Mediolateral episiotomy (the cut is made diagonally off to one side, see diagram above) is usual in most other parts of the world. Although it doesn't seem to cause anal muscle tears, it doesn't prevent them either.
www.childbirthconnection.org/article.asp?ck=10203
Episiotomy - Wikipedia, the free encyclopedia
An episiotomy (pronounced /ɛˌpiːziːˈɒtəmiː/ ) is a surgical incision through the perineum made to enlarge the vagina and assist childbirth. The incision can be midline or at an angle from the ...
en.wikipedia.org/wiki/Episiotomy
Medio-lateral-episiotomy.gif‎ (347 × 283 pixels, file size: 15 KB, ... 2005-01-10 07:37 Jeremykemp 347×283×8 (15584 bytes) medio lateral episiotomy ...
en.wikipedia.org/wiki/File:Medio-lateral-episiotomy.gif en.wikipedia.org/wiki/File:Medio-lateral-episiotomy.gif
Werner CH, Schuler W, Meskendal I. Midline episiotomy versus medio-lateral episiotomy. A randomized prospective study. Int J Gynaecol Obstet 1991; ...
www.bmj.com/cgi/content/full/320/7250/1615
Median Episiotomy vs. Mediolateral Episiotomy. This multi-image surgical exhibit compares the benefits of a mediolateral episiotomy versus that a median episiotomy during childbirth. ... Fourth Degree Episiotomy with Recto-vaginal Fistula - exh4556a; Medical Exhibit; Add to my lightbox; Find More Like This...
www.doereport.com/generateexhibit.php?ID=10601
However, there are no data available to indicate if an episiotomy should be midline or medio-lateral. We compared midline versus medio-lateral episiotomy ...
www.ncbi.nlm.nih.gov/pmc/articles/PMC2174441/
Get to know about midline episiotomy. Find out detailed information on mediolateral episiotomy and different types of episiotomy. ... A mediolateral episiotomy involves cutting into more muscle tissue and does not follow the natural way a woman would tear. This can mean they are harder to repair, have increased bleeding,
www.birth.com.au/Episiotomy-tearing/Midline-vs.-Mediola... www.birth.com.au/Episiotomy-tearing/Midline-vs.-Mediolateral-Episiotomy.aspx
OBJECTIVE: To determine risk factors for third degree obstetric perineal tears and to give recommendations for prevention. ... Mediolateral episiotomy may be sphincter-saving especially in nulliparous women and therefore prevent them from chronic faecal incontinence.
www.medscape.com/medline/abstract/9166198
Mediolateral episiotomy protected significantly for anal sphincter damage in both vacuum extraction (OR 0.11, 95% CI 0.09-0.13) and forceps delivery (OR 0.08, 95% CI 0.07-0.11). The number of mediolateral episiotomies needed to prevent one sphincter injury in vacuum extractions was 12, whereas 5 mediolateral...
www.medscape.com/medline/abstract/17999693
Hypothesis / aims of study: There is a lack of consensus in the definition of mediolateral episiotomy. ... One text suggests that mediolateral episiotomy should begin at the midline and subtend an angle of 40°-60° (1). According to CNGOF mediolateral episiotomy begins at the fourchette and subtends an angle of at least...
www.urotoday.com/287/conference_reports/ics_2007_abstra... www.urotoday.com/287/conference_reports/ics_2007_abstracts__pregnancy/ics_2007_abst274__one_europe_how_many_definitions_of_mediolateral_episiotomy.html