.1111/j.1471-0528.2011.03268.x
- Issue published online: 12 MAR 2012
- Article first published online: 3 FEB 2012
- Accepted 30 November 2011. Published Online 3 February 2012.
Please cite this paper as: Kalis V, Laine K, de Leeuw J, Ismail K, Tincello D. Classification of episiotomy: towards a standardisation of terminology. BJOG 2012;119:522–526.
Seven episiotomy incisions are described in the literature, although only midline, mediolateral or lateral episiotomies are commonly used. Recent research has demonstrated variations in both site and direction of the incision, and differences between the angle of incision at the time of crowning of the fetal head and the angle of the scar once the wound has been repaired. We review this evidence and suggest that this variation may undermine the reliability of much published work. We suggest a standardised definition of each type of episiotomy to establish uniformity going forward, so that future studies are amenable to comparison and meta-analysis.